https://scholars.lib.ntu.edu.tw/handle/123456789/470940
標題: | Dilemma of applying telehealth for overseas organ transplantation: Comparison on perspectives of health professionals and e-health information and communication technologists in Taiwan | 作者: | Shih F.J. Shih F.J. Pan Y.J. Chen H.M. SHOEI-SHEN WANG |
公開日期: | 2014 | 出版社: | Elsevier USA | 卷: | 46 | 期: | 4 | 起(迄)頁: | 1019-1021 | 來源出版物: | Transplantation Proceedings | 摘要: | Introduction Telehealth is one of the avenues of e-health; it is a voice, image, or document delivery system via the internet and aims to assist patients to prevent disease and to promote health, diagnosis, self-care, and treatment. The purpose of using telehealth for overseas organ transplantation (OOT) was debated. This study aimed to explore the dilemma in applying telehealth for OOT patients from the perspectives of health professionals and e-health information and communication technologists (eh-ICTs) in Taiwan. Methods An exploratory qualitative method was used, with a purposive sample of OT health professionals (OTHP) and eh-ICTs in Taiwan. Qualitative data were collected by face-to-face semistructured interviews, and were analyzed by content analysis. Results Fifty subjects including 10 OT surgeons (OTS), 30 registered nurses (RNs), and 10 eh-ICTs participated in this study. Five dilemmas were identified: (1) medical law violation (80%, n = 40 of 50; 100% OTS [n = 10 of 10], 67% RNs [n = 20 of 30], 100% eh-ICTs [n = 10 of 10]); (2) integrating telecommunication and medical systems for OOT (74%, n = 37 of 50; 90% OTS [n = 9 of 10], 73% RNs [n = 22 of 30], 60% eh-ICTs [n = 6 of 10]); (3) the inconsistent caring protocols among medical parties (68%, n = 34 of 50; 80% OTS [n = 8 of 10], 70% RNs [n = 21 of 30], 50% eh-ICTs [n = 5 of 10]); (4) the uncertainty in quality of care in overseas medical institutes (62%, n = 31 of 50; 80% OTS [n = 8 of 10], 60% RNs [n = 18 of 30], 50% eh-ICTs [n = 5 of 10]); and (5) the uncertainty in cost-effectiveness (36%, n = 18 of 50; 60% OTS [n = 6 of 10], 17% RNs [n = 5 of 30], 70% eh-ICTs [n = 7 of 10]). Conclusions The use of telehealth for OOT is in its infancy. A systematic curriculum with advanced pilots targeted to develop telehealth for OOT will be needed for mutual communication between OTHPs and eh-ICTs in the near future. ? 2014 by Elsevier Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84900322052&doi=10.1016%2fj.transproceed.2013.11.042&partnerID=40&md5=7a47cbf59b7b2544322d3f94d0543513 https://scholars.lib.ntu.edu.tw/handle/123456789/470940 |
ISSN: | 0041-1345 | DOI: | 10.1016/j.transproceed.2013.11.042 | SDG/關鍵字: | clinical protocol; conference paper; cost effectiveness analysis; health care quality; health personnel attitude; medical technologist; organ transplantation; priority journal; purposive sample; qualitative analysis; registered nurse; semi structured interview; surgeon; surgical patient; Taiwan; telecommunication; telehealth; uncertainty; access to information; adult; comparative study; cooperation; cost benefit analysis; economics; electronic medical record; health care cost; health care personnel; health personnel attitude; health service; health services research; human; interdisciplinary communication; international cooperation; medical information system; medical record; medical tourism; middle aged; nurse; nursing; patient care; physician; procedures; telemedicine; transplantation; treatment outcome; Access to Information; Adult; Attitude of Health Personnel; Continuity of Patient Care; Cooperative Behavior; Cost-Benefit Analysis; Electronic Health Records; Health Care Costs; Health Information Exchange; Health Personnel; Health Services Needs and Demand; Health Services Research; Humans; Interdisciplinary Communication; International Cooperation; Medical Record Linkage; Medical Tourism; Middle Aged; Nurses; Organ Transplantation; Physicians; Quality of Health Care; Taiwan; Telemedicine; Tissue and Organ Procurement; Treatment Outcome |
顯示於: | 醫學系 |
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