BARRIERS AND CONTRIBUTORS TO SUCCESS IN TELEMEDICINE: A QUALITATIVE STUDY OF A STRUGGLING TELEPSYCHIATRY PROJECT AND A SAMPLING OF HIGHLY SUCCESSFUL PROGRAMMES.

Carolyn Lauckner, Pamela Whitten
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Abstract

Telemedicine programmes, though popular and increasingly effective, can sometimes fail with little indication as to why they did so. This study provides first a qualitative analysis of the authors' failed telepsychiatry project, and second, an interview study completed with personnel from successful telepsychiatry programmes. Together, these shed light on what went wrong with the authors' project, and also provide insight about critical factors for telepsychiatry success. Findings suggest the sophistication or features of the technology are not key factors in failure or success. Instead, community, patient-based, and study-specific barriers were most commonly cited as issues that inhibited study recruitment and enrolment. Based on these findings, recommendations are provided to address common barriers and increase the likelihood of success in telepsychiatry.

远程医疗成功的障碍和因素:对一个挣扎中的远程精神病学项目的定性研究和非常成功的方案抽样。
远程医疗项目虽然很受欢迎,而且越来越有效,但有时也会失败,几乎没有迹象表明它们为什么会失败。本研究首先对作者失败的远程精神病学项目进行了定性分析,其次对成功远程精神病学项目的人员进行了访谈研究。总之,这些揭示了作者的项目出了什么问题,也提供了对远程精神病学成功的关键因素的见解。研究结果表明,技术的复杂程度或特点并不是成败的关键因素。相反,社区、患者基础和研究特异性障碍是最常被引用的阻碍研究招募和入组的问题。基于这些发现,提出了解决常见障碍和增加远程精神病学成功可能性的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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