法国远程医疗系统:挑战、程序和困难

Guillaume Rousset
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引用次数: 0

摘要

在法国,为应对经济、技术和法律方面的挑战,远程医疗几年来发展迅速。本文旨在从多个角度介绍已建立的系统的大致轮廓。首先是远程医疗所要应对的问题。这些问题基本上就是所谓的 "医疗荒漠"。远程医疗被认为是弥补特定地区医疗专业人员缺乏或短缺的一种工具。这样,该系统就能促进民众获得可靠的医疗服务。虽然这是一个值得称赞的目标,但更详细的分析使人对这一结果能否实现产生怀疑。思考的第二个角度涉及实施远程医疗的条件和程序。这涉及到对参与方的考察,以确定可以动员哪种类型的人,既包括参与的医疗专业人员类型,也包括相关病人的类型。这也是一个确定在何处进行远程医疗程序的问题,它显示了可能性的多样性:可以在何处设立展台,更广泛地说,病人应该在何处?这篇论文的第三个也是最后一个角度涉及远程医疗实践可能给病人带来的风险问题,这些风险超出了可以想象到的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The French Telemedicine System: Challenges, Procedures and Difficulties
In France, telemedicine has been developing rapidly for several years, in response to economic, technical and legal challenges. The aim of the article is to present the broad outlines of the system that has been put in place, from a number of angles. The first deals with the problems to which telemedicine is proposed as a response. These problems are essentially what are known as “medical deserts”. Telemedicine is presented as a tool for compensating for the absence or shortage of healthcare professionals in a given area. This system would then promote reliable access to healthcare for the population. While this is a laudable objective, a more detailed analysis casts doubt on whether this result will be achieved. The second angle of this reflection concerns the conditions and procedures for implementing telemedicine. This involves looking at the players involved in order to determine what type of person can be mobilized, in terms of both the type of healthcare professional involved and the type of patient concerned. It is also a question of determining where a telemedicine procedure should be carried out, which shows the diversity of possibilities: where can the booths be set up and, more generally, where should the patient be on this occasion? The third and final angle of this contribution deals with the question of the risks that the practice of telemedicine may generate for patients over and above the benefits that can be imagined.
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