Telemedicine has been used for some years in the industrialized world, albeit with rather mixed success. There is also a considerable literature on the potential use of telemedicine for the developing world. However, there are few reports of the actual use of telemedicine there. A review identified five telemedicine networks providing second opinions; each network had been in operation for over five years. Although they have different aims and methods of operation, they exhibit some common features. In particular, none of them appear to be dealing with markedly increasing referral rates. Rough calculations suggest that only about 0.1% of the potential telemedicine demand from the developing world is being met. Possible reasons include the referrers being too busy and a perceived loss of control. If this analysis is correct, then the right strategy for future telemedicine in developing countries will be to concentrate on the construction of within-country networks that demonstrably alter health outcomes, can be shown to be cost-effective and sustainable, and will provide a model for other countries to copy.

译文

:Telemedicine在工业化世界中已经使用了几年,尽管取得了不同的成功。关于远程医疗在发展中国家的潜在用途,也有大量文献。但是,那里很少有关于远程医疗实际使用的报道。审查确定了五个提供第二意见的远程医疗网络;每个网络已经运行了五年以上。尽管它们具有不同的目标和操作方法,但它们具有一些共同的特征。特别是,它们似乎都没有处理引荐率显着提高的问题。粗略的计算表明,仅满足了发展中国家潜在的远程医疗需求的0.1%。可能的原因包括引荐来源人太忙和感觉失控。如果这一分析是正确的,那么发展中国家未来远程医疗的正确策略将是集中于国家内部网络的建设,这些网络将明显改变健康状况,可以证明其具有成本效益和可持续性,并将提供一个模型。供其他国家复制。

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