RESUMEN
The increasing availability of telemedicine services and the transition to an information society allow the increased use of telemedicine in everyday medical practice. This requires acceptance of telemedicine as a powerful, additional pillar in the overall architecture of the health system. The implementation is still between the poles of the large variety of telemedicine applications and their realization. The University Hospital of Zurich looks back on 16 years of experience in the field of online medical advice. The quality of advice is continuously monitored and evaluated. Scientific evaluations analyze the profile of the questioner and their requests in order to optimize the services. Medical online advice conducted ethically correct can improve health literacy and increase the autonomy of medica/laypersons.
Asunto(s)
Hospitales Universitarios , Relaciones Médico-Paciente , Consulta Remota/métodos , Telemedicina , Actitud hacia los Computadores , Humanos , Aceptación de la Atención de Salud , Educación del Paciente como Asunto , Garantía de la Calidad de Atención de Salud , SuizaRESUMEN
The research and development project "Long Independent Living Assistant (LILA)'; which is financially supported by the Commission for Technology and lnnoyation (KTI}, is based on the results and experiences of many years of the Medical Online Consultation Service at the University Hospital Zurich.The focus is on development and provision of a comprehensive, telemedicine service. Citizens and patients should be provided more safety at home and the family doctor should be supported by the service. Core elements of the project include the telemonitoring of vital signs combined with an individual teleconsultation via telephone, email and video. Technically, the. service is supported by a web-based documentation and communication platform with an integrated patient record. In a one-year planning phase, individual interviews and group discussions were conducted with the participants of the study. The results are continuously incorporated into the concept. The subsequent pilot phase analyzed the developed tetemedical approach and leads to further improvements. The aim of the study is the evaluation of the needs, feasibility and acceptance of telemedicine services from the perspective of the user, taking into account their social environment~