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Solving the disjuncture between research and practice: telehealth trends in the 21st century
Health policy ; 82(2): 133-141, July 2007.
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-56816
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
Despite the great promise that telehealth holds for improving cost, quality and access, there is currently a disjunction between what we know about telehealth and system growth and performance. To better understand the relationship between these two facets of telehealth development, this paper examines trends in telehealth, both as an intellectual endeavor and as a practical means of providing health services. Although there are promising avenues for government intervention in the way of coordination, funding, and regulatory practice, lack of knowledge regarding what works and what does not work has served as a major impediment to further progress in this area. In the absence of solid empirical evidence, key decision makers entertain doubts about telehealth's effectiveness, which, in turn, limits public leadership, private investment, and the long-term integration of telehealth into the health and technological mainstream. Solving the disjuncture between research and practice will require additional clinical trials and evaluation studies that examine the efficacy of various technologies, both relative to each other and to conventional in person medical encounters. At the same time, it will require more even distribution of research across applications, service locations, regions, and nations. But the generation of additional high-quality empirical data on process, benefits, costs, and effects is only the beginning. That data must in turn be used to effectuate change. This will require researchers to take a more proactive stance in promoting use of their findings, both instrumentally, to adjust, modify or improve particular programs or policies, and conceptually, to influence how key stakeholders think about telehealth more generally. (AU)
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Coleções: Bases de dados temática Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 7: Evidência e conhecimento em matéria de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Telemedicina / Medicina Baseada em Evidências Tipo de estudo: Revisão sistemática de estudos observacionais País/Região como assunto: América do Norte Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo
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Coleções: Bases de dados temática Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 7: Evidência e conhecimento em matéria de saúde Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Telemedicina / Medicina Baseada em Evidências Tipo de estudo: Revisão sistemática de estudos observacionais País/Região como assunto: América do Norte Idioma: Inglês Revista: Health policy Ano de publicação: 2007 Tipo de documento: Artigo
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