PDF(Pubmed)
Abstract：
Introduction: The federally funded Region 1 Regional Disaster Health Response System (RDHRS) and the American Burn Association partnered to develop a model regional disaster teleconsultation system within a Medical Emergency Operations Center (MEOC) to support triage and specialty consultation during a no-notice mass casualty incident. Our objective was to test the acceptability and feasibility of a prototype model system in simulated disasters as proof of concept. Methods: We conducted a mixed-methods simulation study using the Technology Acceptance Model framework. Participating physicians completed the Telehealth Usability Questionnaire (TUQ) and semistructured interviews after simulations. Results: TUQ item scores rating the model system were highest for usefulness and satisfaction, and lowest for interaction quality and reliability. Conclusions: We found high model acceptance, but desire for a simpler, more reliable technology interface with better audiovisual quality for low-frequency, high-stakes use. Future work will emphasize technology interface quality and reliability, automate coordinator roles, and field test the model system.
摘要：
简介：联邦政府资助的第1区区域灾难健康响应系统（RDHRS）和美国烧伤协会合作开发了一个医疗紧急行动中心（MEOC）内的区域灾难远程咨询系统模型，以支持在无通知的大规模伤亡事件期间进行分类和专业咨询。我们的目标是测试原型模型系统在模拟灾难中的可接受性和可行性，作为概念证明。方法：我们使用技术接受模型框架进行了混合方法仿真研究。参与的医生在模拟后完成了远程医疗可用性问卷（TUQ）和半结构化访谈。结果：TUQ项目得分评价模型系统的有用性和满意度最高，交互质量和可靠性最低。结论：我们发现模型接受度很高，但是渴望一个更简单的，更可靠的技术接口，为低频提供更好的视听质量，高风险使用。未来的工作将强调技术接口质量和可靠性，自动化协调员角色，并对模型系统进行现场测试。
