The role of medical informatics in telemedicine

Clemmer, Terry P.

doi:10.1007/bf02257190

Cited by 28 publications

(10 citation statements)

References 39 publications

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“…1 The introduction of these tools in surgery has attracted much interest; however, the possibilities of combining increasing computing power 2 with surgeons' objectives and needs have not yet been properly analyzed. First, we must assess the results of telematic applications in medicine and surgery.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Telemedicine in Surgical Education and Patient Care

Demartines

Mutter²,

Vix³

et al. 2000

Annals of Surgery

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ObjectiveTo analyze the value of teleconferencing for patient care and surgical education by assessing the activity of an international academic network. Summary Background DataThe uses of telemedicine include teleeducation, training, and consulting, and surgical teams are now involved, sharing diagnostic information and opinions without the need for travel. However, the value of telematics in surgery remains to be assessed. MethodsDuring a 2-year period, weekly surgical teleconferences were held among six university hospitals in four European countries. To assess the accuracy of telediagnosis for surgical cases, 60 randomly selected cases were analyzed by a panel of surgeons. Participants' opinions were analyzed by questionnaire. ResultsSeventy teleconferences (50 lectures and 271 case presentations) were held. Ninety-five of the 114 participants (83.3%) completed the final questionnaire. Eighty-six percent rated the surgical activity as good or excellent, 75.7% rated the scientific level as good or excellent, 55.8% rated the daily clinical activity as good or excellent, and 28.4% rated the manual surgical technique as good or excellent. The target organ was identified in all the cases; the organ structure and pathology were considered well defined in 93.3%, and the fine structure was considered well defined in 58.3%. Diagnosis was accurate in 17 cases (28.3%), probable in 25 (41.7%), possible but uncertain in 16 (26.7%), and not possible in 2 cases (3.3%). Discussion among the remote sites increased the rate of valuable therapeutic advice from 55% of cases before the discussion to 95% after the discussion. Eighty-six percent of the surgeons expressed satisfaction with telematics for medical education and patient care. ConclusionsParticipant satisfaction was high, transmission of clinical documents was accurate, and the opportunity to discuss case documentation and management significantly improved diagnostic potential, resulting in an accuracy rate of up to 95%. Teleeducation and teleconsultation in surgery appear to be beneficial.In this information age, the new computer-based communication technologies called telematics offer enormous potential for applications in medical and surgical practice and education.1 The introduction of these tools in surgery has attracted much interest; however, the possibilities of combining increasing computing power 2 with surgeons' objectives and needs have not yet been properly analyzed. First, we must assess the results of telematic applications in medicine and surgery. 3,4 The field of telemedicine involves far more than just the transmission of patient files.5 It involves education, 6,7 training, 8 consulting, 9 and mentoring, 10 -12 and in the near future will include accreditation. 13 Currently, surgical teams are involved in teleconferencing, sharing medical advice and offering second opinions without the need to transfer the patient.14 -16 The time and costs of travel on the part of experts are limiting factors to joint consultations or meet- 282ings.17 Telemedicine s...

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Section: Discussionmentioning

confidence: 99%

Assessment of Telemedicine in Surgical Education and Patient Care

Demartines

Mutter²,

Vix³

et al. 2000

Annals of Surgery

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“…Acesso de prontuários médicos por pessoas não autorizadas [CHEN, 2000]; existe a possibilidade de ocorrer uma interpretação equivocada dos dados e imagens transmitidos, pois este depende da qualidade do equipamento e da amostra enviada. Com o avanço desenfreado das tecnologias existe uma maior necessidade de treinamento do pessoal que fará uso desta prática, de modo que se evitem erros na transmissão de dados [CLEMMER, 1996]; além da incompatibilidade econômica, com relação ao custo do sistema, existente na maior parte do Brasil, há uma incompatibilidade cultural gerando a necessidade de implantação de projetos educativos para médicos e pacientes de modo a explicar o objetivo do projeto, suas vantagens, etc. Além de representar custo adicional, há ainda a dificuldade de se convencer à população mais humilde das qualidades da telemedicina; o projeto ficaria então restrito à população mais elitizada, talvez não atingindo seu objetivo em termos numéricos de consultas realizadas.…”

Section: Resultsunclassified

Telemedicina: possibilidades versus realidade

Filho¹,

Anacleto

2005

RESI

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A telemedicina não é uma solução universal para todos os problemas relacionados ao cuidado da saúde, porém, pode ajudar a minimizar o tempo e a distância, barreiras extremamente significativas à assistência a saúde, especialmente em áreas não metropolitanas. Sendo um dos objetivos da telemedicina proporcionar a assistência à saúde com qualidade as regiões remotas e distantes, não se pode ignorar o fato de que estas regiões não dispõem de tecnologias de ponta para comunicação. Este estudo visa proporcionar dados que permitam uma reflexão sobre as possibilidades reais de uso da telemedicina, buscando utilizar as condições tecnológicas disponíveis na maior parte das regiões distantes dos grandes centros de atendimento para a sua prática.

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“…Clemmer [ 4] believes that the real impact of medical informatics on telemedicine will be realized by implementing sophisticated clinical information systems with automated reminder and decision-support tools in the rural/remote practices most often targeted by telemedicine initiatives. The author lists the most common perceptions of telemedicine as: (1) Tele-education of providers, administrators and patients; (2) Tele-consultation to.…”

Section: Medical Informatics and Telemedicinementioning

confidence: 99%

“…The use of standardized representation models, such as HL 7 and SQL, to address the task of integrating legacy clinical information systems with new relational, client-server systems is addressed by Willard et al [3]. Clemmer [4] challenges us to debate the thesis that proven medical informatics technolo., gies such as electronic medical record systems and clinical reminder tools may have more to offer the emerging field of telemedicine than some of the conventional approaches taken to sup-Year book of Medical Informatics 1996…”

Section: Introductionmentioning

confidence: 99%

Biomedical Information Systems

Lowe¹

1996

Yearb Med Inform

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The role of medical informatics in telemedicine

Cited by 28 publications

References 39 publications

Assessment of Telemedicine in Surgical Education and Patient Care

Assessment of Telemedicine in Surgical Education and Patient Care

Telemedicina: possibilidades versus realidade

Biomedical Information Systems

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