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PubMedDate not supplied

[Telepsychiatry--psychiatric advice on the Internet].

UNLABELLED: Telepsychiatry is a medical service with a use of contemporary communication technologies. Internet and electronic mail are included. AIM: The aim of the study was to examine the use of electronic mail in psychiatric advices. METHOD: Anonymous electronic mail (327) sent to the author from June 2001 to May 2002 were selected. They were then processed according to the following criteria: patient age and gender, person who was a subject of consultation, reason and subject of a consultation and prevailing symptoms of a disease. Data frequencies were obtained. RESULTS: 75% of patients referred their own psychiatric problem. The most frequent reasons of consultation were: a cry for help (44%), question about a disease (27%), consultation of a diagnosis (16%) or a therapy (13%). The biggest groups of symptoms related to fear (38%), disturbances of mood (18%), schizophrenic symptoms (13.5%) and sexual dysfunctions (10.5%). CONCLUSIONS: Psychiatrists on the Internet may expect an increase of electronic mail applicability in psychiatric advising. There is a need of medical, legal and ethical regulations of by-Internet doctor-patient relationship. Electronic mail may be treated as a source of knowledge on psychopathological symptoms and epidemiology of mental disturbances amongst the internet users.

Adult↗
PubMed2004

EyePACS: an open source clinical communication system for eye care.

PURPOSE: EyePACS is an application for communicating and archiving eye-related patient information, images, and diagnostic data. We studied how users adopted the system in diverse clinical settings. METHODS: 53 clinicians and 142 students uploaded cases over 2.5 years from 6 pilot sites: a university teaching clinic, a university glaucoma clinic, an urban private optometric practice, a rural elderly care facility, a diabetic management program, and an eye hospital in India. RESULTS: EyePACS collected 1,122 cases. Users employed it for informal "curbside" consults in 17% of cases. Other uses of the system were: 1) to replace telephone and fax referrals to a retinal specialist (10%), 2) as part of ocular teleconsultations and diabetic retinopathy screening (31%), 3) for education via digital grand rounds and evaluation of students (32%), and 4) for research (10%). CONCLUSION: EyePACS has been used successfully for consults and education in diverse settings. The resulting database of digital cases serves as a searchable reference for clinicians.

Aged↗
PubMed2006

[Military telemedicine: a network of networks].

Military telemedicine is a form of collaborative medicine based on the use of communication and information networks. It is more a network of networks than of independent systems. It comprises electronic medical files, epidemiological networks, and surgical and medical databases. Each system must be able to communicate with the others, thereby enabling the development of remote consultation, expertise and assistance. This requires networking between the army, the navy, and the air force communication networks, especially during special operations conducted abroad. We must also develop interoperability with systems in other countries, and with the French civilian health service. This means respecting the general rules governing these networks. The military health network is unique, in that it focuses on battlefield injuries. In addition, the French military health service operates under a single headquarters, governing nurses, paramedics and physicians.

Military Medicine↗
PubMed2006

[Telemedicine consultations in Iceland].

OBJECTIVE: A Telemedicine project was initiated to evaluate the usefulness of medical teleconsultations in Iceland and to gain experience for further planning of Telemedicine in the country. MATERIAL AND METHODS: The consultations were based on videoconference and store and forward method. Electronic stethoscope, spirometry, otoendoscope and digital pictures were used along with conventional videoconsultations. Doctors in six specialties in Landspitali University Hospital and one in private practice and Primary Care Physicians from five Health Care Centers in Iceland participated in the project. RESULTS: The results show that the Telemedicine consultations is practical and can be very useful. The doctors were content with the use of Telemedicine and the patients were pleased with the technique and the consults in general. All patients for example said that the consultation was just as or even better as if the specialist was in the room in person. The use of Telemedicine was helpful in almost all of the cases. Attention must be paid to organization of the consultations, payment, technical details and knowledge. CONCLUSION: Telemedicine have a role for Icelandic healthcare and may prove to be very useful. There are a number of factors who need preparation before the implementation of a Telemedicine service.

Humans↗
PubMed1980

[Work experience of a cardiology center with remote and automatic patient observation].

The author describes the experience of a cardiological remote consultation-diagnostic center which carries out 212 961 consultations with remote ECG recording in 1972--1978. The center is equipped with a telemetric apparatus constructed by the author jointly with engineers, which makes it possible to record the ECG by telephone and radio. The centre also has an automatic system intended for the observation of patients with acute myocardial infarction in intensive therapy wards. The electrocardiographic shifts, skin temperature, myocardial contractility, and arterial pressure of the patients are kept under continuous observation by means of electronic computers.

Cardiac Care Facilities↗
PubMed1995

[Hospital without borders--visions of telemedicine].

Transfer the expertise rather than the patient! With the help of a screen and a videocamera the general practitioner requiring expert help in diagnosis is able to consult the specialists directly via the broadband ISDN (Integrated Services Digital Network), and referrals complemented with audio-visual material can also be transmitted via the network. Modern telemedicine technology enables hospitals to be linked up, advanced information to be transmitted, interpreter services to be enlisted, and continuous postgraduate training to be developed. Thus, time and money can be saved, the patients given better and faster service, and the quality of health care enhanced.

Audiovisual Aids↗
PubMed1995

[Patient consultation via broad-band network--pilot project in hand surgery].

A pilot project launched at Esbjerg was designed to ascertain whether broad-band audiovisual transmission of clinical examination can replace direct contact between patient and physician, and if so to what extent. Provided the technique can be improved and simplified, video consultation is an obvious and economically advantageous alternative to referral to a specialised tertiary clinic. Not only will the technique need to be further tested and improved, however, but doctors will require training in the assessment of moving two-dimensional images and diagnosis via a visual display unit (VDU).

Cost-Benefit Analysis↗
PubMed1995

Virtual hospitalization: reality or utopia?

In this paper the problem regarding the way in which the increasing capacity and facilities of the telemedicine to link points of care, supporting services and health care sectors, is described. The virtual hospitalization is discussed, as well as its insertion in a new health care system, whose services will provide everyone with effective health care in their homes or in isolated places or in their working places or in emergencies, and which will permit remote consultations between professionals in specialized centers, hospitals and other peripheral points of care.

Aged↗
PubMed1996

Telemedicine: history, applications, and impact on librarianship.

This paper traces the uses of telecommunications in health care from the Civil War era to the present. Topics include the National Aeronautics and Space Administration's involvement in the origins of current telemedicine systems and the impact of television. Applications of telemedicine discussed include remote consultation and diagnosis, specialty clinical care (including examples from anesthesia, dermatology, cardiology, psychiatry, radiology, critical care, and oncology), and others (including examples of patient education, home monitoring, and continuing education). The concluding section highlights how telemedicine affects health sciences librarianship, beginning with the development of online computerized literature searching. This section also discusses the medical resources available to health sciences librarians as a result of the Internet.

Computer Communication Networks↗
PubMed1997

Diagnostic accuracy of teledermatology: results of a preliminary study in New Zealand.

AIM: To determine the accuracy of a video conferencing system (telemedicine) in diagnosis of dermatological disorders. METHODS: New patients referred to a dermatology clinic were initially examined by telemedicine and then by a standard face to face consultation. The diagnoses made by each type of consultation were compared and accuracy of telemedicine determined. RESULTS: One hundred and four patients with 135 dermatological conditions were analysed. Seventy five percent of conditions were correctly diagnosed by telemedicine. In a further 7% a differential diagnosis was made, which included the final diagnosis made face to face. In 12%, the diagnosis was incorrect using the telemedicine system, and in 3% no diagnosis was made. Four per cent of diagnoses were only made when the patient was seen face to face. CONCLUSION: This preliminary study suggests that video conferencing equipment can be used with a reasonable degree of accuracy for the diagnosis of dermatological disease.

Adolescent↗
PubMed1979

Radiologic consultation to a remote Canadian hospital using Hermes spacecraft.

Access to medical services in north Canada is limited by geography, climate, communication and transportation. A geostationary spacecraft, Hermes, was used to provide dependable, high-quality communication between a remote nursing station, a base hospital and a health science centre. Teleradiology formed an important component of the telemedicine services. Remote supervision of radiography and fluoroscopy was made possible; consultation services were shown to be 90% effective.

Adult↗
PubMed2001

Psychiatric consultation to schools on remote islands.

This article describes psychiatric consultation to schools with a diverse cultural group of youngsters in a geographically unique area. Collaborative aspects among the child psychiatrist, the sponsoring agency, and other community agencies are described.

Adolescent↗