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Titolo:
Implementation and evaluation of a multifunctional telemedicine system in NTUH
Autore:
Lin, CC; Chen, HS; Chen, CY; Hou, SM;
Indirizzi:
Natl Taiwan Univ, Coll Med, Dept Med Informat, Taipei, Taiwan Natl Taiwan Univ Taipei Taiwan l Med, Dept Med Informat, Taipei, Taiwan Natl Taiwan Univ, Sch Med, Dept Orthoped Surg, Taipei 100, Taiwan Natl Taiwan Univ Taipei Taiwan 100 ept Orthoped Surg, Taipei 100, Taiwan
Titolo Testata:
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
fascicolo: 2-3, volume: 61, anno: 2001,
pagine: 175 - 187
SICI:
1386-5056(200105)61:2-3<175:IAEOAM>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH-CARE; MULTIMEDIA; RADIOLOGY; NETWORKS;
Keywords:
telemedicine; ATM; ISDN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Hou, SM Natl Taiwan Univ, Coll Med, Dept Med Informat, Taipei, Taiwan NatlTaiwan Univ Taipei Taiwan ept Med Informat, Taipei, Taiwan
Citazione:
C.C. Lin et al., "Implementation and evaluation of a multifunctional telemedicine system in NTUH", INT J MED I, 61(2-3), 2001, pp. 175-187

Abstract

In this article, we proposed a multifunctional telemedicine system supporting both telediagnosis and teleconsultation services. We attempted not onlyto insure that the implementation of this system satisfied most requirements, but also to evaluate the impact of the system. With regard to system architecture, we designed a unified multimedia database to store all types ofdata and used two kinds of network (ATM and ISDN) for different possible applications. As for data transmission, the REFRESH and PREFETCH mechanisms were implemented to enhance data transfer efficiency. A total of 1107 consultations employing the telemedicine system were performed during the past 3years. This technology was used most frequently for radiology consultation(32.7%, n = 362) and ultrasonic examination (19.5%, n = 216). An evaluation of the impact on diagnosis (507 valid cases) indicated that the diagnosisin 80 cases (15.78%) were altered on the basis of second opinions from a medical center; and the number of patients transferred to the medical centerwas reduced from 24 (4.7%) to eight cases. Most of the rural-site physicians (97%) thought that they did benefit from specialists' experience and knowledge via the telemedicine system. Based on 431 valid questionnaires. the number of the patients with confidence in the telemedicine system at their local healthcare center increased from 72.6% to 87.5%. Overall, more than 90% of patients and physicians believed that the system was valuable and provided satisfactory services. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 16:53:56