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Titolo:
EMR based telegeriatric system
Autore:
Pallawala, PMDS; Lun, KC;
Indirizzi:
Natl Univ Singapore, Med Informat Programme, Singapore 117597, Singapore Natl Univ Singapore Singapore Singapore 117597 ngapore 117597, Singapore
Titolo Testata:
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
fascicolo: 2-3, volume: 61, anno: 2001,
pagine: 229 - 234
SICI:
1386-5056(200105)61:2-3<229:EBTS>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
TELEMEDICINE; OPPORTUNITIES;
Keywords:
medical informatics; telemedicine; aged; telegeriatrics; remote consultation; computerized medical records; ethics; legal status; asynchronous digital subscription line;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Lun, KC Natl Univ Singapore, Med Informat Programme, Med Dr, Singapore 117597, Singapore Natl Univ Singapore Med Dr Singapore Singapore 117597 , Singapore
Citazione:
P.M.D.S. Pallawala e K.C. Lun, "EMR based telegeriatric system", INT J MED I, 61(2-3), 2001, pp. 229-234

Abstract

Introduction: As medical services improve due to new technologies and breakthroughs, it has lead to an increasingly aging population. There has been much discussion and debate on how to solve various aspects such as psychological, socioeconomic and medical problems related to aging. Our effort is to implement a feasible telegeriatric medical service with the use of the state of the art technology to deliver medical services efficiently to remotesites where elderly homes are based. Telegeriatric system will lead to rapid decision-making in the presence of acute or subacute emergencies. This triage will also lead to a reduction of unnecessary admission. It will enable the doctors who visit these elderly homes on a once-a-week basis to improve their geriatric management skills by communication with geriatric specialist. Nursing skills in geriatric care will also benefit from this system. Integrated EMR service will be indispensable in the face of emergency admissions to hospitals. Evolution of EMR database would lead to future researchin telegeriatrics and will help to identify the areas where telegeriatricscan be optimally used. Methodology: This system is based on current web browsing technology and broadband communication. EMR web based server is developed using Java Technology. EMR database was developed using Microsoft SQL server. Both are basedat the Medical Informatics Programme, National University of Singapore. Two elderly homes situated in the periphery of Singapore and a leading government hospital in geriatric care has been chosen for the project. These three institutions and National University of Singapore are connected via ADSL protocol, which support high bandwidth, which is necessary for high qualityvideoconferencing. Each time a patient needs a teleconsultation, a nurse or doctor in the remote site sends the history to the EMR server. EMR serverforwards the request to the Alexandra Hospital for consultation. Geriatrics specialists at Alexandra Hospital carry out teleward rounds twice weekly and on demand basis. Summary of results: Following the implementation of the system, a trial run has been done. This shows a high degree of coordination and cooperation between remote site and the Alexandra Hospital Also the patient compliance is very high and they prefer teleconsultation. Conclusion: Initial results show that telegeriatric system has definite advantages in managing geriatric patients at a remote site. As the system evolves, further research will show the areas where telegeriatrics can be usedoptimally. (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 30/03/20 alle ore 10:07:05