Moncur J T, Rosen J M, Zhu S, Limonadi F M
Stud Health Technol Inform. 1997;39:328-33.
Many tertiary care centers in the USA have attempted to implement interactive television (IATV) or dynamic telemedicine systems. The advantage these systems provide is real-time interaction. The biggest disadvantage is cost: expensive hardware, band-width and personnel. An alternative to IATV is Medical Electronic Link (MEL); a low cost, store-forward, internet-based physician consultation system. MEL allows physicians in remote locations to consult physicians at the Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire by using the World Wide Web. The Benefits of MEL are low hardware and band-width costs, accessibility, a self-explanatory interface, convenience, and its use of the case record. This system has been implemented at a family practice clinic in Manchester, NH and at the Tribhuvan University Teaching Hospital in Kathmandu, Nepal.
美国许多三级医疗中心都尝试过实施交互式电视（IATV）或动态远程医疗系统。这些系统的优势在于实时互动。最大的劣势是成本：硬件、带宽和人员费用高昂。IATV的一种替代方案是医学电子链接（MEL）；这是一个低成本、存储转发、基于互联网的医生咨询系统。MEL使偏远地区的医生能够通过万维网向新罕布什尔州黎巴嫩市达特茅斯希区柯克医疗中心的医生咨询。MEL的优势在于硬件和带宽成本低、可访问性、界面一目了然、方便以及对病例记录的使用。该系统已在新罕布什尔州曼彻斯特的一家家庭医疗诊所和尼泊尔加德满都的特里布万大学教学医院实施。
