Chen H S, Guo F R, Lee R G, Lin C C, Chen J H, Chen C Y, Kuo T S, Hou S M
Department of Medical Informatics and Family Medicine, National Taiwan University, Taipei, Taiwan.
J Formos Med Assoc. 1999 Nov;98(11):767-72.
With continuing advances in information technology, the applications of computers in medicine are increasing rapidly. Modern information technology not only affects the delivery of health care, but also significantly influences the doctor-patient relationship. Since the 1990s, technologic developments in high-bandwidth telecommunications systems and digitizing devices have led to a surge of interest in telemedicine. In recent years, the Internet, with its powerful penetration and scalability, has become an increasingly popular medical information resource and a new platform for telemedicine. The impact of modern technology on the advancement of telemedicine in Taiwan started with the 1995 National Information Infrastructure project, which uses networks of different bandwidths for teleconsultation and distance education programs. In 1998, National Taiwan University and Taipei Medical College in Taiwan, and the University of Pittsburgh and the University of Iowa in the USA, began cooperation on a new Cyber Medical Center (CMC) project that integrates the technologies of multimedia, database management, a multiple-site videoconferencing system, and the World Wide Web. The aim of the CMC is to create a multimedia network system for the management of electronic patient records, teleconsultation, online continuing medical education, and information services on the Web. In the future, telemedicine systems in Taiwan are expected to combine the Internet and cable television to connect clinics, hospitals, insurance organizations, and public health administrations; and, finally, to extend health services to every household.
随着信息技术的不断进步，计算机在医学领域的应用正在迅速增加。现代信息技术不仅影响医疗保健的提供，而且对医患关系也有重大影响。自20世纪90年代以来，高带宽电信系统和数字化设备的技术发展引发了人们对远程医疗的浓厚兴趣。近年来，互联网凭借其强大的渗透力和可扩展性，已成为越来越受欢迎的医学信息资源和远程医疗的新平台。现代技术对台湾远程医疗发展的影响始于1995年的国家信息基础设施项目，该项目利用不同带宽的网络进行远程会诊和远程教育项目。1998年，台湾国立台湾大学和台北医学院与美国匹兹堡大学和爱荷华大学开始合作开展一个新的网络医疗中心（CMC）项目，该项目整合了多媒体、数据库管理、多站点视频会议系统和万维网等技术。CMC的目标是创建一个多媒体网络系统，用于管理电子病历、远程会诊、在线继续医学教育以及网络信息服务。未来，台湾的远程医疗系统预计将把互联网和有线电视结合起来，连接诊所、医院、保险机构和公共卫生管理部门；最终，将医疗服务扩展到每个家庭。
