Lattimore M R
Aircrew Health & Performance Division, U.S. Army Aeromedical Research Laboratory, Fort Rucker, Alabama, USA.
Telemed J. 1999 Fall;5(3):309-13. doi: 10.1089/107830299312069.
This telemedicine test was developed to determine the relative ease with which an off-the-shelf ophthalmic telemedicine package could be successfully applied from within a remote theatre of operations. The project was conducted at the Camp Doha Health Clinic, located just outside Kuwait City, during the period from April 12(th) through April 23(rd), 1998. The deployed signal unit had contracted for a direct T-1 commercial satellite link (via MCI), which allowed for direct internet connectivity using a PCMCIA network card. Digital images were sent via this connection to 140 e-mail sites throughout the world, including an unsolicited image to each of 134 Army optometry officers for their review, analysis, and diagnosis. Return responses to this unsolicited survey were 53 out of 134, for a 39.7% response rate. Half of the respondents were able to view the image with ease and clarity, rendering an accurate clinical diagnosis. The other half of the respondents either did not have the software to display an image on their clinical desktop PC, or did not know how to use their provided software. This project clearly indicates that an off-the-shelf ophthalmic digital system can be successfully used from a remote deployed site. However, the consulting clinicians require up-to-date training, and their computer packages should have as wide a capability base as possible.
此次远程医疗测试旨在确定一个现成的眼科远程医疗软件包在偏远作战区域内成功应用的相对难易程度。该项目于1998年4月12日至4月23日在位于科威特城郊外的多哈营地健康诊所进行。所部署的信号单元通过MCI签订了直接T-1商业卫星链路合同，这使得使用PCMCIA网卡可实现直接互联网连接。数字图像通过此连接发送到全球140个电子邮件站点，包括向134名陆军验光师每人发送一张未经请求的图像以供他们审查、分析和诊断。对此次未经请求的调查的回复有134份中的53份，回复率为39.7%。一半的受访者能够轻松清晰地查看图像并做出准确的临床诊断。另一半受访者要么没有在其临床台式电脑上显示图像的软件，要么不知道如何使用所提供的软件。该项目清楚地表明，一个现成的眼科数字系统可以在远程部署地点成功使用。然而，咨询临床医生需要接受最新培训，并且他们的计算机软件包应具备尽可能广泛的功能基础。
