Adelhard K, Matzko M, Brüning R, Holzknecht N, Stark V, Reiser M
Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377 München.
Radiologe. 2002 Feb;42(2):82-6. doi: 10.1007/s00117-001-0695-9.
Health care delivery in Germany has to face severe challenges that will lead to a closer integration of services for in- and out-patients. University hospitals play an important role due to their activities in research, education and health care delivery. They are requested to promote and evaluate new means and ways for health care delivery.
The Institute of Clinical Radiology at the University Hospital of the Ludwig-Maximilians-University started teleradiological services for hospitals and general practices in January 1999 in the framework of the "Imaging services--teleradiological center of excellence". Legal, technical and organizational prerequisites were analyzed.
Networks between university hospitals and general practices are not likely to solve all future problems. They will, however, increase the availability of the knowledge of experts even in rural areas and contribute to a quality ensured health care at the patients home. Future developments may lead to international co-operations and such services may be available to patients abroad.
Legal, technical and organizational obstacles have to be overcome to create a framework for high quality telemedical applications. University hospitals will play an important role in promoting and evaluating teleradiological services.
德国的医疗保健服务面临严峻挑战，这将促使门诊和住院服务实现更紧密的整合。大学医院因其在研究、教育和医疗保健服务方面的活动而发挥着重要作用。它们被要求推广和评估医疗保健服务的新手段和方法。
1999年1月，路德维希 - 马克西米利安大学医院的临床放射学研究所，在“影像服务——卓越远程放射学中心”框架内，为医院和普通诊所开展了远程放射学服务。对法律、技术和组织方面的先决条件进行了分析。
大学医院与普通诊所之间的网络不太可能解决未来所有问题。然而，它们将提高即使在农村地区专家知识的可及性，并有助于在患者家中提供质量有保障的医疗保健服务。未来的发展可能会促成国际合作，此类服务可能会提供给国外患者。
必须克服法律、技术和组织方面的障碍，以创建高质量远程医疗应用的框架。大学医院将在推广和评估远程放射学服务方面发挥重要作用。
