Lahtela Jorma T, Lamminen Heikki
Department of Medicine, Medical School, Tampere University Hospital, University of Tampere, Finland.
Ann Med. 2002;34(4):241-7. doi: 10.1080/078538902320322501.
This paper reviews telemedicine and its recent expansions within diabetes management. Diabetes mellitus continues to be one of the major chronic diseases with up to 11% of national health care expenditure, when all late complications are taken into account. Over and above this, the incidence of diabetes is increasing in pandemic fashion. Diabetes has been the focus of telemedicine and information technology over the past two decades. Useful applications supporting high quality treatment exist in clinical management, education, decision support and modelling. Development of high-speed networks enables transmission of good quality photographs making consultations from distant locations possible. Databases and data analysis are fundamental to diabetes outcome research. Less successful has been the development of electronic medical records although this is a dream of many. Evidence of improved clinical outcome using telemedical applications still awaits the breakthrough.
本文回顾了远程医疗及其在糖尿病管理领域的最新发展。糖尿病仍然是主要的慢性疾病之一，若将所有晚期并发症考虑在内，其花费占国家医疗保健支出的11%。除此之外，糖尿病的发病率正呈流行趋势上升。在过去二十年中，糖尿病一直是远程医疗和信息技术的关注焦点。在临床管理、教育、决策支持和建模方面，存在有助于高质量治疗的应用。高速网络的发展使得高质量照片的传输成为可能，从而使远程会诊成为现实。数据库和数据分析是糖尿病预后研究的基础。尽管电子病历是许多人的梦想，但电子病历的发展成效欠佳。使用远程医疗应用改善临床预后的证据仍有待突破。
