Costanzo G, Monari P
Department of Innovation, Ministry of Health, Italy; Secretariat for Technical Assistance, Alleanza degli Ospedali Italiani nel Mondo, Italy.
J Telemed Telecare. 2006;12(8):382-6. doi: 10.1258/135763306779378645.
A store-and-forward teleconsultation system was established for 36 Italian hospitals located in 22 different countries. Referrals were made to a network of 33 health centres in Italy via a management centre (MC). The MC was equipped with a server to manage the service. The participating hospitals used client workstations with special software. The referring centres generated teleconsultation requests, which were sent to the MC and allocated manually by the latter to the most appropriate specialist on the basis of information provided in the message. From 1 June 2005 to 15 March 2006, 187 enquiries out of 221 were answered. The median response time was two days. A service satisfaction survey was conducted among the users and about 90% of the responses were positive. The teleconsultation system represents a mechanism for providing equitable access to health care for all the referring doctors.
为位于22个不同国家的36家意大利医院建立了一个存储转发远程会诊系统。转诊通过一个管理中心（MC）发送到意大利的33个健康中心网络。MC配备了一台服务器来管理这项服务。参与的医院使用装有特殊软件的客户端工作站。转诊中心生成远程会诊请求，这些请求被发送到MC，MC根据信息中提供的信息将其手动分配给最合适的专家。从2005年6月1日至2006年3月15日，221项咨询中有187项得到了答复。中位响应时间为两天。在用户中进行了一项服务满意度调查，约90%的答复是肯定的。远程会诊系统是一种为所有转诊医生提供公平医疗服务的机制。
