Cone Stephen W, Hummel Russell, León Juan, Merrell Ronald C
Medical Informatics and Technology Applications Consortium, Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA.
J Telemed Telecare. 2007;13(1):31-4. doi: 10.1258/135763307779701220.
A clinical workstation was developed to provide basic telemedicine services in a medical clinic in rural Ecuador. The unit cost was less than $1000. The system provided videoconferencing and a Spanish language electronic medical record (EMR) for clinic consultations. All partners participated in the development of the EMR. Over a six-month period, almost all new patient encounters and ultrasound studies were entered into the EMR. Of 2387 patient encounters, 572 were recorded in electronic format and 80% were transmitted over the Internet for consultation. Four hundred and eight ultrasound studies were filed with the EMR and 90% were transmitted over the Internet for shared evaluation. During the six months of the study, there were no serious software or hardware problems. The doctor in Ecuador was initially trained at the laboratory in the USA. The two sites were in contact by email almost daily. Without such interaction, the performance of the software and hardware would probably have been worse. When a structured programme of instruction, protocols, EMR and technology support is in place, telemedicine can support remote rural practice.
在厄瓜多尔农村的一家诊所开发了一个临床工作站，以提供基本的远程医疗服务。单位成本不到1000美元。该系统提供视频会议和用于诊所会诊的西班牙语电子病历（EMR）。所有合作伙伴都参与了电子病历的开发。在六个月的时间里，几乎所有新的患者诊疗和超声检查都录入了电子病历。在2387次患者诊疗中，572次以电子格式记录，其中80%通过互联网传输以供会诊。408份超声检查报告存入了电子病历，90%通过互联网传输以供共同评估。在研究的六个月中，没有出现严重的软件或硬件问题。厄瓜多尔的医生最初在美国的实验室接受培训。两个地点几乎每天都通过电子邮件联系。没有这种互动，软硬件的性能可能会更差。当有结构化的教学计划、协议、电子病历和技术支持时，远程医疗可以支持偏远农村地区的医疗实践。
