Helck A, Matzko M, Trumm C G, Grosse C, Piltz S, Reiser M, Ertl-Wagner B
Department of Clinical Radiology, University of Munich, Germany.
Rofo. 2009 Dec;181(12):1180-4. doi: 10.1055/s-0028-1109733. Epub 2009 Oct 26.
In addition to teleradiological reporting as a nighthawking or a regular service, teleradiological communication can be used for interdisciplinary expert consultation. We intended to evaluate an interdisciplinary consultation system based on a teleradiology platform with regard to its impact on therapeutic decision-making, directed patient referrals to an academic tertiary care center and the economic benefit for the hospital providing the service. Therefore, consultations from five secondary care centers and consecutive admissions to an academic tertiary care center were prospectively evaluated over a time period of six months. A total of 69 interdisciplinary expert consultations were performed. In 54 % of the cases the patients were consecutively referred to the university hospital for further treatment. In all acutely life-threatening emergencies (n = 9), fast and focused treatment by referral to the academic tertiary care center was achieved (average time to treat 130 min). The admissions to the academic tertiary care center led to improved utilization of its facilities with additional revenue of more than 1,000000 euro p. a. An interdisciplinary expert consultation via a teleradiology platform enables fast and efficient expert care with improved and accelerated patient management and improved utilization of the service providing hospital.
除了作为夜间值班或常规服务的远程放射学报告外，远程放射学通信还可用于跨学科专家会诊。我们旨在评估基于远程放射学平台的跨学科会诊系统对治疗决策的影响、将患者定向转诊至学术三级护理中心以及为提供该服务的医院带来的经济效益。因此，我们前瞻性地评估了来自五个二级护理中心的会诊以及连续六个月期间转诊至一家学术三级护理中心的患者情况。总共进行了69次跨学科专家会诊。在54%的病例中，患者被连续转诊至大学医院接受进一步治疗。在所有急性危及生命的紧急情况（n = 9）中，通过转诊至学术三级护理中心实现了快速且有针对性的治疗（平均治疗时间为130分钟）。转诊至学术三级护理中心提高了其设施的利用率，每年额外收入超过100万欧元。通过远程放射学平台进行的跨学科专家会诊能够实现快速高效的专家护理，改善并加速患者管理，提高提供服务医院的利用率。
