Section of Neurophysiology, San Pedro Hospital, Logroño, Spain.
Int J Med Inform. 2012 Jun;81(6):404-14. doi: 10.1016/j.ijmedinf.2012.01.006. Epub 2012 Feb 10.
The purpose of this paper is to report and discuss a successful experience in the setting up of a telemedicine solution for remote video-electroencephalography consultation (tele-EEG) in La Rioja, Spain. The setup has been implemented between a primary hospital situated in Calahorra (Calahorra Hospital Foundation, FHC) and a secondary hospital in Logroño (San Pedro Hospital, HSP), the capital city of the region of La Rioja.
During the twelve first months of the setting-up a detailed evaluation study was performed. During this period we evaluated the technical aspects of the setup and also demonstrated the clinical viability of the system. The impact on hospital organization and the impact on patients regarding the improvement in their quality of life, as well as their financial savings, were also evaluated.
During these twelve months a total of 259 consultations were conducted through the telemedicine system. The clinical viability study was completely successful, and technical problems were detected only during the first months of setting-up. Regarding patients' preferences (177 completed an opinion questionnaire), 99% expressed a high degree of satisfaction with the telemedicine service. They also remarked that they preferred the telemedicine service to previous methods for the EEG test, on the grounds that it provided a significant improvement in access to specialized medical care and important financial savings in terms of travel (around 30€ per visit) and of time (approximately 2h) invested in consultations.
After one year of evaluation, we concluded that the tele-EEG system had been successfully introduced into the clinical routine. As a matter of fact, the success of the telemedicine system has led to its widespread use and it has now replaced the conventional EEG service for FHC patients almost completely.
本文旨在报告并讨论西班牙拉里奥哈（La Rioja）地区建立远程视频-脑电图咨询（远程 EEG）远程医疗解决方案的成功经验。该解决方案是在卡哈罗拉的一家初级医院（卡哈罗拉医院基金会，FHC）和洛格罗尼奥的一家二级医院（圣佩德罗医院，HSP）之间建立的，后者是该地区的首府。
在设置的头 12 个月中，我们进行了详细的评估研究。在此期间，我们评估了设置的技术方面，并证明了该系统的临床可行性。还评估了对医院组织的影响以及对患者的影响，包括改善他们的生活质量以及节省他们的经济成本。
在这 12 个月中，通过远程医疗系统共进行了 259 次咨询。临床可行性研究取得了圆满成功，仅在设置的头几个月中发现了技术问题。关于患者的偏好（177 人完成了意见问卷），99％的患者对远程医疗服务表示高度满意。他们还表示，他们喜欢远程医疗服务而不是以前的脑电图测试方法，因为它提供了专门医疗保健的显著改善，并在旅行（每次就诊约 30 欧元）和时间（大约 2 小时）方面节省了重要的费用。
经过一年的评估，我们得出结论，远程 EEG 系统已成功引入临床常规。实际上，远程医疗系统的成功已经导致其广泛使用，现在它几乎完全取代了 FHC 患者的常规 EEG 服务。
