Department of Surgical Sciences, Oral & Maxillofacial Surgery, Medical Faculty, Uppsala University, Uppsala, Sweden.
Telemed J E Health. 2012 Sep;18(7):549-53. doi: 10.1089/tmj.2011.0207. Epub 2012 Jul 23.
Introducing telemedicine into clinical practice has not been without difficulties. Within the framework of the European Union project "Health Optimum," telemedicine consultations with specialists at the Department of Oral & Maxillofacial Surgery at Uppsala University Hospital (Uppsala, Sweden) have been offered to dentists in the public dental health service. The aim is to streamline the consultation process, improve/develop the skills of the participating dentists and dental hygienists, and save time and money for patients, healthcare authorities, and society.
Patient records are collected in a database for demonstration and discussion, and the system is also available for referrals. Both medical and dental photographs and x-rays are digitized in the same system. These can be viewed during telemedicine rounds and by the consultants at the hospital prior to a consultation. Secure, interactive conferencing software is used, which provides a quick, easy, and effective way to share video and data over the Internet. Both parties can demonstrate different parts of an image using a pointer or a drawing system. Conference phones are presently used for verbal communication.
Ten patients were discussed during telemedicine rounds (3 males and 7 females), all of whom would normally have been referred to a specialist. As a result of the telemedicine round, 2 were referred to a specialist, whereas diagnoses were made for the other 8, and treatment was suggested. The dental health clinic could thus provide treatment without the need for referral to a consultant.
The telemedicine system described here allows patient care to be provided rapidly and more economically. Future plans include "live" rounds using a videocamera, providing the possibility to relay real-time information about the intraoral situation. A camera is being developed and should preferably be permanently installed chair side.
将远程医疗引入临床实践并非没有困难。在欧盟项目“健康最佳”的框架内，乌普萨拉大学医院（瑞典乌普萨拉）口腔颌面外科系的专家已经为公共牙科保健服务的牙医提供了远程医疗咨询。目的是简化咨询流程，提高/发展参与牙医和牙科保健员的技能，并为患者、医疗保健当局和社会节省时间和金钱。
患者记录被收集在一个数据库中进行演示和讨论，该系统也可用于转诊。医学和牙科照片和 X 光片都在同一个系统中数字化。这些可以在远程医疗查房期间以及医院的顾问在咨询之前查看。使用安全、互动的会议软件，提供了一种快速、简便、有效的方式通过互联网共享视频和数据。双方都可以使用指针或绘图系统展示图像的不同部分。目前使用会议电话进行口头交流。
在远程医疗查房中讨论了 10 名患者（3 名男性和 7 名女性），他们通常都需要转介给专家。通过远程医疗查房，有 2 人被转介给专家，而其他 8 人则做出了诊断并提出了治疗建议。因此，牙科保健诊所可以在不需要转诊顾问的情况下提供治疗。
这里描述的远程医疗系统允许快速和更经济地提供患者护理。未来的计划包括使用摄像机进行“实时”查房，提供实时传递有关口腔内情况的信息的可能性。正在开发一种摄像机，最好永久安装在椅旁。
