Margariti M, Papadimitriou G N
1st Psychiatric Clinic, University of Athens, Athens, Greece.
Psychiatriki. 2012 Oct-Dec;23(4):322-33.
Computer technology dominates our daily lives and has become an integral professional tool in medical practice and by extension, in psychiatry as well. The widespread use of internet technology has taken place with unprecedented speed in the history of human civilization, spreading in a few decades to all countries of the world, offering novel possibilities for transmitting information, and leading to the globalization of knowledge. However, the speed with which computer technology is becoming a part of our lives is accompanied by difficulties in integration. The continued evolution of applications often leads to the impression that to be modern and efficient we have to run continuously after developments, dedicating time and effort that we cannot often afford. At the same time, its widespread use alters the needs of our patients, and our efficiency is constantly judged in a globalized environment which, while offering new possibilities, also has new demands. The initial impression that computer technology is simply a tool that can facilitate the work of those who are willing and able to use it has been replaced by the perception that the practice of medicine, in both clinical and academic level, requires sufficient knowledge of modern technology and the development of relevant skills for ongoing training and following innovative applications. The result of this assumption is the introduction of technology courses in the curricula of medical schools in the country. This article offers a brief description of the uses of information technology in psychiatry. In particular, e-mail is one of the most popular Internet services and there is internationally an increasing pressure from the public to be able to contact their doctor by e-mail. Furthermore, almost all psychiatric journals now have a digital electronic edition, thus increasing the volume of articles published, the ease of accessing the required information, and ultimately the reduction of the time it takes a psychiatrist to come to possess a specialized field of knowledge. The Internet also enables psychiatrists, while being at their residence and from their offices and homes in remote areas of a country, or from developing countries to be able to take part relatively easily in continuing medical education programs that are under development in advanced educational centers, eliminating in this way the barrier of distance. Furthermore, telemedicine allows access in health-care to people living in geographically isolated areas with poor medical facilities. The electronic filing systems on the other hand, are also expected in the near future to provide the essential foundation of sharing and managing information material in health care. Apart from the uses of technology in the practice of psychiatry, technology has many uses in Psychiatric Education, providing valuable assistance to both trainees and trainers. Today the educational community has at its disposal a range of devices, operating systems, and web applications useful in medical education. For example, we can mention the existence of technological tools for educational administration and management, evaluation of educational work, tools for creating educational content, and learning outside the confines of the classroom. Developments arising from the use of technology are rapid, and its use brings new applications that have the potential to alter the framework of practicing medicine. However, in many cases, these applications do not go along with the guidelines and principles available to doctors in order to practice their profession in a manner not inconsistent with moral imperatives. The challenge of this new environment is to establish guidelines consistent with the principles of medical ethics.
计算机技术主导着我们的日常生活,并已成为医学实践中不可或缺的专业工具,进而在精神病学领域也是如此。互联网技术以前所未有的速度在人类文明史上广泛应用,在几十年内传播到世界各国,为信息传播提供了新的可能性,并导致了知识的全球化。然而,计算机技术融入我们生活的速度伴随着整合方面的困难。应用程序的不断发展常常给人一种印象,即要想变得现代和高效,我们必须不断追赶新发展,投入我们常常负担不起的时间和精力。与此同时,其广泛应用改变了我们患者的需求,并且在全球化环境中,我们的效率不断受到评判,这种环境在提供新可能性的同时也有新要求。计算机技术仅仅是一种能方便那些愿意且有能力使用它的人工作的工具,这种最初的印象已被这样一种观念所取代,即在临床和学术层面,医学实践都需要对现代技术有足够的了解,并培养相关技能以进行持续培训和跟进创新应用。这一假设的结果是在该国医学院校的课程中引入了技术课程。本文简要介绍了信息技术在精神病学中的应用。特别是,电子邮件是最受欢迎的互联网服务之一,在国际上,公众要求能够通过电子邮件联系医生的压力越来越大。此外,几乎所有精神病学杂志现在都有数字电子版,从而增加了发表文章的数量、获取所需信息的便利性,并最终减少了精神科医生掌握专业领域知识所需的时间。互联网还使精神科医生,无论是在本国偏远地区的住所、办公室和家中,还是来自发展中国家,都能够相对轻松地参加先进教育中心正在开展的继续医学教育项目,从而消除了距离障碍。此外,远程医疗使生活在地理上孤立且医疗设施匮乏地区的人们能够获得医疗保健服务。另一方面,电子档案系统预计在不久的将来也将为医疗保健领域信息材料的共享和管理提供重要基础。除了技术在精神病学实践中的应用,技术在精神病学教育中也有许多用途,为学员和培训师都提供了宝贵的帮助。如今,教育界拥有一系列在医学教育中有用的设备、操作系统和网络应用程序。例如,我们可以提及存在用于教育管理、教育工作评估、创建教育内容以及课堂外学习的技术工具。技术应用带来的发展迅速,其使用带来了有可能改变医学实践框架的新应用。然而,在许多情况下,这些应用与医生在进行专业实践时遵循道德准则的可用指南和原则并不一致。这种新环境带来的挑战是制定符合医学伦理原则的指南。