Schulz Egbert Godehard, Stahmann Alexander, Neumann Claas Lennart
Centre of Nephrology Göttingen GbR (NZG), Germany.
University Medical Centre Göttingen, Institute of Medical Informatics, Germany.
Swiss Med Wkly. 2015 Jan 14;145:w14077. doi: 10.4414/smw.2015.14077. eCollection 2015.
Telemedicine comprises different methods of bridging a spatial distance between doctor, medical and care services and patients. These include mere data transmissions as well as alarm functionalities, consultations and therapy recommendations. A special form of telemedicine application is the interventional decentralised telemonitoring (idTM). Here the patient-practitioner relationship forms the basis for therapy control and optimisation using telemetrical medical data. To identify areas of indication of idTM, a detailed definition of transferred parameters, alarm conditions and intervention algorithms is required as a well as cost efficiency and feasibility studies. The quality of the telemedical application is determined by the medical quality of the derived actions.
远程医疗包括弥合医生、医疗和护理服务与患者之间空间距离的不同方法。这些方法包括单纯的数据传输以及警报功能、会诊和治疗建议。远程医疗应用的一种特殊形式是介入式分散远程监测(idTM)。在这里,医患关系构成了利用遥测医疗数据进行治疗控制和优化的基础。为了确定idTM的适应症领域,需要对传输参数、警报条件和干预算法进行详细定义,以及进行成本效益和可行性研究。远程医疗应用的质量取决于所采取行动的医疗质量。