Stauch Gerhard, Raoufi Rokai, Sediqi Atiq, Dalquen Peter, Fritz Peter, Aichmüller Christian, Aichmüller-Ratnaparkhe Manasi, Hubler Monika
iPath Telemedicine Network gGmbH, 26603, Aurich, Deutschland.
Institut für Pathologie Aurich/Westerstede, Wallinghausener Str. 8-12, 26603, Aurich, Deutschland.
Pathologie (Heidelb). 2022 Jul;43(4):303-310. doi: 10.1007/s00292-022-01060-w. Epub 2022 Mar 3.
Afghanistan is in a military conflict lasting more than 20 years and according to recent political development, in a downhill spiral towards a failed society. This scenario faces the question of the usefulness of international medical aid, especially morphological diagnostics in crisis situations. On the basis of ten years of experience from a telemedicine project, need, feasibility and results in Afghanistan will be discussed. General and country-specific problems and the sustainability of an international partnership are discussed. In summary our experience is: (1) Telemedicine is possible and necessary even in countries with high conflict potential. It is integrated into routine care by local medical care taker, (2) Accompanying video conferences are a significant improvement in telemedical diagnostics, (3) "High level" consultations can bridge the gap between sophisticated western diagnostics and medicine in the partner country in selected cases and (4) Scientific work is possible on the basis of the medical data collected on site and the image material generated.
阿富汗处于一场持续了20多年的军事冲突中，根据最近的政治发展情况，正朝着一个失败的社会呈螺旋式下滑。这种情况引发了关于国际医疗援助，尤其是危机情况下形态学诊断的效用问题。基于一个远程医疗项目十年的经验，将讨论阿富汗的需求、可行性和成果。还将讨论一般性和特定国家的问题以及国际伙伴关系的可持续性。总之，我们的经验是：（1）即使在冲突可能性很高的国家，远程医疗也是可行且必要的。它由当地医疗护理人员纳入常规护理中；（2）附带视频会议极大地改进了远程医疗诊断；（3）在某些特定情况下，“高级别”会诊可以弥合西方先进诊断与伙伴国家医疗水平之间的差距；（4）基于现场收集的医疗数据和生成的图像资料开展科学工作是可行的。
