O'Sullivan Seán F, Schneider Henning
Faculty of Health Sciences, Technische Hochschule Mittelhessen, Giessen, Germany.
J Med Access. 2022 Apr 10;6:27550834221084656. doi: 10.1177/27550834221084656. eCollection 2022 Jan-Dec.
In Germany, the number of calls for Emergency Medical Services (EMS) are increasing, while the number of general practitioners and hospitals are decreasing, resulting in a growing demand and workload for emergency physicians and paramedics. Furthermore, an aging population with increasingly complex medical histories, present emergencies in which a more detailed assessment and therapies are urgently needed. Therefore, common EMS systems need to find solutions to handle these problems.
We used a user-focused five-step approach to define a technological solution: Research of current systems, definition of goals and requirements, development of concept, test series and evaluation, evaluation of costs and benefits.
Development of a holistic telemedical concept to connect in-hospital clinical emergency physicians and paramedics on the scene, by implementing and connecting systems that are already partially being used in common EMS in Germany. By using live audio and video communication, including vital signs between the two, a system can be established by keeping costs low, affordable and at the same time protecting patient data in line with General Data Protection Regulation.
Implementing technologies in a practical specialty like Emergency Medicine with a user-focused approach demonstrates that the hurdle for integration into established routines can improve current processes. Evaluation of costs and usability is a main driver to define success of such concepts and can improve if such systems can be developed to be used in larger networks.
在德国，紧急医疗服务（EMS）的呼叫数量不断增加，而全科医生和医院的数量却在减少，这导致急诊医生和护理人员的需求和工作量不断增加。此外，人口老龄化使得病史日益复杂，出现了急需更详细评估和治疗的紧急情况。因此，常见的EMS系统需要找到解决这些问题的方法。
我们采用了以用户为中心的五步方法来定义一种技术解决方案：研究当前系统、定义目标和要求、开发概念、进行测试系列和评估、评估成本和效益。
通过实施和连接德国普通EMS中已部分使用的系统，开发了一种整体远程医疗概念，以连接医院内的临床急诊医生和现场的护理人员。通过使用实时音频和视频通信，包括两者之间的生命体征，可以建立一个成本低、负担得起且同时符合《通用数据保护条例》保护患者数据的系统。
以用户为中心的方法在急诊医学等实用专业中实施技术表明，融入既定流程的障碍可以改善当前流程。成本和可用性评估是定义此类概念成功与否的主要驱动力，如果此类系统能够开发用于更大的网络，则可以得到改善。
