Department of Anatomic, Histologic, Medico-Legal Sciences and of Locomotor System, Rome University Sapienza, Italy.
Clin Ter. 2024 Jul-Aug;175(Suppl 1(4)):84-91. doi: 10.7417/CT.2024.5092.
Telemedicine is a method of providing remote services in compliance with data security, with a significant positive impact on healthcare, in which Teleradiology means the electronic transmission of radiographic images from one geographical area to another. In this context, the term "telemanagement" shows a real remote management of a diagnostic examination, concluded by the production of telereport and telediagnosis.
On the basis of Italian position papers, National guidelines and current Laws, a careful analysis of multiple aspects was carried out, in order to understand the current obligations and application limits.
DISCUSSION AND CONCLUSION.: Proper radiotelemanagement requires a shared operating protocol within the structure, which integrates verification and safety procedures, periodic checks and adequate resources. In addition, practical interface between the involved figures must be properly established. Then, guidelines highlight the "standard" radiological procedures that can be performed in the absence of the specialist: in ordinary hospitalization, it is allowed to perform Telemanagement procedures only within "standard" procedures; in emergency setting, the only limit is placed in case of administration of contrast agent. No provisions have been approved for teleradiological work in private settings. Finally, inter-company procedures are only provided for screening programs. In this context; potential negative implications are the risk of substitution of health professionals, as well as ethical issues related to data security, patient's consent and quality of the doctor-patient relationship. In an effort of optimism aimed at the future, we want to express our propensity towards a universe with lots of potential that, over time, will emerge in its concreteness.
远程医疗是一种符合数据安全规范的远程服务方法，对医疗保健有显著的积极影响，其中 Teleradiology 是指将放射图像从一个地理区域传输到另一个地理区域的电子传输。在这种情况下，“远程管理”一词表示对诊断检查的真正远程管理，最终生成远程报告和远程诊断。
基于意大利立场文件、国家指南和现行法律，对多个方面进行了仔细分析，以了解当前的义务和应用限制。
正确的放射远程管理需要在结构内共享操作协议，该协议集成了验证和安全程序、定期检查和足够的资源。此外，还必须在涉及的人员之间建立适当的实际接口。然后，指南突出显示了可以在没有专家参与的情况下进行的“标准”放射程序：在普通住院治疗中，仅允许在“标准”程序内执行远程管理程序；在紧急情况下，仅在使用造影剂时才会受到限制。私人环境中尚未批准进行远程放射工作的规定。最后，仅为筛查计划提供公司间程序。在这种情况下；潜在的负面影响是卫生专业人员替代的风险，以及与数据安全、患者同意和医患关系质量相关的道德问题。在一个旨在面向未来的乐观努力中，我们希望表达我们对一个充满潜力的宇宙的倾向，随着时间的推移，这个宇宙将以具体的形式展现出来。
