Swett H A, Holaday L, Leffell D, Merrell R C, Morrow J S, Rosser J C, Warshaw J
Department of Diagnostic Radiology, Yale-New Haven Hospital, USA.
Conn Med. 1995 Oct;59(10):593-602.
Many aspects of medical care can now be delivered at a distance using telemedicine technology. Rapid video and computer-based communication of medical information makes it possible for a physician to "examine" a patient located in another city, to view highly detailed medical images, to consult with distant subspecialists, or to supervise complex medical procedures. This same technology can bring scattered health-care workers together for joint teaching conferences. The Yale Telemedicine Center has initiated a number of such programs ranging from providing consultations in real time to physicians in Saudi Arabia, to interpreting medical images across town or across the state. Telemedicine will become a powerful tool for managed health-care organizations which are responsible for the medical needs of widely distributed patients in a vertically integrated health-care delivery system. This paper reviews the evolution of telemedicine, its technical fundamentals, specific medical applications, and the activities of the Yale Telemedicine Center. Evolving uses for telemedicine in Connecticut are described.
现在，利用远程医疗技术可以远程提供医疗护理的许多方面。通过快速视频和基于计算机的医疗信息通信，医生能够“检查”位于另一个城市的患者，查看高度详细的医学图像，与远方的专科医生会诊，或监督复杂的医疗程序。同样的技术可以将分散的医护人员聚集在一起参加联合教学会议。耶鲁远程医疗中心已经启动了许多这样的项目，从实时为沙特阿拉伯的医生提供会诊，到解读城镇或全州范围内的医学图像。远程医疗将成为管理式医疗保健组织的强大工具，这些组织在垂直整合的医疗保健服务系统中负责广泛分布的患者的医疗需求。本文回顾了远程医疗的发展、其技术基础、具体医疗应用以及耶鲁远程医疗中心的活动。还描述了康涅狄格州远程医疗不断发展的用途。
