Gómez E J, del Pozo F, Hernando M E
Grupo de Bioingeniería y Telemedicina, E.T.S.I. Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
Med Inform (Lond). 1996 Oct-Dec;21(4):283-95. doi: 10.3109/14639239608999290.
Telemedicine is modifying classical health care by providing effective solutions to an increasing number of new situations. This article summarizes the potential benefits made available by this technology in diabetes care, and describes in detail how the new DIABTel Telemedicine Service complements the daily care of diabetic patients. The basic functions of the telemedicine system include telemonitoring of patient's blood glucose data and self-management actions, and remote care from doctors to diabetic patients. The system's architecture comprises two main components: the Medical Workstation, a PC-based system to be used by physicians and nurses in Diabetes Day Centre units in hospitals, and the Patient Unit, a palmtop-computer to be used by patients in their day to day activities. Both components, in an integrated approach, offer tools to doctors and patients for data collection and management, viewing and interpretation modules, data/message exchange services and an interactive glucose/insulin simulator for educational purposes. The DIABTel telemedicine diabetes care procedure aims: (1) to improve communication of the patient with the hospital-based diabetologist, in between the patient's visits to the clinic; (2) to allow doctors to assess the patient's condition on a frequent basis (every week); (3) to help patients with management in the daily care of diabetes, and (4) to provide patients with a service of 'supervised autonomy', to increase patient's independence without decreasing the necessary continual support and supervision from the doctor. Finally, we discuss the practical problems, limitations and vital issues regarding implementation of the telemedicine service.
远程医疗正在通过为越来越多的新情况提供有效解决方案来改变传统医疗保健。本文总结了这项技术在糖尿病护理中可能带来的益处，并详细描述了新型DIABTel远程医疗服务如何补充糖尿病患者的日常护理。远程医疗系统的基本功能包括对患者血糖数据和自我管理行为的远程监测，以及医生对糖尿病患者的远程护理。该系统架构包括两个主要组件：医疗工作站，这是一个基于个人电脑的系统，供医院糖尿病日间中心的医生和护士使用；患者单元，这是一个掌上电脑，供患者在日常活动中使用。这两个组件以集成方式为医生和患者提供了数据收集与管理工具、查看与解释模块、数据/消息交换服务以及用于教育目的的交互式血糖/胰岛素模拟器。DIABTel远程医疗糖尿病护理程序旨在：（1）在患者门诊就诊期间，改善患者与医院糖尿病专家之间的沟通；（2）使医生能够频繁（每周）评估患者状况；（3）帮助患者进行糖尿病日常护理管理；（4）为患者提供“监督下的自主”服务，在不减少医生必要的持续支持和监督的情况下，提高患者的独立性。最后。我们讨论了远程医疗服务实施方面的实际问题、局限性和关键问题。
