Assessment of Telemedicine in Surgical Education and Patient Care
| Autor: | Fritz Rösel, Didier Mutter, Jacques Marescaux, Nicolas Demartines, Dieter Glatz, Felix Harder, Michel Vix, Joel Leroy |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Laparoscopic surgery
Telemedicine medicine.medical_specialty Cost-Benefit Analysis media_common.quotation_subject medicine.medical_treatment Hospitals University Medical advice medicine Humans Quality (business) Telematics Function (engineering) media_common Accreditation Medical education business.industry Remote Consultation Teleconference Original Articles Surgery Europe General Surgery Surgical Procedures Operative Telecommunications Education Medical Continuing business Surgery Department Hospital |
| Zdroj: | Annals of Surgery. 231:282-291 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/00000658-200002000-00019 |
| Popis: | In this information age, the new computer-based communication technologies called telematics offer enormous potential for applications in medical and surgical practice and education. 1 The introduction of these tools in surgery has attracted much interest; however, the possibilities of combining increasing computing power 2 with surgeons’ objectives and needs have not yet been properly analyzed. First, we must assess the results of telematic applications in medicine and surgery. 3,4 The field of telemedicine involves far more than just the transmission of patient files. 5 It involves education, 6,7 training, 8 consulting, 9 and mentoring, 10–12 and in the near future will include accreditation. 13 Currently, surgical teams are involved in teleconferencing, sharing medical advice and offering second opinions without the need to transfer the patient. 14–16 The time and costs of travel on the part of experts are limiting factors to joint consultations or meetings. 17 Telemedicine should simplify the exchange and diffusion of information and surgical education by permitting broader access to expertise and second opinions without travel. 17,18 Applications of telemedicine in surgery were rare until 1995, but our experience in laparoscopic surgery 19 suggested that it might be an ideal tool for distributing surgical knowledge in the international surgical community. In 1996, we developed a European surgical communications (telesurgical) network incorporating six university hospitals in four countries. Our goals were to generate sufficient data to allow us to assess the potential, quality, and benefits of such a network for international surgical education and patient care. Specifically, we sought to evaluate: 1. The technological feasibility of a telesurgical network—that is, the accuracy and quality of the transmission of surgical data to remote sites 2. The real-time management of complex clinical cases using a telemedicine unit 3. Participant satisfaction with the educational and clinical value of the teleconferencing medium. This report analyzes the function of our network during 2 years of regular meetings. Clinical relevance to patient care and value in academic education are stressed. Further applications in medicine (e.g., computer-assisted surgery, telemanipulation by robotics, 20 or the use of virtual reality for surgical teaching 7) will not be discussed in this paper. |
| Databáze: | OpenAIRE |
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