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TELEMEDICINE SERVICES Dimitrios Sotiriou Associate Professor of Medical Physics School of Medicine University of Athens
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens2 TELEMEDICINE SERVICES u What is Telemedicine? *is to provide medical services even in cases where distance separates patient, doctor and/or data or information *it is an enabling technology *it is not new (Zervos 1936! even earlier)
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens3 TELEMEDICINE SERVICES u How a Telemedicine Service can be designed? * categorise medical events to extract user requirements * use a tool like the HERMES Question Set * describe Telemedicine events
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens4 TELEMEDICINE SERVICES u What is the required infrastructure? * electronic healthcare records (multimedia) * a communications network and software * medical workstations * medical equipment (e.g. PVSMs) Is that all?
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens5 TELEMEDICINE SERVICES u What are the roles of the medical personnel? * design and implement * describe clinical protocols and guidelines * operate * verify and evaluate * assure quality
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens6 TELEMEDICINE SERVICES u What is the path to a quality system? * form User Groups * use external auditors and evaluators * train on quality * produce a Quality Manual (the ISO 900x path)
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens7 TELEMEDICINE SERVICES u Is Education and Training necessary? * the telematics culture is not yet everywhere * all personnel must be qualified users * training can be quick and efficient even from distance (using telematics) * a large number of trainers and multimedia technologies are necessary
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens8 TELEMEDICINE SERVICES u The HERMES Question Set A. Clinical Context B. Service context / Relationship to Environment C. Acceptability of the TMS (trust / consistency aspects)
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens9 TELEMEDICINE SERVICES u The HERMES Question Set (cont.) D. Setting-up and running the service (construction and persistency aspects) E. Policies of the organisation F. Information considerations
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens10 TELEMEDICINE SERVICES u The HERMES Question Set (cont.) G. Processing H. Technology considerations J. Quality Issues
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens11 TELEMEDICINE SERVICES Telematic Service Attributes Credible Distributed Scalable / Modular Interoperable Secure Reliable High - Performance
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens12 TELEMEDICINE SERVICES Telematic Service Attributes (cont.) Available Maintainable Timely Affordable Accountable Informative about the services
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens13 TELEMEDICINE SERVICES u What the future will be? * slow uptake * improved primary and home healthcare services * new role for secondary and tertiary healthcare services * WHO: TeleMedicine Medicine
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2/10/98CATAI VI SS / Dimitrios Sotiriou, School of Medicine, University of Athens14 TELEMEDICINE SERVICES http://alpha.mpl.uoa.gr Thank You
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