Telemedicine using a desktop conference system (Phoenix) in Kyushu, Japan.
Telemedicine using a desktop conference system (Phoenix) in Kyushu, Japan.
复制标题
日本九州使用桌面会议系统 (Phoenix) 进行远程医疗。
DOI：
10.1089/tmj.1.1998.4.43
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
H. Tsuchiya
中科院分区：
文献类型：
--
作者：
H. Tsuchiya
客观化
日本西南部的九州地区有几座山脉和157个有人居住的岛屿。我们评估了实施桌面会议(DTC)系统的可行性，以改善这一领域的医疗保健。电信技术和设备：用于个人电脑的菲尼克斯DTC系统(日本东京NTT公司)包括麦克风、扬声器、彩色CCD摄像机和适当的软件。我们使用数码相机拍摄静态照片，使用图像分析软件拍摄X光片、CT和MRI胶片。该系统安装在一台奔腾133 MHz计算机上，该计算机通过ISDN线以128 kbps的数据速率连接到一个小岛上的一家诊所，那里有一名医生照顾1000名居民，两个小型护理室，每名护士照顾100名居民，两个疗养院，一家山区医院，以及一名特应性皮炎患者的住所。每周连接一次，为期6个月。
结果
传输的静止图像，例如老年痣、特应性皮炎、水痘和疑似骨折的X光片，对于诊断和临床决策是有用的。我们接受和回应了参与疗养院居民关于营养、老年性抑郁症、痣、压疮、尿路感染和预防军团菌感染的询问。我们还使用该系统向护士讲授儿科知识，提供关于横隔疝和幕下肿瘤的病例讨论，并使用演示软件在线演示一名β-地中海贫血患者。
结论
本研究中使用的DTC系统似乎在技术上令人满意，并在改善日本偏远地区的医疗保健方面有用。
OBJECTIVE
The Kyushu area of southwestern Japan has several mountains and 157 inhabited islands. We assessed the feasibility of implementing a desktop conference (DTC) system to improve medical care in this area. TELECOMMUNICATIONS TECHNOLOGY AND EQUIPMENT: The Phoenix DTC system (NTT Corporation, Tokyo, Japan) for personal computers includes a microphone, speaker, color CCD camera, and appropriate software. We used a digital camera for still pictures and image-analysis software for radiographs and CT and MRI films. The system was installed on a Pentium 133 MHz computer, which was connected by ISDN line at a 128 kbps data rate to a clinic on a small island where one physician cares for 1000 residents, two small nursing offices where each nurse tends 100 residents, two nursing homes, a hospital in a mountainous area, and the residence of a patient with atopic dermatitis. Connections were made once a week for a period of 6 months.
RESULTS
The transmitted still pictures; e.g., senile nevus, atopic dermatitis, chickenpox, and a radiograph of a suspected fracture, were useful for diagnosis and clinical decision making. We received and responded to inquiries from residents of the participating nursing homes on nutrition, senile depression, nevus, decubitus ulcers, urinary tract infection, and protection against Legionella infection. We also used the system to deliver lectures on pediatrics to nurses; provided case discussions on diaphragmatic herniation and subtentorial tumor; and had on-line presentation of a patient with beta-thalassemia using presentation software.
CONCLUSION
The DTC system used in the present study seemed technically satisfactory and useful in improving medical care in remote sites of Japan.