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STUDY FOR TELEMEDICINE BETWEEN A MEDICAL FACILITY AND A HOME USING A TV CONFERENCE SYSTEM

使用电视会议系统在医疗机构和家庭之间进行远程医疗的研究

基本信息

批准号：
09671640
负责人：
IMAIDE Yoichiroh
金额：
$ 2.05万
依托单位：
KYOTO PREFECTURAL UNIVERSITY OF MEDICINE
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1998
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09671640/
关键词：
TELEMEDICINE TV CONFERENCE SYSTEM VIDEO PHONE SYSTEM 在宅医療

项目摘要

Purpose : We tried to improve the quality of life of patients at home by using telemedicine between a medical facility and the home using a TV conference system.Patients and Methods : Telemedicine between a medical facility and the home using a TV conference system was performed for five patients using an AMANO-HASHIDATE visiting nurses station. The visiting nurse took a laptop personal computer (Power Book l400cs/117, NU power G3) and a CCD camera (Color QCAM) to a patient at home, and connected it to another personal computer (Power Mac 8600/200) in the medical facility using a TV conference system. The medical doctor was able to make diagnoses or give advice following moving images and holding conversations with the patient, in the same way as using a videophone system.Results : Telemedicine between a medical facility and a home using a TV conference system was performed successfully, on 15 occasions for five patients in their homes. No serious problems occurred in the technical procedures. This system was favorably received by the patients and their families, as it closely resembled a face-to-face encounter. The visiting nurses commented that the procedure involved with the TV conference system using computers was more difficult than that with a color videophone system. The medical doctor commented that the quality of the moving images was relatively satisfactory for the diagnosis of the patients' general condition, although not sufficient for the precise diagnosis of small affected parts or to detect mild degree of bedsore.Conclusion : Telemedicine between a medical facility and a home using a TV conference system is effectively practical, especially for most community hospitals which lack certain system facilities. Insurance coverage for telemedicine using a videophone system or TV conference system should be differently defined from that using a telephone.

目的：我们试图通过使用电视会议系统在医疗机构和家庭之间进行远程医疗来提高患者在家中的生活质量。患者和方法：使用天野桥立巡视护士站对 5 名患者进行了使用电视会议系统的医疗机构和家庭之间的远程医疗。上门护士将一台笔记本电脑（Power Book l400cs/117、NU power G3）和一台 CCD 摄像机（Color QCAM）带到患者家中，并使用电视会议系统将其连接到医疗机构中的另一台个人电脑（Power Mac 8600/200）。医生能够像使用视频电话系统一样，通过移动图像并与患者进行对话来进行诊断或提供建议。结果：使用电视会议系统在医疗机构和家庭之间成功进行了 15 次远程医疗，为 5 名在家中的患者进行了 15 次。技术流程未出现严重问题。该系统受到患者及其家属的好评，因为它非常类似于面对面的接触。上门护士表示，使用电脑的电视会议系统的程序比使用彩色可视电话系统的程序更困难。医生评价，移动图像的质量对于诊断患者的一般情况来说相对令人满意，但不足以精确诊断较小的受影响部位或检测轻度的褥疮。结论：使用电视会议系统在医疗机构和家庭之间进行远程医疗是有效实用的，特别是对于大多数缺乏一定系统设施的社区医院。使用视频电话系统或电视会议系统的远程医疗的保险范围应与使用电话的远程医疗的保险范围不同。