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

目的：我们试图通过使用医疗设施和家庭之间的远程医疗，使用电视会议system.Patients和方法：远程医疗之间的医疗设施和家庭使用电视会议系统进行了5例患者使用AMANO-HASHIDATE访问护士站，以提高患者的生活质量在家里。访问护士将膝上型个人计算机（Power Book l400 cs/117，NU power G3）和CCD相机（Color QCAM）带到家中的患者，并使用电视会议系统将其连接到医疗设施中的另一台个人计算机（Power Mac 8600/200）。医生能够作出诊断或建议以下移动图像和举行与患者的对话，以同样的方式使用可视电话system.Results：远程医疗之间的医疗设施和家庭使用电视会议系统进行了成功的，在15次为5名患者在他们的家中。技术程序中没有出现严重问题。该系统受到患者及其家属的欢迎，因为它非常类似于面对面的接触。访视护士评论说，使用计算机的电视会议系统所涉及的程序比彩色可视电话系统更困难。医生评论说，移动图像的质量是相对令人满意的病人的一般情况的诊断，虽然不足以精确诊断的小受影响的部分或检测轻度bedsory.Conclusion：远程医疗之间的医疗设施和家庭使用电视会议系统是有效的实用，特别是对于大多数社区医院缺乏一定的系统设施。使用可视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保险范围不同。

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.