TELEMEDICINE SERVICES

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TELEMEDICINE SERVICES

• Dimitrios Sotiriou
• Associate Professor of Medical Physics
• School of Medicine
• University of Athens

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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES

• The HERMES Question Set (cont.)
• G. Processing
• H. Technology considerations
• J. Quality Issues

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TELEMEDICINE SERVICES

• Telematic Service Attributes
• Credible
• Distributed
• Scalable / Modular
• Interoperable
• Secure
• Reliable
• High - Performance

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TELEMEDICINE SERVICES

• Telematic Service Attributes (cont.)
• Available
• Maintainable
• Timely
• Affordable
• Accountable
• Informative about the services

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TELEMEDICINE SERVICES

• 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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TELEMEDICINE SERVICES
http//alpha.mpl.uoa.gr Thank You