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Telemedicine-a complement to traditional referrals in oral medicine

机译:远程医疗——对传统口腔医学转诊的补充

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Introduction: Introducing telemedicine into clinical practice has not been without difficulties. Within the framework of the European Union project "Health Optimum," telemedicine consultations with specialists at the Department of Oral Maxillofacial Surgery at Uppsala University Hospital (Uppsala, Sweden) have been offered to dentists in the public dental health service. The aim is to streamline the consultation process, improve/develop the skills of the participating dentists and dental hygienists, and save time and money for patients, healthcare authorities, and society. Subjects and Methods: Patient records are collected in a database for demonstration and discussion, and the system is also available for referrals. Both medical and dental photographs and X-rays are digitized in the same system. These can be viewed during telemedicine rounds and by the consultants at the hospital prior to a consultation. Secure, interactive conferencing software is used, which provides a quick, easy, and effective way to share video and data over the Internet. Both parties can demonstrate different parts of an image using a pointer or a drawing system. Conference phones are presently used for verbal communication. Results: Ten patients were discussed during telemedicine rounds (3 males and 7 females), all of whom would normally have been referred to a specialist. As a result of the telemedicine round, 2 were referred to a specialist, whereas diagnoses were made for the other 8, and treatment was suggested. The dental health clinic could thus provide treatment without the need for referral to a consultant. Conclusions: The telemedicine system described here allows patient care to be provided rapidly and more economically. Future plans include "live" rounds using a videocamera, providing the possibility to relay real-time information about the intraoral situation. A camera is being developed and should preferably be permanently installed chair side.
机译:简介:将远程医疗引入临床实践并非一帆风顺。在欧盟“健康优化”项目的框架内,乌普萨拉大学医院(瑞典乌普萨拉)口腔颌面外科的专家已经向公共牙科保健服务的牙医提供了远程医疗咨询。其目的是简化咨询流程,提高/发展参与牙医和牙科保健员的技能,并为患者、医疗机构和社会节省时间和金钱。主题和方法:将患者记录收集在数据库中用于演示和讨论,该系统也可用于转诊。医学和牙科照片以及 X 射线都在同一系统中数字化。这些可以在远程医疗查房期间查看,也可以在咨询前由医院的顾问查看。使用安全的交互式会议软件,它提供了一种快速、简单和有效的方式来通过 Internet 共享视频和数据。双方都可以使用指针或绘图系统演示图像的不同部分。会议电话目前用于口头交流。结果:在远程医疗查房期间讨论了 10 名患者(3 名男性和 7 名女性),所有这些患者通常都会被转诊给专科医生。作为远程医疗回合的结果,2人被转诊给专科医生,而其他8人则被诊断出来,并建议进行治疗。因此,牙科诊所可以提供治疗,而无需转诊给顾问。结论:这里描述的远程医疗系统可以更快速、更经济地提供患者护理。未来的计划包括使用摄像机进行“现场”查房,从而有可能传递有关口内情况的实时信息。正在开发一种摄像机,最好永久安装在椅子旁边。

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