Telemedicine in practice: Examples and experiences from Northern Norway Eli ARILD
Jan 12, 2016
Telemedicine in practice: Examples and experiences from
Northern Norway
Eli ARILD
Outline of presentation
• Why TM in Northern Norway?• Overview of telemedicine
routine services in Northern Norway
• VC – online• S&F – offline
OSLO
TROMSØ
Artic-circle
Why Telemedicine in Northern Norway?
Why Telemedicine in Northern Norway?
• Long distance• Unstable weather
and long winters• Scattered
population• Equal access to
medical services• Exellent
telecommunication network
Model for telemedicine applications
Telemedicine Workstations • Telemedicine program modules• Standard software and hardware
computer products• Telecommunication services
Telemedicine ServicesTelemedicine Application
Requester Provider Network
ATM X.400PSDN ISDN
BOSMira Vida
Rekvisisjon Rekvisisjon
Organisationallevel
Healthcareservicelevel
Technologylevel
Telemedicine Network
Rekvisisjon
Routine TM services
• Dermatology• Pathology• Otorhinolaryngology• Radiology• Cardiology• Psychiatry• Endoscopic surgery• Ophthalmology • Dialysis• Distant teaching• Requests & Reports
VIDEOCONFERENCE
• Started in 1989 • GP and a patient in remote studio • Communication patient-specialist,
patient-Gp and specialist-GP • GP; the specialist’s ” prolonged arm”
VC - Patients experience
• Less waiting time• Make a diagnosis early • Reduced stress• Saving of time • Reduced costs • Reduced needs for sick leave => satisfied patients
A comparative study of teleconsultations versus face to face
consultations – EJ Nordal, D Moseng JTT,2001
VC - advantages
– Less travelling– Reduced waiting time– Save time and money– Better access to expertise– The patients ”meet” the specialist
• Standard equipment available
Patient unsuitability for VC
• Ca. 20% unsuitable (Dermatology)
VC - disadvantages
• VC require management and planning• The specialist and the GP have to be
present at the same time
• Expensive equipment - studios
Offline
• Based on web or e-mail service - available ”everywhere” and
“everytime” • Low bandwidth demand• Reduced equipment demand - reduced costs?
Offline – in Norway: DORIS
Offline• The specialist ”disappears”• The patient ”disappears”• Reduced medical skills?• System error?• Selection
Conclusion• Telemedicine is a tool for more Telemedicine is a tool for more
efficient communication and efficient communication and co-workingco-working
Requester
Rekvisisjon
Rekvisisjon
ProviderNetwork