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Samráð með fjarlækningum á Íslandi

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Authors
Margrét Valdimarsdóttir
Rúnar Reynisson
Jörundur Kristinsson
Ásgeir Haraldsson
Hannes Petersen
Dóra Lúðvíksdóttir
Sigurður Kristjánsson
Margrét Oddsdóttir
Steingrímur Davíðsson
Gestur Þorgeirsson
Þorgeir Pálsson
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Issue Date
2006-11-01

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Telemedicine consultations in Iceland
Citation
Læknablaðið 2006, 92(11):767-74
Abstract
OBJECTIVE: A Telemedicine project was initiated to evaluate the usefulness of medical teleconsultations in Iceland and to gain experience for further planning of Telemedicine in the country. MATERIAL AND METHODS: The consultations were based on videoconference and store and forward method. Electronic stethoscope, spirometry, otoendoscope and digital pictures were used along with conventional videoconsultations. Doctors in six specialties in Landspitali University Hospital and one in private practice and Primary Care Physicians from five Health Care Centers in Iceland participated in the project. RESULTS: The results show that the Telemedicine consultations is practical and can be very useful. The doctors were content with the use of Telemedicine and the patients were pleased with the technique and the consults in general. All patients for example said that the consultation was just as or even better as if the specialist was in the room in person. The use of Telemedicine was helpful in almost all of the cases. Attention must be paid to organization of the consultations, payment, technical details and knowledge. CONCLUSION: Telemedicine have a role for Icelandic healthcare and may prove to be very useful. There are a number of factors who need preparation before the implementation of a Telemedicine service.
Tilgangur: Að meta hvernig nota megi fjarlækningar við samráð (consultation) lækna á Íslandi og safna reynslu fyrir framtíðarskipulagningu fjarlækninga í heilbrigðisþjónustu hér á landi. Efniviður og aðferðir: Samráð voru tvíþætt, annars vegar með fjarfundabúnaði (videoconference) og hins vegar með rafrænum sendingum (store and forward) þar sem notuð voru gögn úr rafrænni hlustpípu, öndunarmæli (spírómetría) og stafrænni myndavél. Auk þess var notuð eyrnaholsjá (otoendóskóp) á fjarfundum. Sérgreinalæknar sex sérgreina, það er í barnalækningum, háls-, nef- og eyrnalækningum, hjartalækningum, húðlækningum, lungnalækningum og skurðlækningum, voru ráðgefandi fyrir heimilislækna á fimm heilsugæslustöðvum víðsvegar um landið. Læknarnir störfuðu á Landspítala, einkarekinni læknamóttöku og heilsugæslustöðvunum á Seyðisfirði, Egilsstöðum, Kópaskeri, Patreksfirði og í Reykjavík. Niðurstöður: Niðurstöður sýna að fjarlækningaþjónusta eins og veitt var í verkefninu gegnir hlutverki sínu ágætlega og getur verið mjög gagnleg. Almenn ánægja var meðal sjúklinga og lækna með fjarlækningarnar. Til dæmis töldu allir sjúklingar sem tóku þátt í fjarlækningum með fjarfundabúnaði að læknisviðtalið gagnaðist svipað og jafnvel betur en ef sérgreinalæknirinn hefði verið til staðar í eigin persónu. Fram kom að til að ná fram hámarks gagnsemi fjarlækninga þarf skipulag samráða að vera gott, greiða þarf fyrir þessa vinnu og einnig þarf tækni og tækniþekking að vera til staðar. Ályktun: Fjarlækningar eiga erindi inn í íslenskt heilbrigðiskerfi og geta verið til mikils gagns. Að mörgum þáttum þarf að huga varðandi uppbyggingu og skipulagningu fjarlækningaþjónustu.
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http://www.laeknabladid.is/2006/11/nr/2570
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Icelandic Journal Articles (Peer Reviewed)

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