Telemedicine in Phoniatrics and Paedaudiology - Applications, technology, costs.

Citation
M. Fuchs et Pk. Plinkert, Telemedicine in Phoniatrics and Paedaudiology - Applications, technology, costs., LARY RH OTO, 80(8), 2001, pp. 439-448
Citations number
46
Language
TEDESCO
art.tipo
Article
Categorie Soggetti
Otolaryngology
Journal title
LARYNGO-RHINO-OTOLOGIE
ISSN journal
1615-0007 → ACNP
Volume
80
Issue
8
Year of publication
2001
Pages
439 - 448
Database
ISI
SICI code
1615-0007(200108)80:8<439:TIPAP->2.0.ZU;2-2
Abstract
Background: Phoniatrics and Paedaudiology investigate and treat disorders o f communication more than other medical specialities and are indicated by a distinctive interdisciplinary character. The methods of diagnosis and ther apy are concentrated on a few specialists and produce a large quantity of m ulti-media data from daily clinical practice and research. For the cooperat ion between the specialists of these and neighboring branches and to reduce the costs for a second opinion these data must be available anywhere and a ny time using modern telecommunication and information technologies. Method s: Following applications for a bi- or multidirectional data transmission a re possible: Teleconsulting (second opinion of a far located specialist), T eleteaching (use of different data sources for education) and Teleroboting (remote control of medical equipment). Data sources can be: speaking and si nging voice, sound, pictures (X-ray, CT, MR, ultrasound, voice range profil e, audiogramm), video signals (stroboscopy, cinematography, intraoperative pictures) and written information (computer presentations) in all combinati ons. The transmission can be carried out synchronously or asynchronously, i .e. at the time for their generation or independent of this. This paper dis cusses the basics and the advantages and disadvantages of the available tec hnologies and compares it for phoniatric/paedaudiologic applications in an experimental transmission. Results: Use of the different technologies shoul d be carried out depending upon the required quality, the availability and the costs considering medico-legal aspects. Relatively cheap and always ava ilable technologies are suitable for many applications in Phoniatrics and P aedaudiology. High costs for acquisition of the equipments could lowered by a common use of different medical branches. Expensive procedures with exce llent communication quality are confined to special applications at the mom ent. Conclusion: Telemedicine can optimize quality and extend of the medica l care and education in Phoniatrics and Paedaudiology with a simultaneous c ost reduction and should increasingly be used in this branch.