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Will applications on smartphones allow a generalization of telemedicine?
BMC Medical Informatics and Decision Making ( IF 3.3 ) Pub Date : 2020-02-11 , DOI: 10.1186/s12911-020-1036-0
F A Allaert 1, 2 , L Legrand 2, 3 , N Abdoul Carime 2 , C Quantin 2, 3, 4, 5, 6
Affiliation  

BACKGROUND Telemedicine is one of the healthcare sectors that has developed the most in recent years. Currently, telemedicine is mostly used for patients who have difficulty attending medical consultations because of where they live (teleconsultation) or for specialist referrals when no specialist of a given discipline is locally available (telexpertise). However, the use of specific equipment (with dedicated cameras, screens, and computers) and the need for institutional infrastructure made the deployment and use of these systems expensive and rigid. Although many telemedicine systems have been tested, most have not generally gone beyond local projects. Our hypothesis is that the use of smartphones will allow health care providers to overcome some of the limitations that we have exposed, thus allowing the generalization of telemedicine. MAIN BODY This paper addresses the problem of telemedicine applications, the market of which is growing fast. Their development may completely transform the organization of healthcare systems, change the way patients are managed and revolutionize prevention. This new organization should facilitate the lives of both patients and doctors. In this paper, we examine why telemedicine has failed for years to take its rightful place in many European healthcare systems although there was a real need. By developing the example of France, this article analyses the reasons most commonly put forth: the administrative and legal difficulties, and the lack of funding. We argue that the real reason telemedicine struggled to find its place was because the technology was not close enough to the patient. CONCLUSION Finally, we explain how the development of smartphones and their current ubiquitousness should allow the generalization of telemedicine in France and on a global scale.

中文翻译:

智能手机上的应用程序是否可以推广远程医疗?

背景技术远程医疗是近年来发展最快的医疗保健行业之一。当前,远程医疗主要用于因居住地点而难以就医的患者(远程咨询),或在本地没有给定学科的专家的情况下用于专家转诊(telexpertise)。但是,由于使用了特定的设备(带有专用的摄像机,屏幕和计算机)以及机构基础设施的需求,使得这些系统的部署和使用变得既昂贵又严格。尽管已经对许多远程医疗系统进行了测试,但是大多数远程医疗系统并没有超出本地项目的范围。我们的假设是,智能手机的使用将使医疗保健提供者能够克服我们所暴露的某些限制,从而使远程医疗得以推广。主体本文解决了远程医疗应用的问题,远程医疗的市场正在快速增长。他们的发展可能会彻底改变医疗保健系统的组织,改变患者管理方式并彻底改变预防措施。这个新的组织应促进患者和医生的生活。在本文中,我们研究了为何远程医疗尽管确实有需求,但多年来未能在许多欧洲医疗系统中占据应有的地位。通过以法国为例,本文分析了最常见的原因:行政和法律上的困难以及缺乏资金。我们认为,远程医疗之所以难以找到自己的位置的真正原因是因为该技术距离患者不够近。结论最后,
更新日期:2020-04-22
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