The Congenital Cardiology Cloud: Proof of feasibility of Germany's first tele-medical network for pediatric cardiology.

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Journal of Telemedicine and Telecare Pub Date : 2024-12-01 Epub Date: 2023-03-20 DOI:10.1177/1357633X231158838
Marko Klais, Ulrike Doll, Ariawan Purbojo, Sven Dittrich, Kathrin Rottermann
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引用次数: 0

Abstract

Background: For an optimal interplay based on the data-secure exchange of diagnostic data between patients, ambulatory care, and hospital care, we implemented the first tele-medical network for pediatric cardiology in Germany, the Congenital Cardiology Cloud. This study focuses on its feasibility, technical characteristics, and implementation in routine clinical work.

Methods: Tele-medical traffic comprised numbers of incoming/outgoing data, related file types, treatment options for tele-medically processed patients, and patient classification with respect to the severity of disease. Proof of feasibility was related to the number of successful tele-medical transmissions of discharge documents at the end of the observation period (02/2020-10/2020).

Results: Analysis of Congenital Cardiology Cloud's data communication showed a number of 1178 files for a total of 349 patients, favoring transmissions towards the clinic. Incoming traffic was predominantly characterized by diagnostic data regarding tele-consultations (76.6%), consisting of a multitude of file types, whereas 93.4% of the dispatched data corresponded to discharge letters. The number of tele-consultations counted up to 61, with a necessary subsequent treatment or diagnostic procedure in 90.2% of the presented cases. Tele-medically processed patients generally showed to be more complex (severe chronic heart disease 42.4% vs. 23.7%). At the end of the observation period, 97.6% of the discharge documents were transmitted via telemedicine.

Discussion: The implementation of the first tele-medical network for pediatric cardiology in Germany proves recent technological developments to successfully enable innovative patient care, connecting the ambulatory and hospital sector for a joint patient advice, predominantly in more complex cases. Possible governmentally guided refinancing concepts will show its long-term feasibility.

先天性心脏病学云:德国首个儿科心脏病远程医疗网络的可行性验证。
背景:为了在患者、非住院医疗和医院医疗之间实现基于数据安全的诊断数据交换的最佳互动,我们在德国实施了首个儿科心脏病学远程医疗网络--先天性心脏病学云。本研究的重点是其可行性、技术特点以及在常规临床工作中的实施情况:远程医疗流量包括输入/输出数据的数量、相关文件类型、远程医疗处理患者的治疗方案以及根据疾病严重程度对患者进行的分类。在观察期(2020 年 2 月至 2020 年 10 月)结束时,出院文件的远程医疗传输成功次数是可行性的证明:先天性心脏病学云数据通信分析显示,共有 349 名患者的 1178 份文件向诊所传输。传入流量的主要特点是与远程会诊有关的诊断数据(76.6%),包括多种文件类型,而93.4%的发送数据与出院信相对应。远程会诊次数高达 61 次,其中 90.2% 的病例需要进行必要的后续治疗或诊断程序。经远程医疗处理的病人一般病情较为复杂(重症慢性心脏病 42.4% 对 23.7%)。在观察期结束时,97.6%的出院文件是通过远程医疗传送的:德国首个小儿心脏科远程医疗网络的实施证明,最近的技术发展成功实现了创新性的病人护理,将门诊和医院部门连接起来,共同为病人提供建议,主要针对较复杂的病例。政府可能引导的再融资概念将显示其长期可行性。
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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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