韩国大规模远程放射学和发展中的虚拟成像服务。

IF 2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Telemedicine and e-Health Pub Date : 2025-05-01 Epub Date: 2025-03-11 DOI:10.1089/tmj.2024.0457
Hyung Sik Choi, Jihwan Park, Mi Jung Rho, Shijir Bayarsaikhan, Seong K Mun
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引用次数: 0

摘要

目标:远程放射学是最早成功的远程医疗应用之一,它推动了放射学服务的数字化转型。它最初是为单个部门提供点对点服务。现在,随着放射服务的整合和重组,对涉及多个具有许多不同信息技术基础设施的放射部门的企业级放射平台的需求日益增长。本文旨在回顾全国范围内支持韩国许多不同放射科的虚拟放射学平台的发展,讨论在此过程中获得的技术和管理经验教训,并确定新的需求。方法:研究资料基于对远程放射学、远程医疗、图像存档和通信系统(PACS)、数字化转型以及系统开发商Hesel诊所近20年来的内部工程和管理文件的综述。我们还回顾了在数字化转型和远程放射学中发挥重要作用的韩国医疗保健系统的各个方面。结果:韩国企业影像平台全面运行,不断成长。当然,放射学中的医学数字成像和通信(DICOM)标准是实现远程放射学和PACS的基础技术,但对于企业平台来说还不够。结论:对于企业成像平台,必须集成来自多个子系统的信息,如PACS、放射学信息系统和来自许多具有不同工作流程的异构放射学部门的电子健康记录。数据标准需要扩展到DICOM之外,并且需要用于系统集成的标准工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Large-Scale Teleradiology and Evolving Virtual Imaging Service in South Korea.

Objectives: Teleradiology is one of the earliest successful telemedicine applications that has fueled the digital transformation of radiology services. It started as a point-to-point service for a single department. Now, there is a growing need for an enterprise-wide radiology platform involving multiple radiology departments with many different information technology infrastructures as radiology services are consolidating and reorganizing. The article aims to review the evolution of the country-wide virtual radiology platform supporting many different radiology departments throughout Korea and discusses technical and management lessons learned in the process and identify new requirements. Methods: Research materials are based on reviews of publications on teleradiology, telemedicine, picture archiving and communication systems (PACS), digital transformation, and internal engineering and management documents of Hesel Clinics, the developer of the system, over the past 20 years. We also reviewed the aspects of health care systems in Korea that played an important role in digital transformation and teleradiology. Results: The Korean enterprise imaging platform is fully operational and growing. Certainly, the Digital Imaging and Communications in Medicine (DICOM) standard in radiology is foundational technology enabling teleradiology and PACS, but it is insufficient for enterprise platforms. Conclusions: For an enterprise imaging platform, one must integrate information from multiple subsystems such as PACS, radiology information systems, and electronic health records from many heterogeneous radiology departments with varying workflows. Data standards need to extend beyond DICOM, and standard tools for system integration are needed.

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来源期刊
Telemedicine and e-Health
Telemedicine and e-Health 医学-卫生保健
CiteScore
8.80
自引率
6.40%
发文量
270
审稿时长
2.3 months
期刊介绍: Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings. Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.
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