遠隔診察の際の操作性を改善し, 遠隔診察の所要時間の短縮を図るため, 我々は遠隔診察を総合的にサポートするソフトウェアの開発を行った。このソフトウェアの仕様には, テレモニタリング・データの登録と閲覧を行える機能, 各患者の疾患や病態に応じた診察項目が設定できる機能, 画像を含む診察所見から得られた情報を記録し, かつ過去の記録と比較し易い機能, 診療記録の多職種間での情報共有を可能にする機能を備えた。また遠隔診察時の患者側での能率的なカメラワークを実現する撮影カメラとその運用システムの開発, 及び, モニタデータのアラームシステムも考案し, 遠隔診察のための総合的プラットフォームを構築し, その実用実験を行った。
We aimed to develop a concise software to support a telecare program to generally solve the complexity in the operation of remote medical examination, and to shorten the time required for the sessions of a remote medical examination. We made specifications for the software with the following functions : an operational system and uploading of telemonitoring data showing a clear medical course with a graphic image to easily compare the past telemonitoring data-set, making medical record specific to telemedicine settings, and sharing information with special regional teams to support home-care patients. We also developed a particular camera with a specific function to work conventionally at the patients' side during remote medical examination to show appropriate images for the remote medical doctor to make an accurate decision as much as possible. After this development, we performed verification test of telemedicine with eight elderly patients.
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