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Concepts and Evolution of Dr. Erik R. Ranschaert, radiologist
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Oct. 21 st  2011
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[object Object],[object Object],[object Object],importance of clinical context and access to image archive
“ Although teleradiology can improve care by allowing access to specialists, a self investigation found that it also opens the door to confusion, errors and outright fraud”.  “ Radiologists warn of the potential for "ghosting," an illegal practice whereby a doctor simply rubber-stamps the reading by a technician without giving it so much as a glance. “
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European Journal of Radiology Volume  78, Issue 2 , Pages 205-209, May 2011
 
[email_address] www.ranschaert.be

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Teleradiology: Concepts and Evolution

Hinweis der Redaktion

  1. France holds one of the lowest PACS utilization rates among all EU member states at 25%. The low deployment of PACS is especially significant among the large industrialized countries of Western Europe . Responses from a survey of 906 chief information officers in the EU for the "eHealth Benchmarking III" report, published 13 April, 2011, by the Information Society and Media Directorate-General of the European Commission. All charts courtesy of Laurent Tréluyer, director of strategy for the Agence Regionale de Santé, île-de-France.
  2. A secure service platform is established as the base for the exchange of the R-Bay Services. The platform hosts the required IT services that support the delivery and consumption of these. The system architecture represents the industry leading portal-based approach to providing the full range of imaging and information capabilities from a shared centralised service centre.
  3. Legal: Uniform EU-Legislation regarding teleradiology “Medical Act”, protection of patient’s rights. Globalization: outsourcing to lower-cost countries is a fact. Jurisdictional differences protect radiologists from direct competitors in some countries. Universal medical licensing? Standards (IHE): further seemless integration of information, Platforms with seemless integration of PACS and EPR for teleradiology purposes, further standardisation in exchanging documents Privacy regulations : Harmonisation of regulations regarding protection of personal data for cross-border services. Information privacy remains the greatest source of concern about medical outsourcing Quality : Quality auditing and regulations, transparency in monitoring processes, performance indicators Financial: Reimbursement issues in socialized medicine, different reimbursement schemes need to be harmonised/adapted
  4. Jikei University Hospital in Japan
  5. iPhone running echocardiography reading software. Villagers in a remote area of Honduras received access to first-rate echocardiography thanks to a project that married a handheld ultrasound scanner with an iPhone-based image interpretation app. The project could be a model for delivering high-quality imaging to other underserved areas.