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Telemedicine around the GlobeIFA, Prague 31.5.12Andy Fischer, President
April 20, 2023
The International Society for Telemedicine and eHealth
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ISfTeH Mission Statement
“ISfTeH exists to facilitate the internationaldissemination of knowledge and experience in
Telemedicine and eHealth and to provide accessto recognized experts in the field worldwide”
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ISfTeH has Members from more than 70 Countries(November 2011)
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» Non governmental and non for profit society with close relationship to WHO» Primarily an umbrella for national Telemedicine and eHealth organizations
Main Activities
» Promoting & Supporting Telemedicine/eHealth activities around the globe» Ambassadors Program
» Networking & Scientific Platform» Annual International Event
» Incubating and Assisting the start-up of new national organizations » Supporting member countries in the field of Telemedicine and e-Health
» Strategy and Policies» Regulations & Standards» Businessmodel & Reimbursement» Education & Training
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International Relations
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What is Telemedicine?
Telemedicine describes the interaction» between patient and health care provider (teleconsultation)» or between health care providers (telecounselling)
as a form of medical treatment where the participants are not in direct physical contact with each other
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Or shorter….
...medicine on a distance
There are multiple Forms of Telemedicine
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Structure & Forms of Telecounselling
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Components Contents
Communication channels Telephone (realtime, audio)
Internet (store & forward, data)
Video (realtime, audio & video)
Telediagnostics Telemonitoring (BP, sugar level, saturation, etc.)Digital Imaging (xRay, Ultrasound, MRI, photos, etc.)Lab Results
Teletherapy none
Examples of Services » Second Opinion Services between specialist and healthcare provider such as Teleradiology, Teledermatology, Teleopthalmology, Telepathology, etc.
Structure & Forms of Teleconsultations
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Components Contents
Communication channels Telephone (realtime, audio)
Internet (store & forward, data)
Video (realtime, audio & video)
Telediagnostics Bedside Telemonitoring (BP, sugar level, saturation, etc.)Bedside Image (digital photos)
Teletherapy Prescription of medicationRobotic Interventions
Examples of Services » Medical Call Center (doctor or nurse)» Internet Advice by a local doctor direct to patient» Robotic Surgery» etc.
Worldwide Telemedical Activity and clusters…
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…but more Initiatives for Telecounselling than for Teleconsultations
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77%
23%
Teleconsultation
Telecounselling
Source: Swiss Center for Telemedicine Telemedical Activity Analysis 2011
Remarkable Results for Telemedicine
» Cost Reduction
» High Patient Satisfaction
» Equal Quality, Safety and Outcome than f2f consultations
» Improved Access to Care
Challanges & Barriers for Telemedicine
» Missing Regulations & Legal Limitations
» Cultural or political Resistance (e.g. doctors fight against telemedicine…)
» “Digital Devide” (limited access to technology or missing skills)
» Missing Businesscase or Funding
» “Pilotitis”
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The 6 Success Factors for Telemedicine
1. Focus on local needs & process
2. Political and social acceptance
3. No legal constraints
4. Embedded in existing healthcare structure
5. Top medical quality and outstanding technology
6. Sustainable business model
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The world has many far-flung places…
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