Stand, Möglichkeiten und Grenzen der Telemedizin in Deutschland

Klar, R.; Pelikan, Ernst

doi:10.1007/s00103-009-0787-7

Cited by 19 publications

(4 citation statements)

References 4 publications

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“…Many patients believe that TM disrupts the relationship with their physician and fosters social isolation. 72,76,81 It is reported that people worry about being neglected by their physician and about data confidentiality. 70,82 Furthermore, patients might perceive TM as an intrusion into their privacy and reject the medicalisation of their home.…”

Section: Resultsmentioning

confidence: 99%

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Policy expectations and reality of telemedicine – a critical analysis of health care outcomes, costs and acceptance for congestive heart failure

Achelrod¹

2014

J Telemed Telecare

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A critical review of evidence was carried out to discover whether the actual performance of telemedicine fulfils the expectations of German policy-makers. The analysis was conducted using the example of telemedicine for congestive heart failure (CHF). It was based on both German and international evidence. The PubMed, MEDLINE, Google Scholar and Cochrane Library databases were searched, as well as public sources from the German Federal Ministry of Health. Forty-five studies reporting patient outcomes, costs or acceptance of telemedicine for CHF were included in the review, of which 28 were interventional. The policy expectations of telemedicine generally are: high technology acceptance and improved patient outcomes at lower costs. However, in the field of CHF, policy-makers underestimate the complexity of telemedicine and the technology has not yet lived up to its expectations. Although some studies show improvements in all-cause mortality and CHF-related hospitalisations, there is excessive study heterogeneity and vagueness in the areas of costs and acceptance. Methodological insufficiencies as well as the scarcity of evidence in the German context do not allow definite conclusions to be drawn. Policy-makers and other stakeholders should increase their efforts to consolidate isolated telemedicine projects, establish guidelines for clinical treatment procedures and economic evaluations, and define industry/technical device standards to enhance the comparability of interventions. Imposing the use of telemedicine on patients and physicians is not likely to be fruitful. A successful adaptation requires an analysis of needs and continuous education on both sides.

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Section: Resultsmentioning

confidence: 99%

“…On the other hand, the limited scalability is caused by incompatibility with existing IT systems. 81 Efforts at standardisation vary considerably between German states. While some states have invested €10 million in defining supra-regional standards, others remain passive.…”

Section: Discussionmentioning

confidence: 99%

Policy expectations and reality of telemedicine – a critical analysis of health care outcomes, costs and acceptance for congestive heart failure

Achelrod¹

2014

J Telemed Telecare

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“…14,53,54 It is not possible to directly relate the trends observed in Poland to what has been happening in other countries. [55][56][57] Based on the almost constant increase in the global number of similar publications indexed in PubMed (from 366 papers indexed in the year 1995 to 2946 papers indexed in the year 2015), the contribution of the activity of Polish authors may be considered lower than expected for a country of this size and population. The current review may help other researchers with similar telecommunication and healthcare infrastructures.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine and eHealth in Poland from 1995 to 2015

Glinkowski¹,

Karlińska²,

Karliñski³

et al. 2018

Adv Clin Exp Med

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The aim of this study is to present a review based on the literature and proceedings from selected telemedicine conferences. The review was developed using the PRISMA framework. The Embase and PubMed (updated until July 13, 2015) literature databases were searched for telemedicine-related terms and Poland. The literature search identified 129 eligible articles in the databases and 85 in conference proceedings until July 2015. Articles measured as a number of contributions per year presented a similar rising, fluctuating and almost parallel pattern. Fifty-nine percent of the reviewed papers were published in impacted journals. Almost half of all publications presented original papers. The published articles concerned mostly cardiology (16%), family medicine (15%) and pathology (11%). Conference proceedings papers concerned orthopedics (29%, significantly more frequent; p < 0.001) and cardiology (14%). Scientific activity of researchers and practitioners in Poland in the field of telemedicine is not high, but it is increasing over time. There is a tendency to present the research rather in high-quality journals instead of conferences before publication. The occurrence of individual medical specialty telemedicine in Poland may reflect country-specific needs.

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“…The technologies range from standard telephone audio consultations [ 2 ] to virtual reality scenarios [ 3 , 4 ] and even drones [ 5 ]. Though these technologies have been available for some time, telehealth has not been widely used in German healthcare for legal, technical, and organizational reasons [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in the pediatric surgery in Germany during the COVID-19 pandemic

et al. 2021

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Purpose The COVID-19 pandemic has led to an unprecedented expansion of telemedicine services worldwide. This study aimed to explore the practice of telemedicine in Pediatric Surgery in Germany, the impact of the pandemic on its development and parents’ and surgeons’ experiences with telemedicine. Methods The study is a cross-sectional analysis using three surveys between 6/2020 and 10/2020: (1) all Pediatric Surgery departments of Germany reported whether they provide telemedicine services. (2) Members of the German Society of Pediatric Surgery and (3) families who participated in an outpatient visit by telephone or video with the Department of Pediatric Surgery and Pediatric Urology of the University Hospital Frankfurt completed an anonymous survey on their experience with telemedicine. Results 21% of the Pediatric Surgery departments in Germany provided telemedicine, of which 57% started due to the pandemic. The lack of physical examination and face-to-face contact seem to be the major limitations to surgeons and parents. 48% of the parents answered that telemedicine is equal to or better than traditional appointments, while 33% thought that telemedicine is worse. Conclusions This study shows that families and doctors alike have had positive experiences with telemedicine and most will continue to use this format after the pandemic.

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Stand, Möglichkeiten und Grenzen der Telemedizin in Deutschland

Cited by 19 publications

References 4 publications

Policy expectations and reality of telemedicine – a critical analysis of health care outcomes, costs and acceptance for congestive heart failure

Policy expectations and reality of telemedicine – a critical analysis of health care outcomes, costs and acceptance for congestive heart failure

Telemedicine and eHealth in Poland from 1995 to 2015

Telemedicine in the pediatric surgery in Germany during the COVID-19 pandemic

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