Assuntos
Conversão Análogo-Digital , Arquivos , Registros Eletrônicos de Saúde , Sistemas Computadorizados de Registros Médicos , Redução de Custos , Registros Eletrônicos de Saúde/economia , Alemanha , Humanos , Sistemas Computadorizados de Registros Médicos/economia , Programas Nacionais de Saúde/economia , Software/economiaAssuntos
Internet/tendências , Psiquiatria/tendências , Consulta Remota/tendências , Telemedicina/tendências , Redução de Custos , Previsões , Alemanha , Humanos , Internet/economia , Programas Nacionais de Saúde/economia , Aceitação pelo Paciente de Cuidados de Saúde , Relações Médico-Paciente , Psiquiatria/economia , Psicoterapia/economia , Psicoterapia/tendências , Qualidade da Assistência à Saúde/economia , Qualidade da Assistência à Saúde/tendências , Consulta Remota/economia , Software/economia , Software/tendências , Telemedicina/economiaAssuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Sistemas Computadorizados de Registros Médicos , Software , Integração de Sistemas , Humanos , Software/economia , Software/provisão & distribuição , Medicina Estatal , Reino Unido , Estados Unidos , United States Department of Veterans AffairsRESUMO
The aim of this study was to assess the suitability of a no-cost system based on standard Internet technology components for teleradiology. The system was composed of free software (communication, DICOM viewer, compression) and standard off-the-shelf hardware components. For different image (CR, CT, MR) and network types (LAN and ISDN) the File Transfer, Audio and Video Conference, and Co-operative Work properties were examined and compared with the literature referring to standard complete packages and dedicated teleradiology systems. The main advantages of the no-cost system are: price; ease of use; independence from specific hardware; and potential connection to any possible partner. The performance of the File Transfer and the Audio and Video Conference was comparable to the other system groups with slight disadvantages in the usability. For Co-operative Work the employed "application sharing" technology does not meet the clinical requirements, which applies identically to the standard complete packages. Here the specialized systems prove superior, although they are proprietary. With minimal restraints the evaluated no-cost solution can be used for File Transfer and Conference scenarios. The usage for Co-operative Work with ISDN is not recommended, unless for the purpose of gaining experience or when dealing with small amounts of cases or images.
Assuntos
Internet/economia , Telerradiologia/economia , Sistemas Computacionais/economia , Redução de Custos , Diagnóstico por Imagem/economia , Alemanha , Humanos , Programas Nacionais de Saúde/economia , Sistemas de Informação em Radiologia/economia , Consulta Remota/economia , Software/economiaRESUMO
Enterprise resource planning (ERP) software applications are designed to facilitate the systemwide integration of complex processes and functions across a large enterprise consisting of many internal and external constituents. Although most currently available ERP applications generally are tailored to the needs of the manufacturing industry, many large healthcare systems are investigating these applications. Due to the significant differences between manufacturing and patient care, ERP-based systems do not easily translate to the healthcare setting. In particular, the lack of clinical standardization impedes the use of ERP systems for clinical integration. Nonetheless, an ERP-based system can help a healthcare organization integrate many functions, including patient scheduling, human resources management, workload forecasting, and management of workflow, that are not directly dependent on clinical decision making.