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Current status of domestic telemedicine


This manuscript addresses several aspects of the current status of telemedicine in the United States. Telemedicine programs have been in existence since the 1960s, but only in the last 2 or 3 years have they begun to proliferate. Teleradiology has grown rapidly, both in the number of systems and the volume of images transmitted. Clinical telemedicine consultation, using video-conferencing, has seen an increase in the number of programs, but patient volumes remain low. In this paper, I discuss the scope and effectiveness of telemedicine, the kinds of applications in use at various telemedicine centers, and issues of importance in the development and integration of telemedicine systems into the health care delivery infrastructure.

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  1. 1.

    Menolascino, F.J., and Osborne, R.G., Psychiatric television consultation for the mentally retarded.Am. J. Psychiat. 127:157–162, 1970.

  2. 2.

    Wittson, C.L., and Benschoter, R., Two-way television: Helping the medical center reach out.Am. J. Psychiat. 129:136–139, 1972.

  3. 3.

    Dwyer, T.F., Telepsychiatry: Psychiatric consultation by interactive television.Am. J. Psych., 130:865–869, 1973.

  4. 4.

    Armstrong, P.A., Youssef, Z.I., and Bashshur, R.L., Telemedicine in the United States: A summary of operational programs.Telemedicine: Explorations in the Use of Telecommunications in Health Care (R.L. Bashshur, P.A. Armstrong, and Z.I. Youssef, eds.), Charles C. Thomas, Springfield, Ill, 1975, pp. 309–346.

  5. 5.

    Justice, J.W., and Decker, P.G., Telemedicine in a rural health delivery system.Adv. Biomed. Eng. 7:101–171, 1979.

  6. 6.

    Lovett, J.E., and Bashshur, R.L., Telemedicine in the USA: An overview.Telecommun. Pol. 3–14, March 1979.

  7. 7.

    Grigsby, J., Kaehny, M.M., Schlenker, R.E., Shaughnessy, P.W. and Beale, S.K.,Analysis of Expansion of Access to Care Through Use of Telemedicine and Mobile Health Services. Report 1: Literature Review and Analytic Framework, Center for Health Policy Research, Denver, 1993.

  8. 8.

    Paakkala, T., Aalto, J., Kähärä, V., Seppänen, S., Diagnostic performance of a teleradiology system in primary health care.Comput. Methods Programs Biomed. 36:157–160, 1991.

  9. 9.

    Kagetsu, N.J., Zulauf, D.R.P., and Ablow R.C., Clinical trial of digital teleradiology in the practice of emergency room medicine.Radiology 165:551–554, 1987.

  10. 10.

    Cox, G.G., Cook, L.T., McMillan, J.H., Rosenthal, S.J., and Dwyer, S.J., III, Chest radiography: Comparison of high-resolution digital displays with conventional and digital film.Radiology 176:771–776, 1990.

  11. 11.

    Scott, W.W., Jr., Rosenbaum, J.E., Ackerman, S.J., Reichle, R.L., Magid, D., Weller, J.C. and Gitlin, J.N., Subtle orthopedic fractures: Teleradiology workstation versus film interpretation.Radiology 187: 811–815, 1993.

  12. 12.

    Eide, T.J., and Nordrum, I., Frozen section service via the telenetwork in northern Norway.Zentralbl. Path. 138:409–412, 1992.

  13. 13.

    Eide, T.J., Nordrum, I., and Stalsberg, H., The validity of frozen section diagnosis based on video-microscopy.Zentralbl. Pathol. 138:405–407, 1992.

  14. 14.

    Weinstein, R.S., Bloom, K.J., and Rozek, L.S., Telepathology and the networking of pathology diagnostic services.Arch. Pathol. Lab. Med. 111:646–652, 1987.

  15. 15.

    Weinstein, R.S., Telepathology comes of age in Norway.Hum. Pathol. 22:511–513, 1991.

  16. 16.

    Mattioli, L., Goertz, K., Ardinger, R., Belmont, J., Cox, R., and Thomas, C., Pediatric cardiology: Auscultation from 280 miles away.Kansas Med. 93: 326–350, 1992.

  17. 17.

    Murphy, R.L.H, Block, P., Bird, K.T. and Yurchak, P., Accuracy of cardiac auscultation by microwave.Chest 63:578–581, 1973.

  18. 18.

    Hubble, J.P., Pahwa, R., Michalek, D.K., Thomas, C., and Koller, W.C., Interactive video conferencing: A means of providing interim care to Parkinson's Disease patients.Movement Dis. 8:380–382, 1993.

  19. 19.

    Sobczyk, W.L., Solinger, R.E., Rees, A.H., and Elbl, F., Transtelephonic echocardiography: Successful use in a tertiary pediatric referral center.J. Pediatr. 122:S84-S88, 1993.

  20. 20.

    Preston, J., Brown, F.W., and Hartley,B., Using telemedicine to improve health care in distant areas.Hosp. Commun. Psychiatry 43:25–32, 1992.

  21. 21.

    Allen, A., Editor's note.Telemed. Newslett. 1(4):1–3, 1993.

  22. 22.

    Grigsby, J., Sandberg, E.J., Kaehny, M.M., Kramer, A.M., Schlenker, R.E., and Shaughnessy, P.W.,Analysis of Expansion of Access to Care Through Use of Telemedicine and Mobile Health Services. Report 2: Case Studies and Current Status of Telemedicine, Center for Health Policy Research, Denver.

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Grigsby, J. Current status of domestic telemedicine. J Med Syst 19, 19–27 (1995).

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  • Health Care
  • United States
  • Care Delivery
  • Health Care Delivery
  • Patient Volume