Zusammenfassung
Vor dem Hintergrund des demografischen Wandels, mit einer alternden Bevölkerung und gleichzeitiger Zunahme von Komorbiditäten sowie sinkenden Arztzahlen ist eine Imbalance zwischen Nachfrage medizinischer Leistungen und verfügbaren Anbietern absehbar. Diese wird bereits jetzt im ländlichen Bereich spürbar. Anhand dreier Best-Practice-Projekte aus der präklinischen Notfallmedizin, der Intensivmedizin und der Rehabilitationsplanung für geriatrische Traumapatienten des Universitätsklinikums Aachen werden Erfahrungen und Möglichkeiten, auch einer intersektoralen telemedizinischen Kooperation, aufgezeigt. Unterstützt durch telemedizinische Kooperation besteht die Möglichkeit, spezielle Expertise in die Fläche zu bringen und unabhängig von Zeit und Raum spezialisiertes Wissen verfügbar zu machen oder eine effizientere Ressourcenallokation zu gewährleisten. Eine Übersicht über internationale Erfahrungen unterstützt diese Ansicht.
Abstract
The demographic challenge of the ageing society is associated with increasing comorbidity. On the other hand, there will be an ageing workforce in medicine, resulting in an imbalance between the demand and supply of medical care in the near future. In rural areas in particular, this imbalance is already present today. Based on three best practice projects carried out by our telemedical center in Aachen, including emergency medicine, intensive care medicine, and the rehabilitation planning of geriatric trauma care, some experience and the potential of the intersectoral provision of care, supported by telemedicine, are demonstrated. Telemedicine is the provision of medical services over a geographical distance by using tele-communication and data transfer. It has been proven to ensure a constant quality of health care. Telemedical support enables shared expertise independent of time and space, and allows efficient allocation of resources. A review of international experience supports this notion.
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Gernot Marx, Rainer Beckers, Jörg Christian Brokmann, Robert Deisz und Hans-Christoph Pape geben an, dass kein Interessenskonflikt besteht.
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Marx, G., Beckers, R., Brokmann, J. et al. Telekooperation für die innovative Versorgung am Beispiel des Universitätsklinikums Aachen. Bundesgesundheitsbl. 58, 1056–1061 (2015). https://doi.org/10.1007/s00103-015-2224-4
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DOI: https://doi.org/10.1007/s00103-015-2224-4
Schlüsselwörter
- Telemedizin
- Telematik in der Intensivmedizin
- Telekooperation
- Innovative Versorgungsformen
- Intersektorale Zusammenarbeit