Telemedicine – Its state and perspectives in consideration of the humanontogenetic principle based upon the unity of complexity and space

Harald Korb, Martin D. Denz, Michael Nerlich, Karl-Friedrich Wessel
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Abstract

The demographic situation, with a clear international trend towards a society largedly populated by the aged and the chronically ill presents a huge challenge to the resources of the global healthcare system. It is evident that existing structures and processes cannot provide an adequate qualitative and quantitative response to the problem – innovative patient care systems are the only way forward in a fast-changing world. This is especially true when considering how best to deal with chronic ailments such as coronary heart disease, cardiac insufficiency, asthma/COPD and diabetes with its numerous, debilitating manifestations. In this context integrated patient care concepts offer the most promising solution. This is where the strategic significance and practical advantages of telematics as practical application of modern telecommunications and information technology in the field of healthcare lie – whereby “eHealth” encompasses all healthcare services, quality improvements and cost-optimizations which can be achieved through the implementation of modern means of data acquisition/management/communication. Digitalized data allow for faster, secure and more efficient healthcare knowledge transfer together with networked data access and an altogether better quality in the field of diagnostics, therapy management and post treatment care. Rapid technical progress, with the development of ever-more efficient logistic frameworks, allows for the creation of an efficient telemedical system for optimized patient service and interdisciplinary patient-physician-hospital-rehabhomecare data flow – a system where all the healthcare players strive for concerted action to the benefit of the patient, bringing about tangible cost reductions at the same time.

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远程医疗。基于复杂性和空间统一的人的发生原理的现状和展望
人口状况,随着一个明显的国际趋势,社会人口主要是由老年人和慢性病患者提出了一个巨大的挑战,全球卫生保健系统的资源。很明显,现有的结构和流程不能对这个问题提供充分的定性和定量的反应——创新的病人护理系统是在快速变化的世界中前进的唯一途径。在考虑如何最好地处理冠心病、心功能不全、哮喘/慢性阻塞性肺病和糖尿病等慢性疾病及其众多使人衰弱的表现时,这一点尤其正确。在这种情况下,综合病人护理概念提供了最有希望的解决方案。这就是远程信息处理作为现代电信和信息技术在医疗保健领域的实际应用的战略意义和实际优势所在——“电子医疗”包括所有医疗保健服务、质量改进和成本优化,这些可以通过实施现代数据采集/管理/通信手段来实现。数字化数据可以实现更快、更安全、更高效的医疗保健知识传输,同时实现联网数据访问,并在诊断、治疗管理和治疗后护理领域实现更高的质量。快速的技术进步,以及更高效的物流框架的发展,使高效的远程医疗系统得以创建,以优化患者服务和跨学科的患者-医生-医院-康复家庭护理数据流——在这个系统中,所有医疗保健参与者都努力为患者的利益采取协调一致的行动,同时带来切实的成本降低。
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Telemedicine – Its state and perspectives in consideration of the humanontogenetic principle based upon the unity of complexity and space Human Ontogenetics – New Considerations Concerning Old Questions Laudation on the occasion of the 75th birthday of the co-founder of human_ontogenetics Karl-Friedrich Wessel Cover Picture: human_ontogenetics 1/2010 Karl-Friedrich Wessel (* 1935)
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