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首页> 外文期刊>Telemedicine journal and e-health: the official journal of the American Telemedicine Association >Telemedicine deployments within NATO military forces: a data analysis of current and projected capabilities.
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Telemedicine deployments within NATO military forces: a data analysis of current and projected capabilities.

机译：北约军队内部的远程医疗部署：对当前和预计能力的数据分析。

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Since the creation of the NATO Telemedicine Expert Panel (now renamed the TMED Expert Team) in 2000, when few nations had deployed telemedicine systems to support military field operations, this group has been encouraging the nations to deploy telemedicine (TMED) in support of their forces, and to write the use of TMED into NATO doctrine. This has been a relatively successful effort, and TMED is increasingly being used within the military medical structures of some NATO and Partnership for Peace nations to provide medical care to deployed military personnel. We report the results of a multinational survey of current and projected availability of various telemedicine modalities within the NATO medical services that are participating in the work of the TMED expert team (ET). Though only a "snapshot in time," and not representing all NATO nations, this is the first attempt to identify both current and planned TMED utilization within the multinational military medical community. Participating nations report that communication systems now in place at the lowest levels of medical support increasingly enable the routine use of Web-based teleconsultation modalities. Teleradiology is now being seen as the de facto standard for imaging support. While a number of nations report they have deployed capabilities for obtaining clinical consultations at a distance, most responding nations do not have a formal organizational structure to control and manage remote consultation and rely on informal clinical relationships (e.g., requesting consults from the deployed clinician's home hospital or from friends). Military electronic health records are in use by only a minority of nations and fewer still are capable of civilian interface. Less common TMED capabilities (e.g., tele-microbiology, tele-pathology, tele-medical maintenance) are being increasingly used, but are still rarely deployed. As a result of the findings of this survey, specific recommendations for expanding the use of TMED in the NATO multinational medical setting have been made to appropriate NATO bodies.
机译：自2000年北约远程医疗专家小组（现更名为TMED专家小组）成立以来，很少有国家部署远程医疗系统来支持军事野战，该小组一直在鼓励各国部署远程医疗（TMED）以支持其国家。部队，并把使用TMED写入北约理论。这是一项相对成功的努力，并且在一些北约和和平伙伴关系国家的军事医疗机构中越来越多地使用TMED，以向部署的军事人员提供医疗服务。我们报告了参加TMED专家组（ET）的北约医疗服务中当前和预计的各种远程医疗方式的多国调查的结果。尽管这只是一个“时间快照”，并不能代表所有北约国家，但这是在跨国军事医学界确定当前和计划中TMED利用率的首次尝试。参加国报告说，目前在医疗支持水平最低的地方建立的通信系统越来越多地使例行使用基于Web的远程会诊方式成为可能。现在，远程放射学被视为成像支持的事实上的标准。尽管许多国家报告说他们已经部署了远距离获得临床咨询的能力，但是大多数做出答复的国家没有正式的组织结构来控制和管理远程咨询，并且依赖非正式的临床关系（例如，从部署的临床医生的家中请求咨询医院或来自朋友）。军事电子健康记录仅由少数几个国家使用，仍然有少数几个具有民用接口的能力。不太常用的TMED功能（例如，远程微生物学，远程病理学，远程医疗维护）越来越多地使用，但仍然很少部署。根据这项调查的结果，已经向北约有关机构提出了在北约多国医疗环境中扩大TMED使用的具体建议。

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