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Teleradiology in Neuroradiology

Teleradiology in Neuroradiology. Considerations about and Implications for Quality of Service Dr. Dieter Goettmann Stuttgart/D University Medical Center Groningen. Demographics. „Work runs out of people“ *. Radiology. Increasing number of examinations Increasing complexity of diseases

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Teleradiology in Neuroradiology

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  1. Teleradiology in Neuroradiology Considerations about and Implications for Quality of Service Dr. Dieter Goettmann Stuttgart/D University Medical Center Groningen

  2. Demographics „Work runs out of people“ * German Craftsmen newspaper, sep 10th, 2010

  3. Radiology • Increasing number of examinations • Increasing complexity of diseases • Increasing importance of patient data • Increasing demand for quality assurance • Decreasing number of Radiologists • Even more of specialists • Decreasing time available

  4. Teleradiology in Neuroradiology • Born to overcome shortcomings by • Regional deficits • North – south • Urbanized -Countryside • Shortage in human resources for e.g. on-call duties • Availability • Economic reasons • No(t much) need for clinical patient data • E.g. emergencies

  5. Teleradiology in Neuroradiology • developed to be used on a regular basis • To give support to the in-house staff to leverage the workload. • For all, even complex cases • For subspecialties, e.g. Head/Neck • Additional Clinical data essential • Need for communication and feedback • Need for professional expertise

  6. Obstacles & Threats • Distance • Loose of contact • To clinician • To patient • Difficult access to clinical data • Diversity • In medical specialist education troughout Europe • In every country required separate • Approval & Registration • Insurance

  7. Proposals • Access to clinical data • Complete clinical data • Same as a consultant in business • No subset à la choice of the clinician or administration • The Teleconsultant only can decide what may be important • Communication • Adopted to current workflow and –load • Fast, comprehensive • Archivable, reconstructable • Phone calls remnant from last century • Loose of time

  8. Proposals • Time allowance • Need for serious appraisal • Direct related to quality and reimbursement • According to the negotiations of professional societies and health care authorities & providers • Education • Common base level • According to the ESoNR/ECNR basic and advanced courses • To be continously repeated • CME bound to the speciality

  9. Conclusion • Teleradiology has an increasing impact to solve current and future challenges • Specific needs • Techniques available • No extra costs • Cutting edge in solving diversities in medical education and specialisation within Europe, a cluster of mini-states

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