J.Jpn. Surg. Soc.. 104(4): 345-348, 2003
Feature topic
SUPPORTING SYSTEM FOR REGIONAL MEDICAL LIAISON AND ROLE OF A CENTRAL HOSPITAL
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Department of Surgery I, Oita Medical University, Oita, Japan Seigo Kitano |
One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communlcatlon, equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patlents.
The role of a central hospital in these systems must be capacious. Management and contlnuous operatlon of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a “one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks.
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