Telemedizinische Unterstützung der feto-neonatalen Versorgung in einer Region – Teil II: Strukturelle Voraussetzungen und Anwendungsbereiche in der Neonatologie

Zusammenfassung

Telemedizinische Infrastruktur zur Patientenbeurteilung, -versorgung und -nachbetreuung sowie dem interdisziplinären Austausch kann dazu beitragen, auch außerhalb von spezialisierten Zentren eine wohnortnahe, höchsten Qualitätsansprüchen genügende Patientenversorgung sicherzustellen. In der Neonatologie wird die einrichtungsübergreifende, synchrone audio-visuelle Kommunikation insbesondere im anglo-amerikanischen Raum bereits seit vielen Jahren angewandt. Anwendungsgebiete umfassen dabei die Gebiete der erweiterten neonatalen Erstversorgung und Reanimation, spezifischer diagnostischer Anwendungen, z.B. des ROP-Screenings und der Echokardiografie sowie der elterlichen Betreuung, regelmäßiger telemedizinischer Visiten und der fachlichen Weiterbildung medizinischen Personals, insbesondere unter Nutzung von Simulationstrainings. Für die Implementierung solcher telemedizinischen Infrastrukturen müssen bestimmte organisatorische, medizinrechtliche und technische Anforderungen an Hardware, Software und Struktur- bzw. Prozessorganisation, erfüllt sein. Die konkrete Umsetzung einer aktuell in Implementierung befindlichen telemedizinischen Infrastruktur für die Region Ostsachsen wird hier am Beispiel des Zentrum für Feto/Neonatale Gesundheit (SCFNH) demonstriert. Im Rahmen feto-neontaler Kompetenzverbünde wie dem SCFNH kann mittels einer flächendeckend, gut strukturierten und etablierten telemedizinischen Infrastruktur die medizinische Versorgungsqualität, Patientensicherheit und -zufriedenheit in einer Region erhöht werden.

Abstract

Telemedical infrastructure for patient assessment, care and follow-up as well as interdisciplinary exchange can contribute to ensuring patient care that is close to home and meets the highest quality standards, even outside specialised centres. In neonatology, synchronous audio-visual communication across institutions has been used for many years, especially in the Anglo-American countries. Areas of application include extended neonatal primary care and resuscitation, specific diagnostic applications, e.g. ROP screening and echocardiography, as well as parental care, regular telemedical ward rounds and further training of medical staff, especially using simulation training. For the implementation of such telemedical infrastructures, certain organisational, medical-legal and technical requirements for hardware, software and structural and process organisation must be met. The concrete realisation of a telemedical infrastructure currently being implemented for the region of Eastern Saxony is demonstrated here using the example of the Saxony Center for feto/neonatal Health (SCFNH). Within the framework of feto-neonatal competence networks such as the SCFNH, the quality of medical care, patient safety and satisfaction in a region can be increased by means of a comprehensive, well-structured and established telemedical infrastructure.

Schlüsselwörter

Telemedizin - Telematik-Infrastruktur - feto-neonatale Gesundheit

Key words

Telemedicine - Telematics Infrastructure - feto-neonatal health

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