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DOI: 10.1055/s-0033-1342936
On-Call Service of Neurosurgeons in Germany: Organization, Use of Communication Services, and Personal Acceptance of Modern Technologies
Publication History
17 August 2012
31 December 2012
Publication Date:
31 August 2013 (online)
Abstract
Background A significant proportion of acute care neurosurgical patients present to hospital outside regular working hours. The objective of our study was to evaluate the structure of neurosurgical on-call services in Germany, the use of modern communication devices and teleradiology services, and the personal acceptance of modern technologies by neurosurgeons.
Materials and Methods A nationwide survey of all 141 neurosurgical departments in Germany was performed. The questionnaire consisted of two parts: one for neurosurgical departments and one for individual neurosurgeons. The questionnaire, available online and mailed in paper form, included 21 questions about on-call service structure; the availability and use of communication devices, teleradiology services, and other information services; and neurosurgeons' personal acceptance of modern technologies.
Results The questionnaire return rate from departments was 63.1% (89/141), whereas 187 individual neurosurgeons responded. For 57.3% of departments, teleradiology services were available and were frequently used by 62.2% of neurosurgeons. A further 23.6% of departments described using smartphone screenshots of computed tomography (CT) images transmitted by multimedia messaging service (MMS), and 8.6% of images were described as sent by unencrypted email. Although 47.0% of neurosurgeons reported owning a smartphone, only 1.1% used their phone for on-call image communication.
Conclusion Teleradiology services were observed to be widely used by on-call neurosurgeons in Germany. Nevertheless, a significant number of departments appear to use outdated techniques or techniques that leave patient data unprotected. On-call neurosurgeons in Germany report a willingness to adopt more modern approaches, utilizing readily available smartphones or tablet technology.
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References
- 1 Rickels E, Schuhmann MU, Rosahl SK. The neurosurgeon on duty — quality and quantity of acute care. Zentralbl Neurochir 2004; 65 (4) 168-173
- 2 Piek J, Hebecker R, Schütze M, Sola S, Mann S, Buchholz K. Image transfer by mobile phones in neurosurgery. Zentralbl Neurochir 2006; 67 (4) 193-196
- 3 Stormo A, Sollid S, Størmer J, Ingebrigtsen T. Neurosurgical teleconsultations in northern Norway. J Telemed Telecare 2004; 10 (3) 135-139
- 4 Ashkenazi I, Haspel J, Alfici R, Kessel B, Khashan T, Oren M. Effect of teleradiology upon pattern of transfer of head injured patients from a rural general hospital to a neurosurgical referral centre. Emerg Med J 2007; 24 (8) 550-552
- 5 Ng WH, Wang E, Ng I. Multimedia Messaging Service teleradiology in the provision of emergency neurosurgery services. Surg Neurol 2007; 67 (4) 338-341
- 6 Available at: http://www.bitkom.org/de/markt_statistik/64042_71099.aspx (in German)
- 7 Waran V, Bahuri NF, Narayanan V, Ganesan D, Kadir KA. Video clip transfer of radiological images using a mobile telephone in emergency neurosurgical consultations (3G Multi-Media Messaging Service). Br J Neurosurg 2012; 26 (2) 199-201
- 8 Sicherung der Bildqualität in röntgendiagnostischen Betrieben - Teil 157: Abnahme- und Konstanzprüfung nach RöV an Bildwiedergabesystemen in ihrer Umgebung (Image quality assurance in diagnostic X-ray departments - Part 157: acceptance and constancy tests according to RöV image reproduction systems in their environment). Available at: http://www.beuth.de/de/norm-entwurf/din-6868-157/148809187 . Accessed February 28, 2013 (in German)
- 9 Draft Guidance for Industry and Food and Drug Administration Staff - Mobile Medical Applications. July 21, 2011. United States Food and Drug Administration. Available at: http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm263280.htm
- 10 510(k) Premarket Notification database. United States Food and Drug Administration. Available at: http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm.