7/29/2019 Our Best Practice Models

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OUR BEST PRACTICE MODELS FOR TELEMEDICINE AND

EHEALTH

A.V.Vladzymyrskyy, E.T.Dorokhova, V.G.Klymovytskyy,

Donetsk R&D Institute of Traumatology and Orthopedics, Dep.of Informatics and

Telemedicine, Donetsk State Medical University, Ukraine

avv@telemed.org.ua

Todays digital communication technologies allows to orginase unlimited exchange of

anykind of an information. So, its possible to create so-called Best Practice Models (BPM)

for telemedicine and eHealth. Powerful information providers can orginase BPMs data bases

from different parts of the world, different decisions, solutions, advises etc. The importance

of creation of such BPMs data bases was marked on General Assembly of International

Society for Telemedicine (ISfT) in 2004. Nowdays Department of Informatics and

Telemedicine (Donetsk R&D Institute of Traumatology and Orthopedics, Donetsk, Ukraine)

has own unique experience and decisions for telemedicine. Its provided scientific, practical,organizational, technical, medical, economic, methodical decisions and information for

another telemedical and e-health organisation. We have developed four BPM and created

special part on Internet site Telemedicine in Ukraine. Special part Good Practice Models

was created on IsfTeH official web-site.

BPM 1. Best practice model for teleconsultations theory. Background. Teleconsultation is

one of simple and accessible telemedical technology for the help in acceptance of clinical

decisions when the physician collides with a complex and rare pathology. Main goals:

terminology and classification, indications, choose of technology. BPM 2. Best practice

model for telemedical equipment. Background. For anykind of telemedical procedures its

necessary: 1) to create an effective telemedical work station (TWS) with adequate free or/and

licensed software, 2) connect TWS to somekind of telecommunication line. The basicrequirements for telemedical equipment: an opportunity of processing of anykind of the

medical information, cheapness, standartisation, availability, simplicity and reliability of use,

technical and information safety. Main goals: equipment for telemedical work station,

telecommunication lines, software. BPM 3. Best practice model for telemedical law and

ethics decisions for Eastern Europe. Background. Many countries in Eastern Europe have no

special laws for Telemedicine and eHealth activity. But laws about medical care, preservation

of information, ethical and social position in health care system are very similar. We believe

that its possible to use our Best law-ethical practice model not only for Ukraine, but for all

involved countries of Eastern Europe. Main goals: preservation of medical information,

preservation patients rights to privacy, confidentiality of any telemedical and eHealth

system, responsibility for the patient. BPM 4. Best practice model for teleconsultation inurgent trauma. Background. The increasing of quality of treatment for traumatized and

polytraumatized patients is one of the most important problems in modern medicine. Due to

telemedicine not only the doctor in charge or the staff of the local hospital are concerned with

treatment of the patient, but the collective intellect of all the physicians of our planet. Main

goals: equipment and communication, technologies.

Full text Models are available at http://www.isft.net and http://www.telemed.org.ua.