Challenges in telemedicine and eHealth: lessons learned from 20 years with telemedicine in Tromsø.
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Date
2007-10-03
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Abstract
The Norwegian Centre for Telemedicine NST has over the past two decades contributed to the development and implementation of telemedicine and ehealth services in Norway From 2002 NST has been a WHO Collaboration Center for telemedicine In August 1996 Norway became the first country to implement an official telemedicine fee schedule making telemedicine services reimbursable by the national health insurer Telemedicine is widely used in Northern Norway Since the late 1980 s the University Hospital of North Norway has experience in the following areas teleradiology telepathology teledermatology teleotorhinolaryngology remote endoscopy remote gastroscopy tele echocardiography remote transmission of ECGs telepsychiatry teleophthalmology teledialysis teleemergency medicine teleoncology telecare telegeriatric teledentistry maritime telemedicine referrals and discharge letters electronic delivery of laboratory results and distant teaching for healthcare personnel and patients Based on the result achieved the health authority in North Norway plans to implement several large scale telemedicine services Teleradiology incl solutions for neurosurgery orthopedic different kinds of surgery nuclear medicine acute traumatic and oncology digital communication and integration of patient data and distant education In addition the following services will also be considered for large scale implementation teledialysis prehospital thrombolysis telepsychiatry teledermatology Last in line for implementation are pediatric district medical center DMS teleophthalmology and ear nose throat ENT