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Lege Artis Medicinae

MAY 20, 2017

[The impact of telemedicine on the development of doctor-patient relationship based on interviews conducted among physicians]

BÁN Attila

[Introduction - The doctor-patient relationship has always been an essential part of health care, however, in parallel with the integration infocommunication technologies in health care the doctor-patient communication is also transforming. Therefore, the aim of the study is to examine the effect of telemedicine on this relationship. Methods - During the study, we applied qualitative research methods and a total number of 58 semi-structured interviews (45 men, 13 women) were conducted among physicians having experience in telemedicine. The majority of the interviewees were radiologist, general practitioners, and internists. The interview questions concerned that what characterises the doctor-patient relationship in telemedicine. Results - The interviews pointed out that in teleradiology the doctor-patient relationship depersonalises and almost terminates. In this respect, the problem is often the incomplete clinical information about the patient. In turn, telemonitoring can bring a quality change in the doctor-patient communication and through remote contact the patients’ satisfaction, the sense of security, and the doctor-patient relationship will be further enhanced. Conclusions - In accordance with the academic literature - based on the research results - there is no clear evidence that telemedicine would affect doctor-patient communication only positively or only negatively. In some areas of telemedicine, this relationship is reducing (e.g. teleradiology) while in other areas it could be fur-ther strengthened (e.g. telemonitoring).]

Hungarian Radiology

DECEMBER 27, 2010

Hungarian Radiology

MARCH 20, 2007

[Teleradiology - opportunity or threat?]

PALKÓ András

[Teleradiology - as a result of recent developments in digital imaging and informatics - appears to be a technology potentially responding to many challenges in the field of diagnostic radiology. It may help in the centralization of service, in the support of emergency care, and in the more accurate diagnosis of cases requiring special skill. Outsourcing of imaging diagnostic reporting activities may solve human resource problems and may decrease wage expenditures. Nevertheless teleradiology exposes also some difficulties (human and technical aspects) which we should recognize in time for being able to protect ourselves.]

Hungarian Radiology

AUGUST 20, 2003

[Our experiences with the use of phosphor plate X-ray system and PACS]


[In this study the experiences, the advantages and disadvantages of a full digital radiology department are presented. The conventional radiology and the spot films of gastroenterologic studies are exposed on phosphor plates since 1999 at our department. Two work-stations are used for making the reports and six viewing-stations are installed at distant departments. A central server organizes the data and pictures flow and the archive system consists of magnetooptical discs in a juke-box. The conventional X-ray methods are fully integrated in the system. The number of hardcopies is dramatically decreased. The clinicians may easily access the images on the viewingstations. Possibility of teleradiology and teleconsultation is integrated in the system. The quality of the examinations is improved and became uniform. The images of different methods (CT, fluoroscopy) are stored also in digital format. The disadvantages are the high cost of installation, a new workflow and reporting habits must be initiated. A problem of one element can cause the breakdown of the whole system. The new technics, the digital world forces us to develope and define new technical standards in order to obtain uniform quality.]