Telemedicina: historia, aplicaciones y nuevas herramientas en el aprendizaje
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ene 2, 2011
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Resumen
Introducción: En la actualidad las intervenciones en salud ya sean de tipo diagnóstico o terapéutico no son distribuidas equitativamente, por lo cual garantizar la prestación de servicios de salud representa un reto incesante para muchos programas en diferentes países; sin embargo, gracias a los avances tecnológicos en telecomunicación y procesos de imágenes, es ahora posible ofrecer varios servicios de salud a un mayor número de la población a distancia con un buen nivel de calidad; esto se define como telemedicina.
Método: A través de una búsqueda sistemática de la literatura médica en las bases de datos: Medline, ieeexplore, Scielo, por medio de las palabras mesh: Medical informatics, technology management, telemedicine, E-health, Latinoamérica, se buscó reconocer los datos relevantes con respecto a la historia, las aplicaciones actuales y futuras de la telemedicina.
Desarrollo: Después de seleccionar la mejor evidencia según los objetivos de esta revisión, se procedió a analizar la importancia de la historia, aplicaciones en especialidades de medicina, ventajas y desventajas, barreras que limiten el desarrollo, y experiencias de la telemedicina en Latinoamérica.
Conclusión: Actualmente el uso de la telemedicina avanza rápidamente y podría representar una buena alternativa para complementar en términos
de costo-efectividad a muchos de los programas de salud que se ven alrededor del mundo, ya que facilita la toma de decisiones terapéuticas y diagnósticas en diferentes escenarios clínicos y complementa la formación académica en las escuelas de medicina; sin embargo, aun existen barreras de infraestructura principalmente los altos costos de inicio e instalación, que deben ser tenidos en cuenta, en especial para los países en desarrollo.
Keywords
telemedicina, informática médica, educación a distancia, telemedicine, education distance, medical informatics,
References
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29. Caceres C, Gómez EJ, García F, Gatell JM, del Pozo F. An integral care telemedicine system for HIV/AIDS patients. Int J Med Inform. Sep 2006; 75(9):638-42.
30. Street R, Wheeler J, McCaughan W. Specialist-primary care providerpatient communication in telemedical consultations. Telemed J. 2000;6(1): 45-54.
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34. Watson R, Stimpson A, Hostick T. Prison health care: a review of the
literature. Int J Nurs Stud. Feb 2004; 41(2):119-28.
35. Nieves JE, Candelario J, Short D, Briscoe G. Telemental health for our soldiers: a brief review and a new pilot program. Mil Med. Dec 2009;
174(12):xxi-xxii.
36. Girard P. Military and VA telemedicine systems for patients with traumatic brain injury. J Rehabil Res Dev. 2007; 44(7):1017-26.
37. Álvarez RC. The promise of e-Health - a Canadian perspective. eHealth Int. 2002 Sep 17;1(1):4.
38. Oh H, Rizo C, Enkin M, Jadad A. What is eHealth (3): a systematic review of published definitions. J Med Internet Res. Feb 2005;24;7(1):e1.
39. Eysenbach G. What is e-health? J Med Internet Res. Apr-Jun 2001;3(2):E20.
40. Chang BL. Internet intervention for community elders: process and
feasibility. West J Nurs Res. Jun 2004; 26(4):461-6.
41. Andrus WS, Bird KT. Teleradiology: Evolution Through Bias to Reality. Chest. 1972;62:655-7.
42. Batnitzky S, Rosenthal SJ, Siegel EL et al. Teleradiology: An Assessment. Radiology. 1990;177:11-47.
43. Physician Payment Review Commission: Annual Report to
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44. Bergen DC. Training and distribution of neurologists worldwide. J Neurol Sci. 2002;198:3-7.
45. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581-7.
46. Levine SR, Gorman M. Telestroke: the application of telemedicine for stroke. Stroke. 1999;30:464-9.
47. Patterson V. Teleneurology. J Telemed Telecare. 2005;11(2):55-9.
48. Hubble JP. Interactive Video Conferencing and Parkinson’s Disease.
Kansas Medicine. 1992;93:351-2.
49. Hubble JP, Pahwa R, Michalek DK et al. Interactive Video Conferencing: A Means of Providing Interim Care to Parkinson’s Disease Patients. Movement Disorders. 1993;8:380-2.
50. Murphy RLH, Block P, Bird KT, Yurchak P. Accuracy of Cardiac
Auscultation by Microwave. Chest. 1973;63:578-81.
51. Bertrand CA, Benda RL, Mercando AD et al. Effectiveness of the Fax
Electrocardiogram. American Journal of Cardiology. 1994;74:294-5.
52. Shimmura S, Shinozaki N, Fukagawa K et al. Telemedicine in the follow-up of corneal transplant patients. Journal of Telemedicine and Telecare. 1997; 3:227-8.
53. Telemedicine, Ian Murdoch. Br J Ophthalmol. 1999;83:1254-6.
54. Pedersen S, Hartviksen G, Haga D. Teleconsultation of Patients with
Otorhinolaryngologic Conditions. Archives of Otolaryngology and Head
and Neck Surgery. 1994;120:133-6.
55. Swanepoel de W, Hall JW 3rd. A systematic review of telehealth
applications in audiology. Telemed J E Health. Mar 2010;16(2):181-200.
56. de Toledo P, Jiménez S, del Pozo F, Roca J, Alonso A, Hernández C. “Telemedicine Experience for Chronic Care in COPD”, Information Technology in Biomedicine, IEEE Transactions on, Jul 2006;10(3):567-73.
57. Finkelstein SM, Lindgren B, Prasad B et al. Reliability and Validity of
Spirometry Measurements in a Paperless Home Monitoring Diary Program for Lung Transplantation. Heart and Lung. 1993;22:523-33.
58. Singh SP, Arya D, Peters T. Accuracy of telepsychiatric assessment of new routine outpatient referrals. BMC Psychiatry. Oct 2007;5;7:55.
59. Fernandes S, Ferigolo M, Benchaya MC, Moreira T de C, Pierozan PS,
Mazoni CG, Barros HM. Brief Motivational Intervention and telemedicine:
a new perspective of treatment to marijuana users. Addict Behav. Aug
2010;35(8):750-5.
60. Gómez-Martino JR, Suárez MA, Gallego SD, González PM, Covarsí AR, Castellano IC, Novillo RS, Deira JL, Marigliano NC, Giménez JJ.
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Nefrologia. 2008;28(4):407-12. Spanish
61. Kerr SE, Bellizzi AM, Stelow EB, Frierson HF Jr, Policarpio-Nicolas ML.
Initial assessment of fine-needle aspiration specimens by telepathology:
validation for use in pathology resident-faculty consultations. Am J
Clin Pathol. 2008 Sep;130(3):409-13.
62. Kaplan KJ, Burgess JR, Sandberg GD et al. Use of robotic telepathology for frozen-section diagnosis: a retrospective trial of a telepathology system for intraoperative consultation. Mod Pathol. 2002;15:1197-204.
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64. Singson RP, Natarajan S, Gre enson RKet al. Virtual microscopy and the Internet as telepathology consultation tools: a study of gastrointestinal biopsy specimens. Am J Clin Pathol. 1999; 111:792-5.
65. Kayser K, Kayser G, Becker HD, et al. Telediagnosis of transbronchial fine needle aspirations: a feasibility study. Anal Cell Pathol. 2000;21:207-12.
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Winters SB, Whelan NB, Schneider AM, Milnes JT, Valdivieso FA,
Feldman M, Pass HI, Dhir R, Melamed J, Becich MJ. National Mesothelioma Virtual Bank: a standard based biospecimen and clinical data resource to enhance translational research. BMC Cancer. Aug 2008;13;8:236.
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68. Preston J, Brown FW, Hartley B. Using telemedicine to improve health care in distant areas. Hosp Community Psychiatry. Jan 1992;43(1):25-32.
69. Matusitz J, Breen GM. Telemedicine: its effects on health communication. Health Commun. 2007;21(1):73-83.
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2. WHO global atlas of the health workforce. Geneva, World Health Organization, 2009 (www.who.int/globalatlas/autologin/hrh_login.asp).
3. Grigsby J, Kaehny MM, Sandberg EJ, Schlenker RE, Shaughnessy PW.
Effects and effectiveness of telemedicine. Health Care Financ Rev. 1995
Fall; 17(1):115-31. Review.
4. Grigsby J, Sanders JH. Telemedicine: where it is and where it’s going. Ann Intern Med. Jul 15, 1998;129(2):123-7. Review.
5. Monteagudo JL, Serrano L, Hernández Salvador C. La telemedicina: ¿ciencia o ficción? Anales Sis San Navarra [revista en la Internet]. Dic 2005 [citado 2010 Jul 02]; 28(3):309-23.
6. Nessa A, Ameen MA, Ullah S, Kyung Sup Kwak. “Applicability of Telemedicine in Bangladesh: Current Status and Future Prospects”, Convergence and Hybrid Information Technology, 2008. ICCIT ’08. Third International Conference on, Nov. 2008;1:948-953, 11-13.
7. Zundel KM. Telemedicine: history,applications, and impact on librarianship. Bull Med Libr Assoc. Jan 1996;84(1): 71-9.
8. Bashshur RL. On the definition and evaluation of telemedicine. Telemedicine Journal 1:19-30, 1995.
9. Bauer Jeffrey, Marc Ringel. “Telemedicine and the Reinvention of
Healthcare”, New York: McGraw-Hill, 1999.
10. Benschoter R. Multipurpose television. Annals of the New York Academy of Sciences. 1967;142:471-8.
11. Dwyer TF. Telepsychiatry: Psychiatric Consultation by Interactive Television. American Journal of Psychiatry. 1973; 130:865-9.
12. González Fraga MJ, Herrera Rodríguez ON. Bioética y nuevas tecnologías: Telemedicina. Rev Cubana Enfermer [revista en la Internet]. 2007 Mar [citado 2010 Jul 02]; 23(1).
13. Lovett JE, Bashshur RL. Telemedicine in the USA An Overview. Telecommunications Policy. March 1979;3-14.
14. Telemedicine: history, applications, and impact on librarianship By Karen M. Zundel, M.L.S., AHIP, Director, Health Services Library, McKeesport Hospital,1500 Fifth Avenue McKeesport, Pennsylvania 15132.
15. Pool SL, Stonsifer JC, Belasco N. Application of Telemedicine Systems in Future Manned Space Flight. Paper presented at Second Telemedicine Workshop, Tucson, AZ. Dec 1975.
16. Doarn CR, McVeigh F, Poropatich R. Innovative new technologies to identify and treat traumatic brain injuries: crossover technologies and approaches between military and civilian applications. Telemed J E Health. Apr 2010;16(3):373-81.
17. Yu C, Yang JJ, Chen JC, Liu CS, Chen CC, Lin ML, Liu PL, Yao G, Lin CW. The development and evaluation of the Citizen Telehealth Care service System: case study in Taipei. Conf Proc IEEE Eng Med Biol Soc. 2009; 2009:6095-8.
18. Palmas W, Teresi J, Weinstock RS, Shea S. Acceptability to primary care providers of telemedicine in diabetes case management. J Telemed Telecare. 2008;14(6):306-8.
19. Chae YM, Park HJ, Cho JG, Hong GD, Cheon KA. The reliability and
acceptability of telemedicine for patients with schizophrenia in Korea. J
Telemed Telecare. 2000;6(2):83-90.
20. Tetzlaff L. Consumer informatics in chronic illness. J Am Med Inform Assoc. Jul-Aug 1997;4(4):285-300.
21. Balas EA, Jaffrey F, Kuperman GJ, Boren SA, Brown GD, Pinciroli F,
Mitchell JA. Electronic communication with patients. Evaluation of
distance medicine technology. JAMA. Jul 9 1997;278(2):152-9.
22. Lesher JL Jr, Davis LS, Gourdin FW, English D, Thompson WO. Telemedicine evaluation of cutaneous diseases: a blinded comparative study. J Am Acad Dermatol. Jan 1998;38(1):27-31.
23. Wirthlin DJ, Buradagunta S, Edwards RA, Brewster DC, Cambria RP, Gertler JP, LaMuraglia GM, Jordan DE, Kvedar JC, Abbott WM. Telemedicine in vascular surgery: feasibility of digital imaging for remote management of wounds. J Vasc Surg. Jun 1998;27(6): 1089-99.
24. Ricci RP, Morichelli L, Santini M. Remote control of implanted devices
through Home Monitoring technology improves detection and clinical management of atrial fibrillation. Europace. Jan 2009;11(1):54-61.
25. Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, Scott RE. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;16(3):120-7.
26. de Toledo P, Jiménez S, del Pozo F, Roca J, Alonso A, Hernández C.
Telemedicine experience for chronic care in COPD. IEEE Trans Inf Technol Biomed. Jul 2006;10(3):567-73.
27. Craig JJ, McConville JP, Patterson VH, Wootton R. Neurological examination is possible using telemedicine. J Telemed Telecare. 1999;5(3):177-81.
28. Johansson T, Wild C. Telemedicine in acute stroke management: systematic review. Int J Technol Assess Health Care. Apr 2010;26(2):149-55.
29. Caceres C, Gómez EJ, García F, Gatell JM, del Pozo F. An integral care telemedicine system for HIV/AIDS patients. Int J Med Inform. Sep 2006; 75(9):638-42.
30. Street R, Wheeler J, McCaughan W. Specialist-primary care providerpatient communication in telemedical consultations. Telemed J. 2000;6(1): 45-54.
31. Miller EA. Telemedicine and doctorpatient communication: an analytical survey of the literature. J Telemed Telecare. 2001;7(1):1-17.
32. Hersh W, Helfand M, Wallace J, Kraemer D, Patterson P, Shapiro S,
Greenlick M. A systematic review of the efficacy of telemedicine for making diagnostic and management decisions. J Telemed Telecare. 2002;8(4):197-209.
33. Stanberry B. Telemedicine: barriers and opportunities in the 21st century. J Intern Med. Jun 2000;247(6):615-28.
34. Watson R, Stimpson A, Hostick T. Prison health care: a review of the
literature. Int J Nurs Stud. Feb 2004; 41(2):119-28.
35. Nieves JE, Candelario J, Short D, Briscoe G. Telemental health for our soldiers: a brief review and a new pilot program. Mil Med. Dec 2009;
174(12):xxi-xxii.
36. Girard P. Military and VA telemedicine systems for patients with traumatic brain injury. J Rehabil Res Dev. 2007; 44(7):1017-26.
37. Álvarez RC. The promise of e-Health - a Canadian perspective. eHealth Int. 2002 Sep 17;1(1):4.
38. Oh H, Rizo C, Enkin M, Jadad A. What is eHealth (3): a systematic review of published definitions. J Med Internet Res. Feb 2005;24;7(1):e1.
39. Eysenbach G. What is e-health? J Med Internet Res. Apr-Jun 2001;3(2):E20.
40. Chang BL. Internet intervention for community elders: process and
feasibility. West J Nurs Res. Jun 2004; 26(4):461-6.
41. Andrus WS, Bird KT. Teleradiology: Evolution Through Bias to Reality. Chest. 1972;62:655-7.
42. Batnitzky S, Rosenthal SJ, Siegel EL et al. Teleradiology: An Assessment. Radiology. 1990;177:11-47.
43. Physician Payment Review Commission: Annual Report to
Congress. Washington, DC. 1995.
44. Bergen DC. Training and distribution of neurologists worldwide. J Neurol Sci. 2002;198:3-7.
45. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581-7.
46. Levine SR, Gorman M. Telestroke: the application of telemedicine for stroke. Stroke. 1999;30:464-9.
47. Patterson V. Teleneurology. J Telemed Telecare. 2005;11(2):55-9.
48. Hubble JP. Interactive Video Conferencing and Parkinson’s Disease.
Kansas Medicine. 1992;93:351-2.
49. Hubble JP, Pahwa R, Michalek DK et al. Interactive Video Conferencing: A Means of Providing Interim Care to Parkinson’s Disease Patients. Movement Disorders. 1993;8:380-2.
50. Murphy RLH, Block P, Bird KT, Yurchak P. Accuracy of Cardiac
Auscultation by Microwave. Chest. 1973;63:578-81.
51. Bertrand CA, Benda RL, Mercando AD et al. Effectiveness of the Fax
Electrocardiogram. American Journal of Cardiology. 1994;74:294-5.
52. Shimmura S, Shinozaki N, Fukagawa K et al. Telemedicine in the follow-up of corneal transplant patients. Journal of Telemedicine and Telecare. 1997; 3:227-8.
53. Telemedicine, Ian Murdoch. Br J Ophthalmol. 1999;83:1254-6.
54. Pedersen S, Hartviksen G, Haga D. Teleconsultation of Patients with
Otorhinolaryngologic Conditions. Archives of Otolaryngology and Head
and Neck Surgery. 1994;120:133-6.
55. Swanepoel de W, Hall JW 3rd. A systematic review of telehealth
applications in audiology. Telemed J E Health. Mar 2010;16(2):181-200.
56. de Toledo P, Jiménez S, del Pozo F, Roca J, Alonso A, Hernández C. “Telemedicine Experience for Chronic Care in COPD”, Information Technology in Biomedicine, IEEE Transactions on, Jul 2006;10(3):567-73.
57. Finkelstein SM, Lindgren B, Prasad B et al. Reliability and Validity of
Spirometry Measurements in a Paperless Home Monitoring Diary Program for Lung Transplantation. Heart and Lung. 1993;22:523-33.
58. Singh SP, Arya D, Peters T. Accuracy of telepsychiatric assessment of new routine outpatient referrals. BMC Psychiatry. Oct 2007;5;7:55.
59. Fernandes S, Ferigolo M, Benchaya MC, Moreira T de C, Pierozan PS,
Mazoni CG, Barros HM. Brief Motivational Intervention and telemedicine:
a new perspective of treatment to marijuana users. Addict Behav. Aug
2010;35(8):750-5.
60. Gómez-Martino JR, Suárez MA, Gallego SD, González PM, Covarsí AR, Castellano IC, Novillo RS, Deira JL, Marigliano NC, Giménez JJ.
[Telemedicine applied to Nephrology. Another form of consultation].
Nefrologia. 2008;28(4):407-12. Spanish
61. Kerr SE, Bellizzi AM, Stelow EB, Frierson HF Jr, Policarpio-Nicolas ML.
Initial assessment of fine-needle aspiration specimens by telepathology:
validation for use in pathology resident-faculty consultations. Am J
Clin Pathol. 2008 Sep;130(3):409-13.
62. Kaplan KJ, Burgess JR, Sandberg GD et al. Use of robotic telepathology for frozen-section diagnosis: a retrospective trial of a telepathology system for intraoperative consultation. Mod Pathol. 2002;15:1197-204.
63. Baak JP, van Diest PJ, Meijer GA. Experience with a dynamic inexpensive video-conferencing system for frozen section telepathology. Anal Cell Pathol. 2000;21:169-75.
64. Singson RP, Natarajan S, Gre enson RKet al. Virtual microscopy and the Internet as telepathology consultation tools: a study of gastrointestinal biopsy specimens. Am J Clin Pathol. 1999; 111:792-5.
65. Kayser K, Kayser G, Becker HD, et al. Telediagnosis of transbronchial fine needle aspirations: a feasibility study. Anal Cell Pathol. 2000;21:207-12.
66. Amin W, Parwani AV, Schmandt L, Mohanty SK, Farhat G, Pople AK,
Winters SB, Whelan NB, Schneider AM, Milnes JT, Valdivieso FA,
Feldman M, Pass HI, Dhir R, Melamed J, Becich MJ. National Mesothelioma Virtual Bank: a standard based biospecimen and clinical data resource to enhance translational research. BMC Cancer. Aug 2008;13;8:236.
67. Latifi R, Hadeed GJ, Rhee P, O’Keeffe T, Friese RS, Wynne JL, Ziemba ML, Judkins D. Initial experiences and outcomes of telepresence in the management of trauma and emergency surgical patients. Am J Surg. Dec 2009;198(6):905-10.
68. Preston J, Brown FW, Hartley B. Using telemedicine to improve health care in distant areas. Hosp Community Psychiatry. Jan 1992;43(1):25-32.
69. Matusitz J, Breen GM. Telemedicine: its effects on health communication. Health Commun. 2007;21(1):73-83.
70. Armstrong AW, Dorer DJ, Lugn NE, Kvedar JC. Economic evaluation of interactive teledermatology compared with conventional care. Telemed J E Health. Apr 2007;13(2):91-9.
71. Harley J. Economic evaluation of a tertiary telepsychiatry service to an island. J Telemed Telecare. 2006; 12(7):354-7.
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Cómo citar
Cáceres-Méndez, E. A., Castro-Díaz, S. M., Gómez-Restrepo, C., & Puyuna, J. C. (2011). Telemedicina: historia, aplicaciones y nuevas herramientas en el aprendizaje. Universitas Medica, 52(1), 11–35. https://doi.org/10.11144/Javeriana.umed52-1.than
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