Skip to main content
SpringerLink
Log in

Telemedizin

  • Chapter
  • First Online:
Handbuch Industrie 4.0: Recht, Technik, Gesellschaft

  • 33k Accesses

Zusammenfassung

Der digitale Wandel und die Medizin 4.0 sind im klinischen Alltag bereits jetzt deutlich spürbar und werden unser Gesundheitssystem in den nächsten Jahren weiter durchgreifend verändern. Immer mehr medizinische Daten werden bereits digital erfasst. Ein bekanntes Beispiel ist die Einführung elektronischer Patientenakten in Arztpraxen und Krankenhäusern als Ersatz für herkömmliche, analoge Papier-Akten. Im häuslichen Umfeld ermöglichen App-basierte Anwendungen auf dem Smartphone (HealthApps) chronisch kranken Patienten eine engmaschigere Überwachung der Therapie und erlauben den Patienten zugleich eine stärkere Einbeziehung in die Behandlung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 179.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 229.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Abraham WT et al (2011) Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. Lancet 377(9766):658–666

    Article  Google Scholar 

  • Adams GL et al (2006) Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). Am J Cardiol 98(9):1160–1164

    Article  Google Scholar 

  • Amkreutz J et al (2018) Medication safety in a German telemedicine centre: implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services. J Telemed Telecare:1357633X1879979. https://doi.org/10.1177/1357633X18799796

  • Audebert HJ et al (2006) Effects of the implementation of a telemedical stroke network: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria, Germany. Lancet Neurol 5(9):742–748

    Article  Google Scholar 

  • Bendel O (2018) Roboter im Gesundheitsbereich. In: Pflegeroboter. Springer Gabler, Wiesbaden, S 195–212

    Chapter  Google Scholar 

  • Bölt U, Graf T (2012) Statistisches Bundesamt. 20 Jahre Krankenhausstatistik. https://www.destatis.de/DE/Publikationen/WirtschaftStatistik/Gesundheitswesen/20JahreKrankenhausstatistik.pdf?__blob=publicationFile. Zugegriffen am 12.02.2019

  • Breslow MJ (2007) Remote ICU care programs: current status. J Crit Care 22(1):66–76

    Article  Google Scholar 

  • Breslow MJ et al (2004) Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing. Crit Care Med 32(1):31–38

    Article  Google Scholar 

  • Brokmann J et al (2017) Telemedizin: Potenziale in der Notfallmedizin. Notfallmedizin up2date 12(03):307–317

    Article  Google Scholar 

  • Brunetti ND et al (2017) Pre-hospital electrocardiogram triage with telemedicine near halves time to treatment in STEMI: a meta-analysis and meta-regression analysis of non-randomized studies. Int J Cardiol 232:5–11

    Article  Google Scholar 

  • Bundesärztekammer (2014) Ergebnisse der Ärztestatistik zum 31.12.2014. https://www.bundesaerztekammer.de/ueber-uns/aerztestatistik/aerztestatistik-der-vorjahre/aerztestatistik-2014/. Zugegriffen am 12.12.2018

  • Bundesärztekammer (2018) 121. Deutscher Ärztetag. Beschlussprotokoll. Erfurt, 8. bis 11. Mai 2018. https://www.bundesaerztekammer.de/fileadmin/user_upload/downloads/pdf-Ordner/121.DAET/121_Beschlussprotokoll.pdf. Zugegriffen am 12.02.2019

  • Bundesgesundheitsministerium (2018) E-Health-Gesetz. https://www.bundesgesundheitsministerium.de/service/begriffe-von-a-z/e/e-health-gesetz.html. Zugegriffen am 12.02.2019

  • Cummings J et al (2007) Intensive care unit telemedicine: review and consensus recommendations. Am J Med Qual 22(4):239–250

    Article  Google Scholar 

  • Damiani E et al (2015) Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies. PLoS One 10(5):e0125827

    Article  Google Scholar 

  • Deisz R, Marx G (2016) Telemedizin in der Intensivmedizin – Möglichkeiten und Grenzen einer Innovation. Medizinische Klinik, Intensivmedizin und Notfallmedizin 111(8):723–728

    Article  Google Scholar 

  • Deisz R, et al (2018) (Preprint). J Med Internet Res. https://doi.org/10.2196/11161

  • Densen P (2011) Challenges and opportunities facing medical education. Trans Am Clin Climatol Assoc 122:48–58

    Google Scholar 

  • Dimitrov DV (2016) Medical internet of things and big data in healthcare. Healthcare Informatics Res 22(3):156–163

    Article  Google Scholar 

  • Engel C et al (2007) Epidemiology of sepsis in Germany: results from a national prospective multicenter study. Intensive Care Med 33(4):606–618

    Article  Google Scholar 

  • Faine BA et al (2015) Interhospital transfer delays appropriate treatment for patients with severe sepsis and septic shock: a retrospective cohort study. Crit Care Med 43(12):2589–2596

    Article  Google Scholar 

  • Forni A et al (2010) Evaluation of the impact of a tele-ICU pharmacist on the management of sedation in critically ill mechanically ventilated patients. Ann Pharmacother 44(3):432–438

    Article  Google Scholar 

  • Fortis S et al (2018) ICU telemedicine reduces interhospital ICU transfers in the Veterans Health Administration. Chest 154(1):69–76

    Article  Google Scholar 

  • Fuhrman SA, Lilly CM (2015) ICU telemedicine solutions. Clin Chest Med 36(3):401–407

    Article  Google Scholar 

  • Fusaro MV, Becker C, Scurlock C (2019) Evaluating tele-ICU implementation based on observed and predicted ICU mortality. Crit Care Med 47:1

    Google Scholar 

  • Handschu R et al (2014) Feasibility of certified quality management in a comprehensive stroke care network using telemedicine: STENO project. Int J Stroke 9(8):1011–1016

    Article  Google Scholar 

  • Herasevich V et al (2009) Validation of an electronic surveillance system for acute lung injury. Intensive Care Med 35(6):1018–1023

    Article  Google Scholar 

  • Hindricks G et al (2014) Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet 384(9943):583–590

    Article  Google Scholar 

  • Kahn JM et al (2016) ICU telemedicine and critical care mortality: a national effectiveness study. Med Care 54(3):319–325

    Article  Google Scholar 

  • Kalb T et al (2014) A multicenter population-based effectiveness study of teleintensive care unit-directed ventilator rounds demonstrating improved adherence to a protective lung strategy, decreased ventilator duration, and decreased intensive care unit mortality. J Crit Care 29(4):691.e7–691.14

    Article  Google Scholar 

  • Karagiannidis C et al (2019) Intensivmedizin: Versorgung der Bevölkerung in Gefahr. Dtsch Arztebl 2019 116(10):A-462/B-378/C-374

    Google Scholar 

  • Koehler F et al (2018) Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet 392(10152):1047–1057

    Article  Google Scholar 

  • Kohl BA et al (2012) The effect of ICU telemedicine on mortality and length of stay. J Telemed Telecare 18(5):282–286

    Article  Google Scholar 

  • Krüger-Brand HE (2019) Digitale Gesundheitskompetenz: Datensouveränität als Ziel. Dtsch Arztebl 2019 116(10):A-468/B-382/C-378

    Google Scholar 

  • Kruklitis RJ, Tracy JA, McCambridge MM (2014) Clinical and financial considerations for implementing an ICU telemedicine program. Chest 145(6):1392–1396

    Article  Google Scholar 

  • Lilly CM, Thomas EJ (2010) Tele-ICU: experience to date. J Intensive Care Med 25(1):16–22

    Article  Google Scholar 

  • Lilly CM et al (2011) Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. JAMA 305(21):2175–2183

    Article  Google Scholar 

  • Lilly CM et al (2014) A multicenter study of ICU telemedicine reengineering of adult critical care. Chest 145(3):500–507

    Article  Google Scholar 

  • Marx G, Beckers R (2015) Telemedizin in Deutschland. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 58(10):1053–1055

    Article  Google Scholar 

  • Marx G, Koch T (2015) Telemedizin in der Intensivmedizin: Strukturempfehlungen der DGAI. Anästhästhesiologie & Intensivmedizin 56:257–261

    Google Scholar 

  • Marx G et al (2015) Telekooperation für die innovative Versorgung am Beispiel des Universitätsklinikums Aachen. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 58(10):1056–1061

    Article  Google Scholar 

  • McCambridge M et al (2010) Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients. Arch Intern Med 170(7):648–653

    Article  Google Scholar 

  • Nassar BS et al (2014) Impact of an intensive care unit telemedicine program on patient outcomes in an integrated health care system. JAMA Intern Med 174(7):1160

    Article  Google Scholar 

  • Peterson L et al (2014) Telemedicine improves hospital system compliance with lung-protective ventilating strategies. Crit Care Med 42:A1555

    Article  Google Scholar 

  • Rawal G, Yadav S, Kumar R (2017) Post-intensive care syndrome: an overview. J Transl Int Med 5(2):90–92

    Article  Google Scholar 

  • Rosenfeld BA et al (2000) Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med 28(12):3925–3931

    Article  Google Scholar 

  • Ruesch C et al (2012) Using nursing expertise and telemedicine to increase nursing collaboration and improve patient outcomes. Telemed J E Health 18(8):591–595

    Article  Google Scholar 

  • Sadaka F et al (2013) Telemedicine intervention improves ICU outcomes. Crit Care Res Prac 2013:456389

    Google Scholar 

  • SepNet Critical Care Trials Group (2016) Incidence of severe sepsis and septic shock in German intensive care units: the prospective, multicentre INSEP study. Intensive Care Med 42(12):1980–1989

    Article  Google Scholar 

  • Völkel N, Hubert GJ, Haberl RL (2017) Telemedizin: „TEMPiS“-Netzwerk für Schlaganfallbehandlung in der Regelversorgung. Anaesthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS 52(2):127–136

    Article  Google Scholar 

  • Wilcox ME, Adhikari NKJ (2012) The effect of telemedicine in critically ill patients: systematic review and meta-analysis. Crit Care/Soc Crit Care Med 16(4):R127

    Google Scholar 

  • Winter A et al (2018) Smart Medical Information Technology for Healthcare (SMITH). Methods Inf Med 57(S 01):e92–e105

    Article  Google Scholar 

  • Young LB et al (2011) Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis. Arch Intern Med 171(6):498–506

    Article  Google Scholar 

  • Zawada ET Jr et al (2009) Impact of an intensive care unit telemedicine program on a rural health care system. Postgrad Med 121(3):160–170

    Article  Google Scholar 

  • ZTG Zentrum für Telematik und Telemedizin GmbH (2018) Lockerung des Fernbehandlungsverbots – Hintergrundgespräch mit den Ärztekammern in Nordrhein-Westfalen. https://www.ztg-nrw.de/2018/05/lockerung-des-fernbehandlungsverbots-hintergrundgespraech-mit-den-aerztekammern-in-nordrhein-westfalen/. Zugegriffen am 07.01.2019

Download references

Author information

Authors and Affiliations

  1. Uniklinik der RWTH Aachen, Aachen, Deutschland

    Gernot Marx, Katrin Gilger & Robert Deisz

Authors
  1. Gernot Marx
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Katrin Gilger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert Deisz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gernot Marx .

Editor information

Editors and Affiliations

  1. Berg-, Umwelt- und Europarecht, RWTH Aachen, Aachen, Germany

    Walter Frenz

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Marx, G., Gilger, K., Deisz, R. (2020). Telemedizin. In: Frenz, W. (eds) Handbuch Industrie 4.0: Recht, Technik, Gesellschaft. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58474-3_52

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-58474-3_52

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58473-6

  • Online ISBN: 978-3-662-58474-3

  • eBook Packages: Social Science and Law (German Language)

Publish with us

Policies and ethics

Search

Navigation