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[Telemedicine in Germany: status, chances and limits].

Authors
  • Klar, R
  • Pelikan, E
Type
Published Article
Journal
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Publisher
Springer-Verlag
Publication Date
Mar 01, 2009
Volume
52
Issue
3
Pages
263–269
Identifiers
DOI: 10.1007/s00103-009-0787-7
PMID: 19390890
Source
Medline
License
Unknown

Abstract

In Germany there are many successful special applications of telemedicine. However, these projects are generally not extendable to the whole nation because of the highly complex German health care system, limited funding, heterogeneous IT standards in ambulatory and hospital care, insufficient official electronic health card use, the different data protection and privacy regulations of the federal and state governments, doubts of physicians and patients as well as unequal costs and benefits for the various persons involved in telemedicine. These problems can be overcome by better legal regulations for a seamless interaction of ambulatory and hospital care, improved IT standards and support of the interoperability of telemedical and other health care IT, adaption of the health care organization, work flow and reimbursement of telemedicine services, better information and education of all persons involved about the necessity and limits of telemedicine. There are no doubts about the benefits of telemedicine but to achieve these advantages for the whole healthcare system in Germany requires much work, time and good will.

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