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Technology and innovation are key drivers of advancement in a variety of industries, and certainly in healthcare. The level of patient care can be improved considerably with the right mix of traditional and innovative treatments and solutions. Nevertheless, there are regulatory challenges to overcome.
Teleradiology is one area where technological advancements allow for big steps forward. What is it?
Traditionally, in case of an x-ray, MRT or CT scan, the radiologist analyses the scan at the location where the scan is taken. From a purely technological perspective, this clearly does not have to be the case. A radiologist at a remote location far away from the patient and the scanning device can instantly transmit instructions, analysis and a diagnosis using modern means of communication.
In essence, teleradiology is the ability to obtain an x-ray, MRT or CT scan in one location and to transmit it over a distance for diagnostic or consultative purposes to a radiologist who is not in the same location as the patient.
Futuristic and unnecessary? Quite the contrary. Think about remote geographical locations, such as small hospitals or outpatient clinics in rural areas, urgent treatment situations with no radiologist available or scans required during off-peak hours (e.g. during night-time or on weekends).
Teleradiology allows health institutions to provide better patient care. It addresses the lack of qualified radiological staff, especially where a specialist radiologist is needed, such as a paediatric radiologist or a neuro-radiologist.
When considering how to implement teleradiology, healthcare institutions will look at the services of outsourcing companies or radiology groups. This will mean establishing a new contractual framework, which requires careful preparation and implementation to ensure it is designed and works in a compliant, efficient and satisfactory manner.
In Austria, the Regulation on Medical Radiation Protection (Medizinische Strahlenschutzverordnung (MedStrSchV) defines teleradiology and provides further guidance on certain of the above issues. In addition, the Law on Security Measures when Processing Medical or Genetic Data (Gesundheitstelematikgesetz 2012) contains further applicable provisions.
*Credit goes to Dr. Gordon Euller for the invaluable practical insights he provided in connection with this newsletter.
Authors: Florian Kusznier & Andreas Natterer
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