title: Teleconsultation for endoscopic diagnosis of gastrointestinal diseases--concepts and architecture of the service ENDOTEL.
abstract: This paper introduces ENDOTEL as a new project in telemedicine, aiming to reduce local disadvantages in medical health care in rural areas. The progressing specialization in medicine results in a concentration of experts in few medical centers and to deficits of expert knowledge in rural areas, which remain as a domain of unspecialized physicians. ENDOTEL expands the conventional synchronous telemedical communication, which usually means videoconference, by an asynchronous multimedia communication and its resulting advantages. ENDOTEL breaks up with the need that participants have to be present simultaneously.
authors.affiliation: Institut für Medizinische Statistik und Epidemiologie, Technischen Universität München. balbach@imse.med.tu-muenchen.de
authors.forename: T
authors.initials: T
authors.lastname: Balbach
authors.forename: H
authors.initials: H
authors.lastname: Sussmann
authors.forename: T
authors.initials: T
authors.lastname: Jansen
authors.forename: H D
authors.initials: HD
authors.lastname: Allescher
authors.forename: A
authors.initials: A
authors.lastname: Horsch
mesh_terms: D003199:Computer Systems; D016099:Endoscopy, Gastrointestinal; D005767:Gastrointestinal Diseases / Q000175:diagnosis*; D005858:Germany; D006801:Humans; D009862:Online Systems; D019114:Remote Consultation / Q000295:instrumentation*