title: Problems and our solutions for implementing telemedicine systems.
abstract: There are several problems on the practical use of telemedicine, for example, the difficulties involved in promoting communication between medical facilities, uncooperative clinicians, and the absence of high-speed circuits and high-resolution CRT. From the Japanese point of view, we suggest ways to resolve these problems. We will analyze and propose scenarios for realizing successful communications among medical institutions, medical communication and its characteristics, barriers to the promotion of communications among medical institutions, second-opinion centers, and separate satellites and separate circuits. We also mention the World Wide Web for teleconsultation, provision of assistance to people with data handicaps via a communications satellite, and assistance to programs designed for training telemedicine specialists. Using a communication satellite, we offer programs that explain preventive medicine, support activities for nursing at home, explain the risks of fast food, and support activities for the handicapped and women in a simple manner to computer illiterates.
authors.affiliation: Tokai University School of Medicine, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Nakajima
authors.forename: Y
authors.initials: Y
authors.lastname: Sawada
authors.forename: T
authors.initials: T
authors.lastname: Ashihara
authors.forename: Y
authors.initials: Y
authors.lastname: Takashima
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D006801:Humans; D007373:Interinstitutional Relations; D007564:Japan; D012017:Referral and Consultation / Q000191:economics / Q000458:organization & administration; D017216:Telemedicine / Q000191:economics / Q000458:organization & administration / Q000639:trends*