title: Interventional decentralized telemonitoring: bridging the gap between patient's device and physician's needs in well selected indications.
abstract: Telemedicine comprises different concepts aiming to close a spatial distance between practitioner, medical staff and patient. It's functionality can include mere data transmission but extend as well to triggering alarms or enable consultation and therapy suggestions. A special form of telemedicinal application is interventional decentralized telemonitoring. Here practitioner-patient communication is characterized by telemedicinial data collection driven therapy-control and -optimization. To identify feasible indications for the employment of telemonitoring a detailed definition of communicated parameters, alarm rules and algorithms of intervention are required as well as a benefit-cost analysis. The quality of the telemedical application is determined by the medical quality of the resulting actions.
authors.affiliation: Nephrologisches Zentrum Göttingen GbR, Göttingen, Germany.
authors.forename: Egbert G
authors.initials: EG
authors.lastname: Schulz
authors.forename: Claas L
authors.initials: CL
authors.lastname: Neumann
mesh_terms: D000465:Algorithms; D001794:Blood Pressure; D001835:Body Weight; D004864:Equipment and Supplies; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods*; D010361:Patients; D010820:Physicians; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods*