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Telemedicine between private ENT practice in Makarska and University ENT Department Šalata, Zagreb: 2D-CT, 3D, fiberscopy, and FESS

Our ENT division, located in remote, small medical center Makarska, was able to contact eminent medical experts/rhinologists from Zagreb, thus having the opportunity to improve our practical and scientific skills. The realization plan for video communication segment has been worked out in accordance with defined requirements of the medical branch, from the perspective of functional characteristics that a telemedicine system has to fulfill. The plan encompasses analysis of present state and proposes a phase-divided solution for our telemedicine project (ADRIATIC-TELE-DOC), with regard to links, telecommunications and videoconference equpiment. During the plan development a close attention has been payed to find an economic acceptable solution able to support high communications standards set by a modern telemedicine system. For this reason, initial phases of system realization are completely based on ISDN service of Croatian Telecom. The main advantages that proposed video communication segment assures to the telemedicine system are flexibility and scalability. In that sense, the system architecture is fully open for upgrades and seamless migration towards new generation telecommunication systems based on IP/ATM technologies. Therefore, all possibilities have been considered and future directions of the system development set, in order to implement an overall Croatian Integrated Telemedicine System (CITS). Finaly, the use of telemedicine systems in our practice should significantly decrease the number of unnecessary engagements of expensive transport vehicles such as ship or helicopter which can be, due to weather conditions, unfeasible sometimes. Finally, feasibility studies of similar telemedicine projects accomplished worldwide show proportionate profitability of carrying the medical care through telemedicine mode.

Telemedicine; 2D-CT; 3D; fiberscopy; FESS

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