Issues and techniques in networked-based distributed healthcare: overview

Academic Article


  • For telemedicine to reach its potential in the Internet2 environment, significant progress must be made in a number of areas. The emerging telecommunications will include the Internet2 between medical institutions and emerging broadband loop and wireless technologies for interconnections to homes. Within the technical environment, problems that must be addressed include the development of robotic-controlled, remote-monitoring devices unique to the various medical specialties; the encoding, transmission, and decoding of raw data specific to the specialized needs of various medical application areas; and the reduction of data for storage and retrieval in patient records. Institutionally, human factor and information access issues with respect to physicians, patients, and non-physician healthcare providers must be addressed; healthcare insurance provider policies, government regulation, and state licensing laws must be adapted for a new paradigm of healthcare delivery; and the philosophy of capital investment for the delivery of healthcare must be revised. Many current practices will be supplanted by home healthcare alternatives, the use of patient-initiated preventive healthcare initiatives, and remote-clinic activity. These applications will result in central record archiving systems; the need for encryption schemes, virus protection, and vandalism protection; extensive, additional connectivity between healthcare providers and professionals; and new commercial 'players' in the healthcare arena. The 'hot' application areas will include women's health, children's health, healthcare for senior citizens, home healthcare, well-patient monitoring, and early-detection of medical problems.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Conner DA; Grimes GJ; Goldman J
  • Start Page

  • 81
  • End Page

  • 94
  • Volume

  • 10
  • Issue

  • 1