Transcription of 図説・日本の遠隔医療 2013 - jtta.umin.jp
1 2013 2013 10 1.. 1 2.. 2 3.. 4 4.. 8 .. 9 .. 11 .. 12 .. 14 .. 19 .. 21 .. 23 .. 25 ICT .. 27 .. 29 .. 30 .. 33 .. 35 5.. 37 6.. 39 1 1.
2 2011 3 IT MY EHR/PHR 2013 5 IT 2009 4500 IT IT 18 IT 2 2.
3 1 1970 1990 1996 1 2005 2006 7 Telemedince and Telecare 2 2011 3 2011 2 3 ATA American Telemedicine Association Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status. 4 2 1 2 3 3 2-1 2 1 Telecare
4 Telenursing 2 CT MRI 3 Teleradiology Telepathology 2-1 2 1 ~enkaku/96 #A-2 2 3 4 4 3. 1 3-1 1) 3-1 3 2010 2 3-2 1950 2012 1 5 3-2 2) 2010 1 3-3 3) 10 3-3 2010 1 / 2 2009 OECD 2009 3-4 4)
5 OECD 7 G7 OECD 30 4 OECD -302070120100 85 89 70 74 55 59 40 44 25 29 10 14 5 3-4 3-5 5) 1973 1981 1984 8,280 1982 1997 2003 2007 7,625 2008 2008 2013 9,041 2007 6 2 8 2008 2016 3-5 2010 3-6 6) 2011 3 11 3-6 2010 2004 4) 2009 2011 7 2012 9 7) 8) 3-7 3-8 9)
6 3-7 0200040006000800010000195019551960196519 701975198019851990199520002005201020152 4 6 8 10 12 6 8 10 12 14 16 18 20 22 70 60 6950 5940 4930 3929 (1994) (2000)(2010)11,26411,26911,05911, ,07410,38910,65211,391 12 31 06 3-8 30 50 3-9 3-10 9) 2010 3-9 3-10 3 2012 4 418 51 305 3-11 10) 3-11 11) 12) 2012 12)
7 80 12) 4 IT 5 10 15 20 25 30 6 8 10 12 14 16 18 20 22 70 60 6950 5940 4930 3929 (1994) (2000)(2010)28,65128,87128,73228,39628,0 9726,47027,52527,82028,233 12 31 0 2 4 6 8 10 12 14 16 18 20 596163246810121416182022 70 60-6950-5940-4930-3929 0 12 31 (1984) (2000) (2010) 0 1 2 3 4 5 6 7 8 9 10 596163246810121416182022 70 60-6950-5940-4930-3929 12 31 (1984) (2000) (2010)
8 0102030405060 7 PC 3D 3D 5 MRI 2 1 1 2013 8 8 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 8 4.
9 9 1 1990 MRI, CT 5000 MRI, CT 2 3 MRI CT MRI CT 1990 X CR RI, SPECT, PET 2 1 DICOM MRI, CT Teleradiology 1990 DICOM The Digital Imaging and Communications in Medicine ISDN Integrated Services Digital Network DICOM DICOM 1990 ADSL Asymmetric Digital Subscriber Line 2 PACS Picture Archiving and Communication System
10 3 10 4 100 5
