Telemedizinische Methoden in der Hals-Nasen-Ohrenheilkunde

Achim G. Beule

doi:10.1055/a-0785-0252

Laryngo-Rhino-Otologie, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 01): S129-S172
DOI: 10.1055/a-0785-0252

Referat

Telemedizinische Methoden in der Hals-Nasen-Ohrenheilkunde

Artikel in mehreren Sprachen: deutsch | English

Achim G. Beule

¹HNO-Uniklinik Münster

²Klinik und Poliklinik für Hals-Nasen-Ohrenkrankheiten der Universitätsmedizin Greifswald

› Institutsangaben

Abstract

ZUSAMMENFASSUNG

Telemedizin ist ein Oberbegriff, der alle kommunikationstechnologisch unterstützte Verfahren zusammenfasst, die medizinische Leistungen über räumliche Entfernungen erbringen. Dieser rasch sich entwickelnde Bereich der Medizin besitzt gerade für das stark endoskopisch/mikroskopisch ausgerichtete Fach der Hals-Nasen-Ohrenheilkunde interessante Optionen. Für die klinische Untersuchung von Ohr, Nase, Rachen und Larynx, aber auch für die postoperative Nachsorge und die Betreuung nach Kopf-Hals-Tumor-Erkrankungen liegen Daten zum telemedizinischen Vorgehen vor, ebenso für die audiologischen Messungen nach Cochlea-Implantation. Diese Daten bieten z. T. ein interessantes Potential, z. T. weisen sie aber gerade auch auf Probleme bei unkritischer Anwendung der Telemedizin hin, deren Erfolg entscheidend von der Ausbildung des Untersuchers vor Ort abhängt. Der vorgestellte Artikel fasst die wesentlichen Erkenntnisse dieses sich sehr rasch entwickelnden Forschungsgebietes überblickartig zusammen.

Schlüsselwörter

Telemedizin - Kopf-Hals-Tumoren - Video-Otoskopie - Palliativmedizin

Volltext

Referenzen

Literatur
1 Bundesärztekammer. Telemedizin. 2018 https://www.bundesaerztekammer.de/aerzte/telematiktelemedizin/telemedizin/
2 Bundesärztekammer. Telemedizinische Methoden in der Patientenversorgung – Begriffliche Verortung. 2015, DOI: https://www.bundesaerztekammer.de/fileadmin/user_upload/downloads/pdf-Ordner/Telemedizin_Telematik/Telemedizin/Telemedizinische_Methoden_in_der_Patientenversorgung_Begriffliche_Verortung.pdf
3 Field MJ. Telemedicine: A Guide to Assessing Telecommunications in Health Care. Washington (DC): 1996
4 Amenta F. The Centro Internazionale Radio Medico Symposium “The Way Forward of Maritime Telemedicine”. Int Marit Health 2016; 67: 56
5 Mahdi SS, Amenta F. 80 years of CIRM. A journey of commitment and dedication in providing maritime medical assistance. Int Marit Health 2016; 67: 187-195
6 Westlund K, Attvall S, Nilsson R. et al. Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997-2012. Int Marit Health 2016; 67: 24-30
7 Burg G.. Telemedicine and Teledermatology. Curr Probl Dermatol 2003; 32:
8 Hickel WJ, Mala TA. A history of health and social services in Alaska. Frontier Printing in Anchorage. Alaska: Department of Health and Social Services; 1993
9 Hendel S, Duncan T. Broad Horizons: A History of Australian Aeromedical Retrieval. Int Anesthesiol Clin 2018; 56: 34-46
10 Langford SA. The Royal Flying Doctor Service of Australia. Its foundation and early development. Med J Aust 1994; 161: 91-94
11 Hays H, Carroll M, Ferguson S. et al. The Success of Telehealth Care in the Indian Health Service. Virtual Mentor 2014; 16: 986-996
12 Hofstetter PJ, Kokesh J, Ferguson AS. et al. The impact of telehealth on wait time for ENT specialty care. Telemed J E Health 2010; 16: 551-556
13 Kokesh J, Ferguson AS, Patricoski C. et al. Digital images for postsurgical follow-up of tympanostomy tubes in remote Alaska. Otolaryngol Head Neck Surg 2008; 139: 87-93
14 Patricoski C, Kokesh J, Ferguson AS. et al. A comparison of in-person examination and video otoscope imaging for tympanostomy tube follow-up. Telemed J E Health 2003; 9: 331-344
15 Kokesh J, Ferguson AS, Patricoski C. The Alaska experience using store-and-forward telemedicine for ENT care in Alaska. Otolaryngol Clin North Am 2011; 44: 1359-1374 ix
16 World Medical Association. WMA Statement on Access to Health Care; Adopted by the 40th World Medical Assembly, Vienna, Austria, September 1988 and revised by the 57th WMA General Assembly, Pilanesberg, South Africa, October 2006 and by the 68th WMA General Assembly, Chicago, United States, October 2017. 2006 https://www.wma.net/policies-post/wma-statement-on-access-tohealth-care/
17 Association WM. WMA Statement on the Ethics of Telemedicine Adopted by the 58th WMA General Assembly, Copenhagen, Denmark, October 2007. 2007 https://www.wma.net/policies-post/wma-statement-on-the-ethics-of-telemedicine/
18 Bundesärztekammer. 1. Voraussetzungen für gute Telemedizin. 2010 https://www.bundesaerztekammer.de/aerztetag/beschlussprotokolleab-1996/113-daet-2010/top-v/telemedizin/1-voraussetzungen/
19 Perez-Rodriguez G, Brito-Zurita OR, Sistos-Navarro E. et al. El seguimiento telemetrico disminuye la visita a la sala de urgencias y coste de atencion en enfermos con insuficiencia cardiaca cronica. Cir Cir 2015; 83: 279-285
20 Scherr D, Kastner P, Kollmann A. et al. Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res 2009; 11: e34
21 Zhai YK, Zhu WJ, Hou HL. et al. Efficacy of telemedicine for thrombolytic therapy in acute ischemic stroke: a meta-analysis. J Telemed Telecare 2015; 21: 123-130
22 Demaerschalk BM, Raman R, Ernstrom K. et al. Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials. Telemed J E Health 2012; 18: 230-237
23 Audebert HJ, Schultes K, Tietz V. et al. Long-term effects of specialized stroke care with telemedicine support in community hospitals on behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS). Stroke 2009; 40: 902-908
24 Meyer BC, Raman R, Hemmen T. et al. Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study. Lancet Neurol 2008; 7: 787-795
25 Waller M, Stotler C. Telemedicine: a Primer. Curr Allergy Asthma Rep 2018; 18: 54
26 Bashshur R, Shannon G, Krupinski E. et al. The taxonomy of telemedicine. Telemed J E Health 2011; 17: 484-494
27 Fischer F, Aust V, Krämer A. eHealth: Hintergrund und Begriffsbestimmung. In: Fischer F, Krämer A. (Hrsg.) eHealth in Deutschland. Springer-Verlag Berlin Heidelberg; 2016
28 Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform 2010; 79: 736-771
29 Center for Connected Health Policy. 50 State Scan of Telehealth Reimbursement Laws and Medicaid Policies – Factsheet. 2018 http://www.cchpca.org/sites/default/files/resources/50 %20State %20Factsheet %20Spring %202018 %20FINAL.pdf
30 Wicklund E.CMS proposes more medicare reimbursement for telehealth, RPM. 2018 http://https://mhealthintelligence.com/news/cms-proposes-more-medicare-reimbursement-for-telehealth-rpm
31 Pune, Maharashtra. Telehealth Market worth 9.35 Billion USD by 2021. 2018 https://www.marketsandmarkets.com/PressReleases/telehealth.asp
32 Ungeklärte Finanzierung bremst Telemedizin. Deutsches Ärzteblatt 2011; 2: 14
33 GKV-Spitzenverband. Telemedizin in der vertragsärztlichen Versorgung. 2016 https://www.gkv-spitzenverband.de/media/dokumente/presse/publikationen/Positionspapier_Telemedizin_03-2016.pdf
34 Bundestag D. Gesetz für sichere digitale Kommunikation und Anwendungen im Gesundheitswesen sowie zur Änderung weiterer Gesetze. Bundesgesetzblatt 2015; I: 2408-2423
35 GKV-Spitzenverband, Bundesvereinigung K. Vereinbarung über die Anforderungen an die technischen Verfahren zur Videosprechstunde gemäß §291g Absatz 4 SGB V. 2016 http://www.kbv.de/media/sp/Anlage_31b_Videosprechstunde.pdf
36 Bundesvereinbarung K. Anbieter für Videosprechstunde zertifiziert. 2017 http://www.kbv.de/html/1150_30410.php
37 Ärzteblatt.de. Vergütung für Videosprechstunde festgelegt. 2018 https://www.aerzteblatt.de/nachrichten/73320/Verguetung-fuer-Videosprechstunde-festgelegt
38 McCool RR, Davies L. Where Does Telemedicine Fit into Otolaryngology? An Assessment of Telemedicine Eligibility among Otolaryngology Diagnoses. Otolaryngol Head Neck Surg 2018; 158: 641-644
39 Okoroafor IJ, Chukwuneke FN, Ifebunandu N. et al. Telemedicine and biomedical care in Africa: Prospects and challenges. Niger J Clin Pract 2017; 20: 1-5
40 Russo JE, McCool RR, Davies L. VA Telemedicine: An Analysis of Cost and Time Savings. Telemed J E Health 2016; 22: 209-215
41 Locatis C, Ackerman M. Three principles for determining the relevancy of store-and-forward and live interactive telemedicine: reinterpreting two telemedicine research reviews and other research. Telemed J E Health 2013; 19: 19-23
42 Pötzsch l, Rößger F. Bevölkerung Deutschlands bis 2060; 13. koordinierte Bevölkerungsvorausberechnung: Statistisches Bundesamt. 2015
43 Bush ML, Hardin B, Rayle C. et al. Rural barriers to early diagnosis and treatment of infant hearing loss in Appalachia. Otol Neurotol 2015; 36: 93-98
44 Holderried M, Holderried F, Tropitzsch A. eHealth in otorhinolaryngology: a disruptive innovation. Eur Arch Otorhinolaryngol 2017; 274: 4071-4072
45 Kmucha ST. Physician liability issues and telemedicine: Part 3 of 3. Ear Nose Throat J 2016; 95: 12-14
46 Kmucha ST. Physician liability issues and telemedicine: Part 1 of 3. Ear Nose Throat J 2015; 94: 428-429
47 Kmucha ST. Physician liability issues and telemedicine: Part 2 of 3. Ear Nose Throat J 2015; 94: 466-469
48 Christian D, Feussner H, Wienke A. Rechtsfragen der Telemedizin. Berlin Heidelberg: Springer-Verlag; 2001
49 Bundesärztekammer. Hinweise und Erläuterungen zu § 7 Absatz 4 MBO-Ä (Fernbehandlung). 2015 https://www.bundesaerztekammer.de/fileadmin/user_upload/downloads/pdf-Ordner/Recht/2015-12-11_Hinweise_und_Erlaeuterungen_zur_Fernbehandlung.pdf
50 Bundesärztekammer. Synopse zur Änderung § 7 Abs. 4 MBO-Ä (Fernbehandlung). 2018, DOI:
51 Baden-Württemberg Lv. Drucksache 16 / 3161 Antrag der Abg. Rainer Hinderer u. a. SPD und Stellungnahme des Ministeriums für Soziales und Integration „Den rechtlichen Rahmen für die Fernbehandlung/Telemedizin den Behandlungsmöglichkeiten der Gegenwart anpassen“. 2017 https://www.landtag-bw.de/files/live/sites/LTBW/files/dokumente/WP16/Drucksachen/3000/16_3161_D.pdf
52 Baden-Württemberg Lv. Drucksache 16 /3731 Beschlussempfehlungen und Berichte der Fachausschüsse zu Anträgen von Fraktionen und von Abgeordneten. 2017 https://www.landtag-bw.de/files/live/sites/LTBW/files/dokumente/WP16/Drucksachen/3000/16_3731_D.pdf
53 Kassenärztliche Bundesvereinigung, GKV-Spitzenverband (Spitzenverband Bund der Krankenkassen). Bundesmantelvertrag – Ärzte vom 1. Juli 2018 https://www.kbv.de/media/sp/BMV_Aerzte.pdf
54 Bundesvereinigung K, Krankenkassen (G-SSBd. Bundesmantelvertrag – Ärzte vom 1. Juli 2018 201 8. https://www.kbv.de/media/sp/BMV_Aerzte.pdf
55 Ärztetag D. Beschlussprotokoll. 2018 https://www.bpm-ev.de/images/121._D%C3%84T_Beschlussprotokoll.pdf
56 Bund H. Das Fernbehandlungsverbot – die wichtigsten Fakten im Überblick. Hartmannbund Magazin 2018; 2: 18-19
57 Sailer R, Winke A. Telemedizin: Ja, aber!. GMS Mitteilungen aus der AWMF 2016; 1: Doc2
58 Bergmann KO. Telemedizin und E-Health-Gesetz – neue Haftungsgefahren? N E T L E T T E R 2016; 1
59 Yulzari R, Bretler S, Avraham Y. et al. Mobile Technology-Based Real-Time Teleotolaryngology Care Facilitated by a Nonotolaryngologist Physician in an Adult Population. Ann Otol Rhinol Laryngol 2018; 127: 46-50
60 Campisano F, Ozel S, Ramakrishnan A et al. Towards a soft robotic skin for autonomous tissue palpation. IEEE International Conference on Robotics and Automation 2017 doi:10.1109/ICRA.2017.7989729 6150–6155
61 Pacchierotti C, Sinclair S, Solazzi M. et al. Wearable Haptic Systems for the Fingertip and the Hand: Taxonomy, Review, and Perspectives. IEEE Trans Haptics 2017; 10: 580-600
62 van den Berg N, Schmidt S, Stentzel U. et al. Telemedizinische Versorgungskonzepte in der regionalen Versorgung ländlicher Gebiete : Möglichkeiten, Einschränkungen, Perspektiven. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015; 58: 367-373
63 Holderried M, Ernst C, Holderried F. et al. The potential of eHealth in otorhinolaryngology-head and neck surgery: patients' perspectives. Eur Arch Otorhinolaryngol 2017; 274: 2933-2943
64 Saffarzadeh AG, Verma SP, Billimek J. Internet Usage and eHealth Literacy of Patients in an Otolaryngology – Head and Neck Surgery Clinic. Otolaryngology-Head and Neck Surgery 2014; 151: 149
65 Mergenthal K, Leifermann M, Beyer M. et al. Delegation hausarztlicher Tatigkeiten an qualifiziertes medizinisches Fachpersonal in Deutschland – eine Ubersicht. Gesundheitswesen 2016; 78: e62-e68
66 Mergenthal K, Guthlin C, Beyer M. et al. Wie bewerten und akzeptieren Patienten die Betreuung durch Medizinische Fachangestellte in der Hausarztpraxis? Ergebnisse einer Patienten-Befragung in der HzV in Baden-Württemberg. Gesundheitswesen 2016;
67 Mergenthal K, Beyer M, Gerlach FM. et al. Sharing Responsibilities within the General Practice Team – A Cross-Sectional Study of Task Delegation in Germany. PLoS One 2016; 11: e0157248
68 Laux G, Szecsenyi J, Mergenthal K. et al. Hausarztzentrierte Versorgung in Baden-Württemberg: Ergebnisse einer qualitativen und querschnittlich quantitativen Evaluation. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015; 58: 398-407
69 Mergenthal K, Beyer M, Guthlin C. et al. Evaluation des VERAH-Einsatzes in der Hausarztzentrierten Versorgung in Baden-Württemberg. Z Evid Fortbild Qual Gesundhwes 2013; 107: 386-393
70 Gerlach FM, Szecsenyi J. Hausarztzentrierte Versorgung in Baden-Württemberg – Konzept und Ergebnisse der kontrollierten Begleitevaluation. Z Evid Fortbild Qual Gesundhwes 2013; 107: 365-371
71 Fiss T, Schaefer M, van den Berg N. et al. Zeitbedarf und Kosten fur die Umsetzung eines Medikamentenreviews und assoziierter pharmazeutischer und medizinischer Evaluation im ambulanten Versorgungssektor. Gesundheitswesen 2012; 74: 322-327
72 van den Berg N, Meinke C, Hoffmann W. Möglichkeiten und Grenzen der Telemedizin in der Flächenversorgung. Ophthalmologe 2009; 106: 788-794
73 van den Berg N, Fiss T, Meinke C. et al. GP-support by means of AGnES-practice assistants and the use of telecare devices in a sparsely populated region in Northern Germany–proof of concept. BMC Fam Pract 2009; 10: 44
74 Beule AG. Telemedizinische HNO-Arzt-Konsultation. HNO 2013; 61: 494
75 Gollnick I, Frehiwot M, Krause EM. et al. Interdisziplinäre Telekonsultation: Erste praktische Erfahrungen mit 100 Patienten. HNO 2013; 61: 495-503
76 Holderried M, Hoeper A, Holderried F. et al. Attitudes Toward e-Health: The Otolaryngologists' Point of View. Telemed J E Health 2018; 24: 425-432
77 Williams AM, Bhatti UF, Alam HB. et al. The role of telemedicine in postoperative care. Mhealth 2018; 4: 11
78 Rimmer RA, Christopher V, Falck A. et al. Telemedicine in otolaryngology outpatient setting-single Center Head and Neck Surgery experience. Laryngoscope 2018;
79 Totty JP, Harwood AE, Wallace T. et al. Use of photograph-based telemedicine in postoperative wound assessment to diagnose or exclude surgical site infection. J Wound Care 2018; 27: 128-135
80 Wilson AP, Treasure T, Sturridge MF. et al. A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis. Lancet 1986; 1: 311-313
81 Sclafani AP, Heneghan C, Ginsburg J. et al. Teleconsultation in otolaryngology: live vs. store and forward consultations. Otolaryngol Head Neck Surg 1999; 120: 62-72
82 Jodkowska A, Hosemann W, Beule A. Reliabilität HNO-ärztlicher Beurteilungen als Telemedizinisches Konsil. 2011; https://www.egms.de/static/de/meetings/hnod2011/11hnod124.shtml
83 Akhtar M, Van Heukelom PG, Ahmed A. et al. Telemedicine Physical Examination Utilizing a Consumer Device Demonstrates Poor Concordance with In-Person Physical Examination in Emergency Department Patients with Sore Throat: A Prospective Blinded Study. Telemed J E Health 2018;
84 Ullah R, Gilliland D, Adams D. Otolaryngology consultations by real-time telemedicine. Ulster Med J 2002; 71: 26-29
85 Moberly AC, Zhang M, Yu L. et al. Digital otoscopy vs. microscopy: How correct and confident are ear experts in their diagnoses?. J Telemed Telecare 2018; 24: 453-459
86 Kokesh J, Ferguson AS, Patricoski C. Telehealth in Alaska: delivery of health care services from a specialist's perspective. Int J Circumpolar Health 2004; 63: 387-400
87 Kokesh J, Ferguson AS, Patricoski C. Preoperative planning for ear surgery using store-and-forward telemedicine. Otolaryngol Head Neck Surg 2010; 143: 253-257
88 Mbao MN, Eikelboom RH, Atlas MD. et al. Evaluation of video-otoscopes suitable for tele-otology. Telemed J E Health 2003; 9: 325-330
89 Seim NB, Philips RHW, Matrka LA. et al. Developing a synchronous otolaryngology telemedicine Clinic: Prospective study to assess fidelity and diagnostic concordance. Laryngoscope 2018; 128: 1068-1074
90 Biagio L, Swanepoel de W, Laurent C. et al. Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level. J Telemed Telecare 2014; 20: 300-306
91 Gupta N, Chawla N, Gupta D. et al. Community triage of otology patients using a store-and-forward telemedicine device: A feasibility study. Ear Nose Throat J 2017; 96: 246-249
92 McCarthy M, Munoz K, White KR. Teleintervention for infants and young children who are deaf or hard-of-hearing. Pediatrics 2010; 126 (Suppl. 01) S52-S58
93 Pereira O, Pasko LE, Supinski J. et al. Is there a clinical application for tablet-based automated audiometry in children?. Int J Pediatr Otorhinolaryngol 2018; 110: 87-92
94 Levy DA, Hill DR, Bia FJ. et al. Tablet-based Hearing Screening in Children Aged 5 to 17 in Rural Dominican Republic. Otol Neurotol 2018; 39: 823-828
95 Kelly EA, Stadler ME, Nelson S. et al. Tablet-based Screening for Hearing Loss: Feasibility of Testing in Nonspecialty Locations. Otol Neurotol 2018; 39: 410-416
96 Dillon H, Mee C, Moreno JC. et al. Hearing tests are just child's play: the sound scouts game for children entering school. Int J Audiol 2018; 57: 529-537
97 Samelli AG, Rabelo CM, Sanches SGG. et al. Tablet-Based Hearing Screening Test. Telemed J E Health 2017; 23: 747-752
98 Harris MS, Dodson EE. Hearing health access in developing countries. Curr Opin Otolaryngol Head Neck Surg 2017; 25: 353-358
99 Skarzynski PH, Swierniak W, Pilka A. et al. A Hearing Screening Program for Children in Primary Schools in Tajikistan: A Telemedicine Model. Med Sci Monit 2016; 22: 2424-2430
100 Elpers J, Lester C, Shinn JB. et al. Rural Family Perspectives and Experiences with Early Infant Hearing Detection and Intervention: A Qualitative Study. J Community Health 2016; 41: 226-233
101 Molander P, Nordqvist P, Oberg M. et al. Internet-based hearing screening using speech-in-noise: validation and comparisons of self-reported hearing problems, quality of life and phonological representation. BMJ Open 2013; 3: e003223
102 Delb W, Merkel D, Pilorget K. et al. Effectiveness of a TEOAE-based screening program. Can a patient-tracking system effectively be organized using modern information technology and central data management?. Eur Arch Otorhinolaryngol 2004; 261: 191-196
103 Givens GD, Elangovan S. Internet application to tele-audiology--"nothin' but net". Am J Audiol 2003; 12: 59-65
104 Givens GD, Blanarovich A, Murphy T. et al. Internet-based tele-audiometry system for the assessment of hearing: a pilot study. Telemed J E Health 2003; 9: 375-378
105 Swanepoel de W, Koekemoer D, Clark J. Intercontinental hearing assessment - a study in tele-audiology. J Telemed Telecare 2010; 16: 248-252
106 Yao JJ, Yao D, Givens G. A Browser-Server-Based Tele-audiology System That Supports Multiple Hearing Test Modalities. Telemed J E Health 2015; 21: 697-704
107 Smits C, Merkus P, Houtgast T. How we do it: The Dutch functional hearing-screening tests by telephone and internet. Clin Otolaryngol 2006; 31: 436-440
108 Bexelius C, Honeth L, Ekman A. et al. Evaluation of an internet-based hearing test – comparison with established methods for detection of hearing loss. J Med Internet Res 2008; 10: e32
109 Honeth L, Bexelius C, Eriksson M. et al. An internet-based hearing test for simple audiometry in nonclinical settings: preliminary validation and proof of principle. Otol Neurotol 2010; 31: 708-714
110 Blaiser KM, Behl D, Callow-Heusser C. et al. Measuring Costs and Outcomes of Tele-Intervention When Serving Families of Children who are Deaf/Hard-of-Hearing. Int J Telerehabil 2013; 5: 3-10
111 Xu CQ, Smith AC, Scuffham PA. et al. A cost minimisation analysis of a telepaediatric otolaryngology service. BMC Health Serv Res 2008; 8: 30
112 Lancaster P, Krumm M, Ribera J. et al. Remote hearing screenings via telehealth in a rural elementary school. Am J Audiol 2008; 17: 114-122
113 Smith AC, Armfield NR, Wu WI. et al. A mobile telemedicine-enabled ear screening service for Indigenous children in Queensland: activity and outcomes in the first three years. J Telemed Telecare 2012; 18: 485-489
114 Smith AC, Brown C, Bradford N. et al. Monitoring ear health through a telemedicine-supported health screening service in Queensland. J Telemed Telecare 2015; 21: 427-430
115 Smith AC, Dowthwaite S, Agnew J. et al. Concordance between real-time telemedicine assessments and face-to-face consultations in paediatric otolaryngology. Med J Aust 2008; 188: 457-460
116 Smith AC, Armfield NR, Wu WI. et al. Changes in paediatric hospital ENT service utilisation following the implementation of a mobile, indigenous health screening service. J Telemed Telecare 2013; 19: 397-400
117 Yanov Y, Kuzovkov V, Sugarova S. et al. Successful application and timing of a remote network for intraoperative objective measurements during cochlear implantation surgery. Int J Audiol 2018; doi:10.1080/14992027.2018.1479783: 1-7
118 Shapiro WH, Huang T, Shaw T. et al. Remote intraoperative monitoring during cochlear implant surgery is feasible and efficient. Otol Neurotol 2008; 29: 495-498
119 Krüger-Brand HE. Mobile Medizintechnik: Telemedizin für die Nachsorge. Dtsch Arztebl 2013; 110: A-2014 / B-1780 / C-1742
120 „Remote-Care“ gewinnt den Niedersächsischen Gesundheitspreis 2016; 2016
121 Präsidium der Deutschen Gesellschaft für Hals-Nasen-Ohrenheilkunde. Weißbuch Cochlea-Implantat (CI) -Versorgung 2018
122 Deutsche Gesllschaft für Hals-Nasen-Ohrenheilkunde K-uH. S2k-Leitlinie „Cochlea-Implantat Versorgung einschließlich zentral-auditorischer Implantate“. 2012 https://www.awmf.org/uploads/tx_szleitlinien/017-071l_S2k_Cochlea_Implant_Versorgung_2012-05-abgelaufen.pdf
123 DGHNO Pd. Weißbuch Cochlea-Implantat(CI)-Versorgung 2018
124 Guitton MJ. Telemedicine in tinnitus: feasibility, advantages, limitations, and perspectives. ISRN Otolaryngol 2013; 2013: 218265
125 Andersson G, Kaldo V. Internet-based cognitive behavioral therapy for tinnitus. J Clin Psychol 2004; 60: 171-178
126 Andersson G, Kaldo-Sandstrom V, Strom L. et al. Internet administration of the Hospital Anxiety and Depression Scale in a sample of tinnitus patients. J Psychosom Res 2003; 55: 259-262
127 Henry JA, Zaugg TL, Myers PJ. et al. Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury. J Rehabil Res Dev 2012; 49: 1025-1042
128 Nondahl DM, Cruickshanks KJ, Dalton DS. et al. The impact of tinnitus on quality of life in older adults. J Am Acad Audiol 2007; 18: 257-266
129 Weise C, Kleinstauber M, Andersson G. Internet-Delivered Cognitive-Behavior Therapy for Tinnitus: A Randomized Controlled Trial. Psychosom Med 2016; 78: 501-510
130 Hesser H, Gustafsson T, Lunden C. et al. A randomized controlled trial of Internet-delivered cognitive behavior therapy and acceptance and commitment therapy in the treatment of tinnitus. J Consult Clin Psychol 2012; 80: 649-661
131 Kaldo-Sandstrom V, Larsen HC, Andersson G. Internet-based cognitive-behavioral self-help treatment of tinnitus: clinical effectiveness and predictors of outcome. Am J Audiol 2004; 13: 185-192
132 Kaldo V, Levin S, Widarsson J. et al. Internet vs. group cognitive-behavioral treatment of distress associated with tinnitus: a randomized controlled trial. Behav Ther 2008; 39: 348-359
133 Beukes EW, Allen PM, Manchaiah V. et al. Internet-Based Intervention for Tinnitus: Outcome of a Single-Group Open Trial. J Am Acad Audiol 2017; 28: 340-351
134 Beukes EW, Baguley DM, Allen PM. et al. Guided Internet-based vs. face-to-face clinical care in the management of tinnitus: study protocol for a multi-centre randomised controlled trial. Trials 2017; 18: 186
135 Beukes EW, Baguley DM, Allen PM. et al. Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Adults With Tinnitus in the United Kingdom: A Randomized Controlled Trial. Ear Hear 2018; 39: 423-433
136 Beukes EW, Manchaiah V, Baguley DM. et al. Process evaluation of Internet-based cognitive behavioural therapy for adults with tinnitus in the context of a randomised control trial. Int J Audiol 2018; 57: 98-109
137 Kleinstauber M, Weise C, Andersson G. et al. Personality traits predict and moderate the outcome of Internet-based cognitive behavioural therapy for chronic tinnitus. Int J Audiol 2018; 57: 538-544
138 Probst T, Weise C, Andersson G. et al. Differences in baseline and process variables between non-responders and responders in Internet-based cognitive behavior therapy for chronic tinnitus. Cogn Behav Ther 2018; doi:10.1080/16506073.2018.1476582 1-13
139 Viirre E. Vestibular telemedicine and rehabilitation. Applications for virtual reality. Stud Health Technol Inform 1996; 29: 299-305
140 Brandt T, Zwergal A, Jahn K. et al. Institutional profile: integrated center for research and treatment of vertigo, balance and ocular motor disorders. Restor Neurol Neurosci 2010; 28: 135-143
141 Gutierrez RO, Galan Del Rio F, Cano de la Cuerda R. et al. A telerehabilitation program by virtual reality-video games improves balance and postural control in multiple sclerosis patients. NeuroRehabilitation 2013; 33: 545-554
142 Ortiz-Gutierrez R, Cano-de-la-Cuerda R, Galan-del-Rio F. et al. A telerehabilitation program improves postural control in multiple sclerosis patients: a Spanish preliminary study. Int J Environ Res Public Health 2013; 10: 5697-5710
143 Jessiman S. Speech and language services using telehealth technology in remote and underserviced areas. J Speech Lang Pathol Audiol 2003; 27: 45-51
144 Towey MP. Speech telepractice: installing a speech therapy upgrade for the 21st century. Int J Telerehabil 2012; 4: 73-78
145 Sicotte C, Lehoux P, Fortier-Blanc J. et al. Feasibility and outcome evaluation of a telemedicine application in speech-language pathology. J Telemed Telecare 2003; 9: 253-258
146 Allen CR. The use of email as a component of adult stammering therapy: a preliminary report. J Telemed Telecare 2011; 17: 163-167
147 Carey B, O'Brian S, Onslow M. et al. Randomized controlled non-inferiority trial of a telehealth treatment for chronic stuttering: the Camperdown Program. Int J Lang Commun Disord 2010; 45: 108-120
148 Prins D, Ingham RJ. Reviewing the literature: comments on "The Camperdown Program: outcomes of a new prolonged-speech treatment model" (2003) for stuttering. J Speech Lang Hear Res 2005; 48: 1025-1028 author reply 1029–1032
149 O'Brian S, Onslow M, Cream A. et al. The Camperdown Program: outcomes of a new prolonged-speech treatment model. J Speech Lang Hear Res 2003; 46: 933-946
150 O'Brian S, Packman A, Onslow M. Telehealth delivery of the Camperdown Program for adults who stutter: a phase I trial. J Speech Lang Hear Res 2008; 51: 184-195
151 Carey B, O'Brian S, Onslow M. et al. Webcam delivery of the Camperdown Program for adolescents who stutter: a phase I trial. Lang Speech Hear Serv Sch 2012; 43: 370-380
152 Hearne A, Packman A, Onslow M. et al. Developing treatment for adolescents who stutter: a phase I trial of the Camperdown Program. Lang Speech Hear Serv Sch 2008; 39: 487-497
153 Carey B, O'Brian S, Lowe R. et al. Webcam delivery of the Camperdown Program for adolescents who stutter: a phase II trial. Lang Speech Hear Serv Sch 2014; 45: 314-324
154 Ingham RJ. Comments on recent developments in stuttering treatment maintenance research using the Camperdown Program. J Speech Lang Hear Res 2012; 55: 306-309 author reply 310-302
155 Burns CL, Ward EC, Hill AJ. et al. A pilot trial of a speech pathology telehealth service for head and neck cancer patients. J Telemed Telecare 2012; 18: 443-446
156 Malandraki GA, McCullough G, He X. et al. Teledynamic evaluation of oropharyngeal swallowing. J Speech Lang Hear Res 2011; 54: 1497-1505
157 Ward EC, Wall LR, Burns CL. et al. Application of telepractice for head and neck cancer management: a review of speech language pathology service models. Curr Opin Otolaryngol Head Neck Surg 2017; 25: 169-174
158 Furukawa M, Furukawa MK, Mizojiri G. et al. Telemedicine in laryngology. Telemed J 1998; 4: 329-333
159 Lozada KN, Morton K, Stepan K. et al. The clinical impact of bedside fiberoptic laryngoscopic recording on a tertiary consult service. Laryngoscope 2018; 128: 818-822
160 Yip J, Vescan AD, Witterick IJ. et al. The personal financial burden of chronic rhinosinusitis: A Canadian perspective. Am J Rhinol Allergy 2017; 31: 216-221
161 Choi H, Park IH, Yoon HG. et al. Wireless patient monitoring system for patients with nasal obstruction. Telemed J E Health 2011; 17: 46-49
162 Raithatha R, Anand VK, Mace JC. et al. Interrater agreement of nasal endoscopy for chronic rhinosinusitis. Int Forum Allergy Rhinol 2012; 2: 144-150
163 McCoul ED, Smith TL, Mace JC. et al. Interrater agreement of nasal endoscopy in patients with a prior history of endoscopic sinus surgery. Int Forum Allergy Rhinol 2012; 2: 453-459
164 Psaltis AJ, Li G, Vaezeafshar R. et al. Modification of the Lund-Kennedy endoscopic scoring system improves its reliability and correlation with patient-reported outcome measures. Laryngoscope 2014; 124: 2216-2223
165 Colley P, Mace JC, Schaberg MR. et al. Impact of educational intervention on the interrater agreement of nasal endoscopy interpretation. Laryngoscope 2015; 125: 2259-2265
166 Jahanshahi J, Hashemian F, Pazira S. et al. Effect of topical tranexamic acid on bleeding and quality of surgical field during functional endoscopic sinus surgery in patients with chronic rhinosinusitis: a triple blind randomized clinical trial. PLoS One 2014; 9: e104477
167 Valentine R, Athanasiadis T, Moratti S. et al. The efficacy of a novel chitosan gel on hemostasis and wound healing after endoscopic sinus surgery. Am J Rhinol Allergy 2010; 24: 70-75
168 Valentine R, Athanasiadis T, Moratti S. et al. The efficacy of a novel chitosan gel on hemostasis after endoscopic sinus surgery in a sheep model of chronic rhinosinusitis. Am J Rhinol Allergy 2009; 23: 71-75
169 Athanasiadis T, Beule A, Embate J. et al. Standardized video-endoscopy and surgical field grading scale for endoscopic sinus surgery: a multi-centre study. Laryngoscope 2008; 118: 314-319
170 Klapan I, Vranjes Z, Prgomet D. et al. Application of advanced virtual reality and 3D computer assisted technologies in tele-3D-computer assisted surgery in rhinology. Coll Antropol 2008; 32: 217-219
171 Staicu ML, Holly AM, Conn KM. et al. The Use of Telemedicine for Penicillin Allergy Skin Testing. J Allergy Clin Immunol Pract 2018;
172 Ring J, Beyer K, Biedermann T. et al. Guideline for acute therapy and management of anaphylaxis: S2 Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Association of German Allergologists (AeDA), the Society of Pediatric Allergy and Environmental Medicine (GPA), the German Academy of Allergology and Environmental Medicine (DAAU), the German Professional Association of Pediatricians (BVKJ), the Austrian Society for Allergology and Immunology (OGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Anaesthesiology and Intensive Care Medicine (DGAI), the German Society of Pharmacology (DGP), the German Society for Psychosomatic Medicine (DGPM), the German Working Group of Anaphylaxis Training and Education (AGATE) and the patient organization German Allergy and Asthma Association (DAAB). Allergo J Int 2014; 23: 96-112
173 Rueff F, Bergmann KC, Brockow K. et al. Hauttests zur Diagnostik von allergischen Soforttyp-Reaktionen. Leitlinie der Deutschen Gesellschaft fur Allergologie und klinischen Immunologie (DGAKI). Pneumologie 2011; 65: 484-495
174 Elliott T, Shih J, Dinakar C. et al. American College of Allergy, Asthma & Immunology Position Paper on the Use of Telemedicine for Allergists. Ann Allergy Asthma Immunol 2017; 119: 512-517
175 Waibel KH. Synchronous telehealth for outpatient allergy consultations: A 2-year regional experience. Ann Allergy Asthma Immunol 2016; 116: 571-575 e571
176 Bianchi A, Tsilochristou O, Gabrielli F. et al. The Smartphone: A Novel Diagnostic Tool in Pollen Allergy?. J Investig Allergol Clin Immunol 2016; 26: 204-207
177 Head BA, Studts JL, Bumpous JM. et al. Development of a telehealth intervention for head and neck cancer patients. Telemed J E Health 2009; 15: 44-52
178 van den Brink JL, Moorman PW, de Boer MF. et al. Impact on quality of life of a telemedicine system supporting head and neck cancer patients: a controlled trial during the postoperative period at home. J Am Med Inform Assoc 2007; 14: 198-205
179 Skandarajah A, Sunny SP, Gurpur P. et al. Mobile microscopy as a screening tool for oral cancer in India: A pilot study. PLoS One 2017; 12: e0188440
180 Jansen F, van Uden-Kraan CF, van Zwieten V. et al. Cancer survivors' perceived need for supportive care and their attitude towards self-management and eHealth. Support Care Cancer 2015; 23: 1679-1688
181 Kilbourn KM, Anderson D, Costenaro A. et al. Feasibility of EASE: a psychosocial program to improve symptom management in head and neck cancer patients. Support Care Cancer 2013; 21: 191-200
182 Duffy SA, Ronis DL, Valenstein M. et al. A tailored smoking, alcohol, and depression intervention for head and neck cancer patients. Cancer Epidemiol Biomarkers Prev 2006; 15: 2203-2208
183 Varkey P, Liu YT, Tan NC. Multidisciplinary treatment of head and neck cancer. Semin Plast Surg 2010; 24: 331-334
184 Dille MF, McMillan GP, Helt WJ. et al. A Store-and-Forward Tele-Audiology Solution to Promote Efficient Screenings for Ototoxicity during Cisplatin Cancer Treatment. J Am Acad Audiol 2015; 26: 750-760
185 Wall LR, Ward EC, Cartmill B. et al. Adherence to a Prophylactic Swallowing Therapy Program During (Chemo) Radiotherapy: Impact of Service-Delivery Model and Patient Factors. Dysphagia 2017; 32: 279-292
186 Hoek PD, Schers HJ, Bronkhorst EM. et al. The effect of weekly specialist palliative care teleconsultations in patients with advanced cancer -a randomized clinical trial. BMC Med 2017; 15: 119
187 Howell D. It is unclear whether specialist palliative care teleconsultation leads to an improvement in patient symptom scores. Evidence Based Nursing 2018; 21: 1-1
188 Gomes B, Calanzani N, Curiale V. et al. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database Syst Rev 2013; CD007760
189 Duursma F, Schers HJ, Vissers KC. et al. Study protocol: optimization of complex palliative care at home via telemedicine. A cluster randomized controlled trial. BMC Palliat Care 2011; 10: 13
190 van Gurp J, van Selm M, Vissers K. et al. How outpatient palliative care teleconsultation facilitates empathic patient-professional relationships: a qualitative study. PLoS One 2015; 10: e0124387
191 Schenker Y, Arnold RM, Bauman JE. et al. An enhanced role for palliative care in the multidisciplinary approach to high-risk head and neck cancer. Cancer 2016; 122: 340-343
192 Penzel T, Schobel C, Fietze I. New technology to assess sleep apnea: wearables, smartphones, and accessories. F1000Res 2018; 7: 413
193 Maglavera S, Maglaveras N, Lekka I. et al. SENSATION remote monitoring system for enabling the "anytime, anywhere" monitoring of patients with selected sleep disorders. Conf Proc IEEE Eng Med Biol Soc 2006; 1: 3869-3872
194 Singh J, Badr MS, Diebert W. et al. American Academy of Sleep Medicine (AASM) Position Paper for the Use of Telemedicine for the Diagnosis and Treatment of Sleep Disorders. J Clin Sleep Med 2015; 11: 1187-1198
195 Randerath W, Bogel M, Franke C. et al. Positionspapier zum Telemonitoring bei schlafbezogenen Atmungsstörungen. Pneumologie 2017; 71: 81-85
196 Coma-Del-Corral MJ, Alonso-Alvarez ML, Allende M. et al. Reliability of telemedicine in the diagnosis and treatment of sleep apnea syndrome. Telemed J E Health 2013; 19: 7-12
197 Petersen CL, Chen TP, Ansermino JM. et al. Design and evaluation of a low-cost smartphone pulse oximeter. Sensors (Basel). 2013. 13 16882-16893
198 Garde A, Dehkordi P, Karlen W. et al. Development of a screening tool for sleep disordered breathing in children using the phone Oximeter. PLoS One 2014; 9: e112959
199 Al-Mardini M, Aloul F, Sagahyroon A. et al. Classifying obstructive sleep apnea using smartphones. J Biomed Inform 2014; 52: 251-259
200 Bros JS, Poulet C, Arnol N. et al. Acceptance of Telemonitoring Among Patients with Obstructive Sleep Apnea Syndrome: How is the Perceived Interest by and for Patients?. Telemed J E Health 2018; 24: 351-359
201 Woehrle H, Ficker JH, Graml A. et al. Telemedicine-based proactive patient management during positive airway pressure therapy: Impact on therapy termination rate. Somnologie (Berl) 2017; 21: 121-127
202 Sparrow D, Aloia M, Demolles DA. et al. A telemedicine intervention to improve adherence to continuous positive airway pressure: a randomised controlled trial. Thorax 2010; 65: 1061-1066
203 Fox N, Hirsch-Allen AJ, Goodfellow E. et al. The impact of a telemedicine monitoring system on positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial. Sleep 2012; 35: 477-481
204 Stepnowsky CJ, Palau JJ, Marler MR. et al. Pilot randomized trial of the effect of wireless telemonitoring on compliance and treatment efficacy in obstructive sleep apnea. J Med Internet Res 2007; 9: e14
205 Stepnowsky C, Edwards C, Zamora T. et al. Patient perspective on use of an interactive website for sleep apnea. Int J Telemed Appl 2013; 2013: 239382
206 Frasnelli M, Baty F, Niedermann J. et al. Effect of telemetric monitoring in the first 30 days of continuous positive airway pressure adaptation for obstructive sleep apnoea syndrome - a controlled pilot study. J Telemed Telecare 2016; 22: 209-214
207 Turino C, de Batlle J, Woehrle H. et al. Management of continuous positive airway pressure treatment compliance using telemonitoring in obstructive sleep apnoea. Eur Respir J 2017; 49
208 Munafo D, Hevener W, Crocker M. et al. A telehealth program for CPAP adherence reduces labor and yields similar adherence and efficacy when compared to standard of care. Sleep Breath 2016; 20: 777-785
209 Anttalainen U, Melkko S, Hakko S. et al. Telemonitoring of CPAP therapy may save nursing time. Sleep Breath 2016; 20: 1209-1215
210 Woehrle H, Arzt M, Graml A. et al. Effect of a patient engagement tool on positive airway pressure adherence: analysis of a German healthcare provider database. Sleep Med 2018; 41: 20-26