Acceptance of Telepathology in Daily Practice

The availability of pathology services differs greatly in our environment. Although pathology would be especially suitable for being practised at a distance by transporting digital image information, the spread of telepathology into everyday work still is relatively slow. The article describes the situation of diffusion of this innovative technology by reviewing the literature and discussing this in context to data based on questionnaires dealing with the acceptance of telepathology. The current situation of telepathology can be discussed by five items for innovation spead: (1) communication and influence; (2) economic costs and benefits; (3) knowledge barriers and learning; (4) feasibility of techniques offered for the demands of the users; (5) clarification of the legal status and other factors concerning international collaboration. All these head lines do not represent realistic obstacles for the more widespread use of telepathology. The real drawbacks may therefore be found behind certain professional habits of pathologists. The most important causes may be that (a) telediagnosis is not as easy as it may seem at the first glance; (b) telepathology is seen as a potential highway to a world‐wide competition of pathology service providers. As soon as these mostly unjustified prejudices are corrected and telepathology is percepted as additional technique in pathology, it will become a diagnostic tool as common and as useful as the telephone.

[1]  K Kayser Telepathology in Europe. , 2000, Analytical cellular pathology : the journal of the European Society for Analytical Cellular Pathology.

[2]  L Dusserre,et al.  Legal requirements for tele-assistance and tele-medicine. , 1995, Medinfo. MEDINFO.

[3]  T Mairinger,et al.  Pathologists' attitudes to implementing telepathology , 1998, Journal of telemedicine and telecare.

[4]  M. Schiffer Legal aspects of telepathology. , 1992, Zentralblatt fur Pathologie.

[5]  S. Pitti,et al.  Factors influencing distant tele-evaluation in cytology, pathology, conventional radiology and mammography. , 1996, Analytical cellular pathology : the journal of the European Society for Analytical Cellular Pathology.

[6]  D G Jameson,et al.  Broadband Telemedicine: Teaching on the Information Superhighway , 1995, Journal of telemedicine and telecare.

[7]  A. Gschwendtner,et al.  The legal situation of telemedicine in Austria , 1997, Journal of telemedicine and telecare.

[8]  A. Gschwendtner,et al.  What do students think about telemedicine? , 1997, Journal of Telemedicine and Telecare.

[9]  R S Weinstein,et al.  Static image telepathology in perspective. , 1996, Human pathology.

[10]  Klaus Kayser,et al.  Telepathology: Telecommunication, Electronic Education and Publication in Pathology , 1999 .

[11]  C A Beltrami,et al.  Diagnostic telepathology through the Internet , 1998, Histopathology.

[12]  Klaus Kayser,et al.  New technical aspects in telepathology , 2000 .

[13]  J. Rosai,et al.  Transcontinental consults in surgical pathology via the Internet. , 1997, Human pathology.

[14]  Hüseyin Tanriverdi,et al.  Diffusion of telemedicine: a knowledge barrier perspective. , 1999, Telemedicine journal : the official journal of the American Telemedicine Association.

[15]  Second opinion consultation through the Internet. A three years experience. , 1998, Advances in clinical pathology : the official journal of Adriatic Society of Pathology.

[16]  R. Weinstein,et al.  Telepathology: a ten-year progress report. , 1997, Human pathology.

[17]  K Kayser,et al.  Aids of telepathology in intra-operative histomorphological tumor diagnosis and classification. , 1993, In vivo.

[18]  K Kayser,et al.  Telepathology in Europe. Its practical use. , 1995, Archives d'anatomie et de cytologie pathologiques.

[19]  C A Beltrami,et al.  The economics of telepathology – a case study , 2000, Journal of telemedicine and telecare.

[20]  O. Ferrer-Roca,et al.  What do physicians think of telemedicine? A survey in different European regions , 1996, Journal of telemedicine and telecare.

[21]  H. Stalsberg,et al.  Remote frozen section service: a telepathology project in northern Norway. , 1991, Human pathology.