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Pathologists' attitudes to implementing telepathology

T Mairinger1, T T Netzer, W Schoner

  • 1Department of Pathology, University of Innsbruck, Austria. Thomas.Mairinger@uibk.ac.at

Journal of Telemedicine and Telecare
|June 26, 1998
PubMed
Summary
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Pathologists see value in telemedicine but fear remote diagnostic errors. Real-time, remotely controlled microscopes are preferred over still images for telepathology adoption.

Area of Science:

  • Digital Pathology and Medical Informatics
  • Pathology and Laboratory Medicine

Background:

  • Telepathology offers potential benefits for pathologists, yet its widespread adoption is slow.
  • Limited research has focused on the perspectives of potential end-users, such as pathologists, regarding telepathology implementation.

Purpose of the Study:

  • To investigate the opinions and concerns of pathologists regarding the integration of telemedicine and telepathology into their daily practice.
  • To assess the perceived value and potential barriers to adopting telepathology technologies, including remote frozen-section diagnosis, expert consultation, videoconferencing, teleteaching, and teletraining.

Main Methods:

  • A questionnaire survey was distributed to 256 members of the Austrian Society of Pathology.
  • The survey addressed general telemedicine aspects, specific telepathology applications (frozen sections, consultations), videoconferencing, and teleteaching/teletraining.

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  • A response rate of 46% was achieved, providing insights from a significant portion of the target group.

    • Main Results:

    • Pathologists generally believe telemedicine can be valuable in routine practice.
    • Significant concerns exist regarding sampling errors in remote diagnosis, with a strong preference for real-time, remotely controlled microscopy over still image systems.
    • Videoconferencing for clinicopathological conferences garnered interest, while teleteaching and teletraining were viewed as supplementary, not replacements for traditional methods.

    Conclusions:

    • Pathologist acceptance of telepathology is contingent on addressing concerns about diagnostic accuracy, particularly regarding sampling.
    • Real-time remote microscopy is crucial for overcoming resistance to telepathology adoption.
    • While supplementary educational applications are welcomed, core diagnostic functions require robust, interactive technological solutions.