Ipath telemedicine platform to support health providers in low resource settings
Download
1 / 48

iPath telemedicine platform to support health providers in low resource settings - PowerPoint PPT Presentation


  • 262 Views
  • Updated On :
  • Presentation posted in: Travel / Places

iPath telemedicine platform to support health providers in low resource settings. K. Brauchli*, D O‘Mahony, L Banach, M Oberholzer * kurt.brauchli@unibas.ch. Outline. What is iPath iPath - a hybrid web and email solution iPath Worldwide Case Studies Teledermatology in South Africa

Related searches for iPath telemedicine platform to support health providers in low resource settings

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha

Download Presentation

iPath telemedicine platform to support health providers in low resource settings

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


iPathtelemedicine platform to support health providers in low resource settings

K. Brauchli*, D O‘Mahony, L Banach, M Oberholzer* kurt.brauchli@unibas.ch


Outline

  • What is iPath

  • iPath - a hybrid web and email solution

  • iPath Worldwide

  • Case Studies

    • Teledermatology in South Africa

    • Telepathology on Solomon Islands

  • Telemedicine and Tele-teaching


What is iPath

  • iPath - an open source software to build telemedicine platforms. Developed at University of Basel

  • ipath.ch - an association to promote telemedicine and to support projects in developing countries


iPath - hybrid web and email solution

  • Telemedicine platform based on web server

  • Access via web and email

  • Collaboration in (closed) working groups

  • Case archive

  • Automatic and personalised notifications


The telemedicine platform


Sending cases:

email


Sending cases:

email

www


Sending cases:

email

www

special equipment:e.g. remote control microscope, ultrasound ...


Reviewing cases:

email (alerts)


Reviewing cases:

email (alerts)

web interface


Reviewing cases:

email (alerts)

web interface

special remote control (e.g. JAVA applet)


User Interface

User registration


User Interface

Personal start page

- List of the groups

- New cases and comments at a glance


User Interface

Group Display

- case list


User Interface

- Comments/Diagnosis

New comments: automatic email alert

Case Display

- Description & Images


iPath worldwide

Users

Productive servers

In testing

planned


Usage

usage statistics of iPath (24.12.2004) * average file size 93KB. Besides images there were another 5864 files

** only 47% of users specified country of origin


Usage


Case Studies

  • Teledermatology in Eastern Cape, South Africa

  • Telepathology in Solomon Islands

  • Telemedicine in Perinatal Health in Ukraine


Teledermatology in South Africa

Regional Telemedicine Network Server at University of Transkei, Mthatha, South Africahttp://telemed.utr.ac.za

UNITRA

Tsilitwa

Port St. Johns


Teledermatology in South Africa

Pilot in Port St. Johns, Eastern Cape

  • GP in rural South Africa

  • Small town ± 8 000: District 75 000

  • Dermatology: 14% of FP consultations (SA)

  • Next Dermatologist: 400km


Teledermatology in South Africa

  • Teledermatology since 1999

  • No of consultations: 110

  • Median response time: 8 days


Teledermatology in South Africa


Teledermatology in South Africa

OUTCOME FOR GP:

  • I learnt a lot and even though I may have sent some cases late for teleconsultation, one of my main objectives of learning was achieved.

  • Even though I may have had the correct diagnosis, it was a good learning experience to have my diagnoses confirmed.

  • The number of cases dropped off over the years. This is definitely due to my improved skill in diagnosis due to learning.


Telepathology in Solomon Islands


Solomon Islands


Solomon Islands

National Referral Hospital

Solomon IslandsCapital: HoniaraPopulation: 450‘000Islands: ~1000Independence: 1978

Doctors: 15 (30)Radiologists: 1Pathologists: 0Dermatologists: 0


Limitations

  • Shortage of medical specialists- no dermatology, pathology, cytology ….

  • Shortage of access to health care - many patients come to hospital in advanced stages.

  • No access to current information- no medical libraries, few current literature, no senior colleagues, no continuing medical education (CME)


Limitations

  • Limited Transportation- no roads or very bad roads


Histology Lab

Tissue Processing

Preparing blocks

Cutting

Staining

Histology slides


Remote Consultations

Step 1:Selected images captured with digital camera (Nikon CoolPix 990) and submitted to server in Basel via email

Step 2:Cases are reviewed by a group of 7 pathologists(Switzerland, Germany and South Africa)


Results (2002-2003)

Source: Brauchli et al. J Telemed Telecare. 2004;10 Suppl 1:14-7.


Perinatal Health in Ukraine

  • Project of Swiss Centre of International Health

  • Health System reform

  • Improve knowledge of Ukrainian practitioners

  • Foster evidence based medicine

  • Support regional clinics

  • Decrease amount of unnecessary referrals


Perinatal Health in Ukraine


iPath in Teaching and CME

  • Clinical Meetings / Tumor Boards

  • Publish content - teaching modules, samples cases, etc.

  • Remote Presentations

  • (soon: offline version of content for CD etc.)


Tumor Board Meetings


Low Resource Settings

  • Technology must be locally available and manageable

  • It must be possible to integrate usage of telemedicine into daily routine(>70% submissions by email)

  • Little “local ownership” of telemedicine projects


Low Resource Settings

  • Access to training and health information is very difficult in developing countries

  • Professional isolation (solo practitioner without senior colleague) ==> “Brain Drain”


Problems

  • Access to Computer and Internet

  • Incentives - who benefits from telemedicine?

  • Missing exchange between projects and networks==> “e-fragmentation”


E-fragmentation

Telemedicine

E-learning

Helath InformationAccess

Teleradiology

Teledermatology

Tele HIV care

DiagnosticsTreatment

Publishing

Education


Integrated Health Information Exchange

Studies, Research

Evidence Base

Dissemination

FeedbackQuality Control

Scientific Publishing

Tele-Teaching

Telemedicine

Case Specific Information

General Information


A way forward

  • Connecting different telemedicine projects

  • Increase knowledge sharing and transfer

  • Combine telemedicine with:

    • Teaching

    • Access to health information


Local ownership

  • Open Standards for data

  • Open Source Software is an opportunity for developing countries to ensure ownership of data.

  • Examples: UNITRA, HealthNet Nepal, AIMSHOSPITAL (India)

  • Plans: Ethiopia, Francafrique


iPath

More information:http://ipath.ch


iPath for you ?

  • Deploying iPath as technical basis fo a telemedicine platform - iPath is open source and freely available.

  • Participate in the Basel telemedicine network - as expert or non-expert.

    • Pathology

    • Dermatology

    • Perinatal Health


ad
  • Login