Development of internet based community telemedicine system in indonesia focusing on the essentials
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DEVELOPMENT OF INTERNET-BASED COMMUNITY TELEMEDICINE SYSTEM IN INDONESIA - FOCUSING ON THE ESSENTIALS. YOKE SAADIA IRAWAN, SOEGIJARDJO SOEGIJOKO Research Group on Biomedical Engineering, Biomedical Engineering Program

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DEVELOPMENT OF INTERNET-BASED COMMUNITY TELEMEDICINE SYSTEMIN INDONESIA - FOCUSING ON THE ESSENTIALS

YOKE SAADIA IRAWAN, SOEGIJARDJO SOEGIJOKO

Research Group on Biomedical Engineering,

Biomedical Engineering Program

Department of Electrical Engineering, Institut Teknologi Bandung - Indonesia

[email protected], [email protected]


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Outline

1. Community Telemedicine

2. Essential Focus

3. Pilot design & development

4. Block diagram of Internet-based Community Telemedicne System

5. Block diagram of Puskesmas medical station

6. Pilot realization status

7. Experimental set up

8. Expected results

9. Conclusions


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1. COMMUNITY TELEMEDICINE

  • DEFINITION -Application of electronics, computer and telecommunication technology for medical information exchange from one site to another, to facilitate the improvement of health care delivery


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1. COMMUNITY TELEMEDICINE

  • PROBLEM STATEMENT - Lessons learned from other developing countries indicated that usage for community purpose would face problems in operations and cultural sustainability, even with the relatively low-cost internet-based system

  • THESIS - To overcome the problems, proposed development of internet-based community telemedicine in Indonesia should be based on the concept of initially focusing on the essentials


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2. ESSENTIAL FOCUS FOR THE DEVELOPMENT OF INTERNET-BASED COMMUNITY-TELEMEDICINE SYSTEM IN INDONESIA

  • Operational core of the Indonesian health-care delivery

    7600 units of Puskesmas (Primary Community Health Center) nation wide

  • Culturally important- statistically critical health issue

    mother and child healthcare issues

  • Local constraints

    Geographics, Demographic and infrastructure constraints


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3. PILOT DESIGN & DEVELOPMENT

  • TARGET GROUP -Puskesmas and their referrals in a poor-urban setting of Bandung, Indonesia, soon to be expanded to include the crucial rural setting

  • APPLICATIONS BEING SERVED - Limited teleconsultation, simple telediagnostic, telecoordination and tele-education

  • TELEMEDICINE FOCUS - mother-child / antenatal telemedicine

  • DATA TRANSFER - Store-forward mode and gradually to be converted to real-time mode


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Physiological Measurement System

Patient Interface

Referral Hospital

Telecommunication Interface

Other Puskesmas

Puskesmas

(Primary Health Centre)

Software Modules

Referral Health Office

4. Block Diagram of Internet-based Community Telemedicine System


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ELECTRONIC SCALE MODULE

SPHYGMOMANOMETER MODULE

ULTRASONIC HEART RATE FETAL MONITOR MODULE

PATIENT INTERFACE

TELECOMMUNICATION INTERFACE MODULE

MUX

ADC

PPI

DATA SECURITY MODULE

SOFTWARE:

System integration module

Maternal healthcare record module

Modules for each physical measurement H/W

Security Software module

Tele-education module

Puskesmas Medical Station

Other medical stations/ referral hospital/ health office

5. Block Diagram of a Puskesmas Medical Station


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6. PILOT REALIZATION STATUS

HARDWARE DEVELOPMENT

  • Puskesmas medical station - prototype completed

  • Telecommunication interface module - prototype completed

  • Physiological measurement module - under development

    • electronic scale - improvements & modifications

    • sphygmomanometer - improvements & modifications

    • ultrasonic/Doppler fetal monitors - searching for low-cost solutions


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6. PILOT REALIZATION STATUS

SOFTWARE DEVELOPMENT

  • Security software module - prototype completed

  • System integration module - first prototype completed

  • Maternal healthcare record module - first prototype completed

  • Modules for each physiological measurements - under development

  • Tele-education module - under development


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7. Experimental Set-up

  • Secure data sending & receiving

  • Telecoordination (Management Information System)

  • User training


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8. EXPECTED RESULTS

  • Improve the quality of Maternal health-care

  • Become a Generic Internet-based Community Telemedicine System for Primary Health-care

  • Strengthen Health-care referral system


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9. CONCLUSIONS

  • The implementation of Internet-based Telemedicine System for Community health-care is feasible

  • Collaboration with related institutions and parties will play an important role

  • Educational and research institutions should take the lead and initiative in using and developing appropriate technology


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Contact

For further information please contact:

  • Yoke Saadia Irawan; [email protected]

  • Soegijardjo Soegijoko; [email protected]

  • Biomedical Engineering Program; [email protected]


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Biomedical Engineering Program(Undergraduate, Master & Doctorate Programs)

Dept. of Electrical Engineering

Institute Teknologi Bandung

Jalan Ganesha 10, Bandung 40132

Indonesia

Phone/Fax: (62)-22-2534117

E-mail:[email protected]

URL:http://biomed.ee.itb.ac.id


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Short Biography

Yoke Saadia Irawan (born in Surabaya, 1955) earned her medical doctor degree from the Padjdjaran University, Indonesia, in 1986. She obtained the Master degree in Biomedical Engineering from ITB, Indonesia in 1998; her thesis was entitled: Development of a PC-based Medical Station for Application in the Puskesmas

She joined the Biomedical Engineering Program in the Department of Electrical Engineering, ITB since 1995, where she is currently a lecturer. Her current research interests include: Telemedicine System, and Human Anatomy & Physiology.

Yoke Saadia Irawan is a member of the Indonesian Biomedical Engineering Society. She can be reached at [email protected]


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Short Biography

Soegijardjo Soegijoko (born in Yogyakarta, 1942) earned his Engineer degree in Electrical Engineering from the Dept of Electrical Engineering, ITB, in 1964. He obtained the doctorate degree from USTL (Montpellier, France) in 1980; his thesis was entitled: Development of a Microprocessor-based External Artificial Pancreas.

He joined the Department of Electrical Engineering, ITB since 1966, where he is currently a professor at the department. His current research interests include: Biomedical Engineering Instrumentation, Telemedicine System, and Biomedical Engineering Education.

Prof. Dr. Soegijardjo Soegijoko is a member of the Indonesian Biomedical Engineering Society and IEEE-EMBS. He can be reached at [email protected]



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