Thursday, February 26, 2009

m health in ipods ?

With every teenager using modern electronics like mobile phones , mp3 players and ipods , the idea on making m health can not be limited to mobile phones only.


Just as SMS was made popular by youngsters of developed countries for communicating with friends at a cheaper cost , similarly to make m-health a bigger success we can introduce it into several daily extensively used gadgets , and this is where ipod , mp3 players, game boys ,psps' can be ideal choices ... for personal health management / tracking , diet plans etc ... as many youngsters are now concerned about their weight and diet as well ...

m-health applications in developing countries

The key applications for mHealth in developing countries are:

  1. Education and awareness
  2. Remote data collection / access
  3. Remote monitoring / health administration
  4. Communication and training for health-care workers
  5. Disease / epidemic out break / emergency tracking
  6. Diagnostic and treatment support

Reference :-
" mHealth for Development "
The Opportunity of Mobile Technology for Healthcare in the Developing World

5 C's of eCoNsulT

5 C’s of e- Consulting through telemedicine:

  1. Consultation
  2. Connectivity
  3. Capacity-building
  4. Content, and
  5. Community
Reference :-
http://www.econsult.mobi/

Wednesday, February 25, 2009

Telemedicine -- a summary

objective / benefit of telemedicine ?
"Right Data sent to Right Person at Right Time in Right Form at Right Cost" ("5R" objective)


what problems causes it use?
- unavailability of medical staff
- remote location [distance , transportation]
- medical condition [emergencies , disasters]
- social condition


why telemedicine ?
- patient centric
- supports self - help , health - behaviour and life style for patients
- allows early diagnosis [A stich in time saves nine]
- lowers the burden and cost of health care
- to overcome obstacles of time and space
- to overcome shortage of medically trained man power
- for patients that require frequent monitoring
- for patients suffering from chronic illness
- for physically challenged people either care provider or patient
- to avoid un necessary hospitalization
- to provide equal health care opportunities to all
- to promote use of science for a social cause
- to bridge the people of different countries in helping each other irrespective of
color, race , country
- to promote knowledge dissemination
- to enhance the abilities of doctors / carers by learning through other success
stories / cases
- to help poor / needy get better medical care in rural , remote less previledge
settings
- to help our government achieve Millenium development goals more
comfortably
- to keep proper patient record for future reference
- to have a healthy community and eventually a nation for a healthy future
- has a wide range of technolgy and applications



where it is used?
- in backward countries
- in backward areas of developed countries
- for old / medically fragile patients
- for home care provided by some sophisticated hospitals

how it is used ?
- a simple telephonic conversation is also a form of telemedicine
- through the use of computers + internet [store and forward] or web based
applications
- video conferencing equipment [live]
- through dedicated gadgets and electronics
- mobile phones / pda s etc


requirements for telemedicine?
- quality of service
- management of time and cost
- effective use of resources
- know-how sharing


where / why telemedicine fails ?
- technological challenges
- [technology not properly introduced to community] / [care providers are not
trained properly rearding equipment use and benefits ]
- funding stopped
- project not self sustaining
- improper staff
- doctors not adaptive to technology
- no proper documentation / evidence available for the telemedicine projects
either short lived or long lived
- short life time of most of the projects
- no future plans after successful project deployment
- proper patient record should also be kept


what can be next to telemedicine ?
- mobile telemedincine
- hospital / clinic network expansion from local to regional , national and
international level
- research on data obtained from patients


why use of mobiles telemedicine getting so popular?
- affordable gadget
- allows a backward country / region to skip 20th century land lines and plunge
directly into 21st century cell phones
- allows easy and cheap access to outside world
- cut throat competition among vendors , manufacturers , programmers for
newer applications


who will benefit from telemedicine ?
- patient
- doctor
- specialist
- medical institutions
- community workers
- local community


how to make telemedicine a success ?
- compulsory 1 month internship programmes in groups during MBBS degree in
rural settings with proper arrangement done by institutions
- proper training sessions for doctors , community workers and local community
regarding its use
- compulsory 1 month internship for computer science students in groups for
training of rural community regarding internet and basic computer usage with
proper arrangement done by institutions
- expansion and networking
- properly documented cases with evidences of its success
- proper funding
- making the project self-sustaining
- proper support from local community
- proper health budget allocation and usage from governments
- telemedicine supportive policies
- assurance of legal and related aspects like privacy, confidentiality and trust
- local norms and traditions , language and life style know how
- government should attact investors both local and foreign into this domain by
offering special incentives
- givernment hospitals to be moved gradually in this direction
- NGOs to support such clinics
- proper registrations for such clinics / facilities
- universities to suppory e-health / m-health research projects
- exchange of valid information for diagnosis , treatment etc.
- etc etc etc :)


conclusion ?
- a different thing will take time to soldify its base & over come challenges but the sooner it is adopted the better

Ten E's of E-health

Ten E's of e-health :-

  1. Efficiency
  2. Enhancing quality
  3. Evidence based
  4. Empowerment
  5. Encouragement
  6. Education
  7. Enabling
  8. Extending
  9. Ethics
  10. Equity
Reference :-
http://www.slideshare.net/dlozeva/e-health-research-project?src=related_normal&rel=1050807

Tuesday, February 24, 2009

Project got funded by ISIF ASIA

So the good news is confirmed. Our project "Capacity building of Lady Health Workers (LHWs) through the use of ICT and mobile based Tele-Healthcare (extension of Jaroka project) in rural Mardan" is selected for ISIF Asia Grant. Total of 11 projects are shortlisted from 148 applications . The total duration of the project is for 1 year commencing from Feburary 2009. Once this innovative model is successfully deployed in Mardan, it shall be replicated to other parts of Pakistan.

The funds will cover the expenses for LHWs training workshops, Data collection incentives and salaries of Reserach assitants involved in the project .

For further information check the following link:

http://isif.asia/groups/isif/

Thursday, February 19, 2009

mhealth services and mobile features

M-health , or mobile e-health as it is often referred, can be broadened from merely health information storing to more interesting features.


Mobiles already have so many features, i think like music lovers mobile vendors , have been introducing new music centered mobiles, they should concentrate on other domains as well. Like they can have a mobile phone for blind people with sensors to detect if there is an obstruction nearby or at what distance , so that their mobile phones can act as their walking sticks.


Similarly , other features regarding health can be implemented if they have some bio-sensors embedded to mobile for stress, blood sugar level, fatigue or weight management. They can also implement mobile thermometer. These features can be implemented in a mobile specifically for mhealth for care providers or health workers or embedded in mobiles for personal health care.


Other than this mhealth features , mobile phones are often stolen, mobile vendors should produce special mobiles for getting finger prints , which can be helpful for criminal investigation as well.

mhealth

m-health or mobile - health is kind of next modified phase of e-health. Mobile phones being more pervasive and easy to use , can play a great role in making m-health more successful than e-health.

m-health can be more successful than e-health for following reasons;

  1. rapid advancement in technology
  2. emerging field of mobile programming
  3. falling prices of cell phones
  4. emergence of new and more powerful cell phones with advance features
  5. easy to use and own for commoners and less educated people
  6. more users than internet [total number of mobile users worldwide = 2.7 billion and the number of Internet users = 1.1 billion.2006]
  7. success failure stories of ehealth as a guidance already available
  8. Built in capabalility of cell phones for communication through voice , video and image along with the text
  9. limited power - supply needed, unlike computers requiring electricity for running, which is often a problem in rural setting
  10. easy to carry
  11. war among service providers to introduce new services

Mobile device ownership , once considered a luxury, has now become a necessity. As mentioned in "MOBILE SERVICES EVOLUTION 2008-2018" by CHETAN SHARMA , the expanding canvas of mobile phone usage and its services from paying different bills from mobiles and checking mails to watching tv on your cell phone, they have infact become a remote control of our lives.


Checking new SMS, missed calls, and playing games constantly has now become transformed from habit to a disease that every human being is more or less infected with. We use mobile phones more than our brains.We let this machine guide us through out our day from morning alarms , daily schedule to alerts for even lunch breaks.


Therefore , with this scenario , its not far when mobile phones will come with built in applications for personal health care too, like other features such as calendar , calculator , games , etc.

Friday, February 06, 2009

Two problems , One Solution

As pointed out by Professor Maurice Mars in his inaugural lecture on the 20 August 2003 at the Nelson R Mandela School of Medicine, titled 'eHealth and the Digital Divide: An African Solution'.


Developing countries like Africa & South Asia and remote & extremely back ward areas of even developed countries , not only lack medical facilities they often lack the access and skills to use modern information technology as well.


Our resources are limited and troubles unlimited. Therefore, we need to tackle our hurdles very tactfully. We don't merely need a solution, we need 'the solution'. Now long procedures, big mega budget solutions involving complex technology and expensive equipment will only worsen our current conditions. But going for a cheap slack way outs, going round and round, is also not the answer.So if we merge some of our problems and try finding a single effective solution , we can solve many problems easily.


Following the same pattern, if we tie the two problems (digital divide + health care non provision) together , what we can apply for their elimination is called telehealth.
"Any fool can make a rule and any fool will mind it"
[Henry David Thoreau]

We need not to follow the developed nations exactly. Though they often set good examples, but it is according to their culture, economic conditions and best for their current situation. We should bear in mind that we are where they were atleast 10 years ago. So we can follow their steps towards progress but at least we can create our own cut down versions, the ones that suit our requirements, our culture and todays conditions.


Therefore, telehealth though is a good solution and using expensive equipments is good for providing health care and trainings etc but we also need to look at the project life time , expenses, and how to cover those expenses while living in our circumstances. As abroad they can charge for it , it is an extra service a medical institution can provide , but here its like an urgent need and there will be a huge difference in price and types of users , using such a solution. Like it is said "vision in mind , action in hands" we need to aim high but take a small solid & firm step at a time, meeting our goals in our way, otherwise we will be lost in the technology dunes.