Thursday, April 30, 2009

Who and How Will Telehealth Benefit ?

The Pakistan health care sector is being transformed to avail improved services to its population. Still larger portion of the population has left to have access of readily available health services. Many attempts (e.g. trainings, encouragement to relocate) have been made in the past but all have failed to fill this gap. The only solution that is able to implement is Tele-healthcare. It bridges the gap between unevenly distributed providers and under served recipients.

Most commonly cited under served population is living in rural areas. People living in cities think that rural areas residents are few in number but in fact, more than half of the population of Pakistan is living in rural areas. For rural area residents,health services are simply far away to be utilized, Tele-health can be their link to better health services.

Yet another population that tele-health can help build a connection to people living in areas geographically isolated from health services.

Distance can be a temperory situation. As we see military personnel typically have ample access to services when they reside on base. But the situation changes when they move abroad or in the field. To keep them in touch with their medical advisors all the time, tele-health is a good solution.

Another isolated population is prisoners. The number of prisoners has continued to increase over the last few years and shows no sign of abatement. Among the many health problems are the numerous cases of infectious diseases and numerous prisoners with mental health problems . Surveys indicate that anywhere from 7-15% of inmates have mental disorders, with about a third of these disorders being different kinds of depression.Telehealth services provide a way to efficiently, safely, and more cheaply bridge the gap between health professionals and prisoners.

For groups that are home bound, telehealth is an ideal solution to a complex problem. The elderly are one group that fits this category. The geriatric population is on the rise, and they typically have a higher need for all types of health services. Although many elderly might live in an urban area, their infirmities often make it difficult to travel even short distances and many are home bound. Distance technologies can help to address this problem in a way no other solution can.

Elderly are not the only population who are isolated because of medical reasons. Several specific mental disorders, such as agoraphobia and obsessive-compulsive disorder, keep people isolated and bound to their home or a relatively small geographical area. As is the case with the elderly, telehealth provides a way to intervene in a situation that normally would probably go untreated. In fact, this technology might actually provide a better way to facilitate the treatment of these disorders than a typical face-to-face delivery mode. One of the more empirically validated types of treatments for phobias is systematic desensitization . Telehealth technologies would enable professionals to intervene at a less intrusive level and systematically desensitize the client through not only mediating less intrusive communication technologies, but computer modeling and virtual reality technologies as well. In this case telehealth may not only provide a more effective way of reaching the patient but also of treating the patient.

Telehealth helps to redistribute services to a wider variety of people and reach populations that have formerly been under served. Tied into these two objectives is a decrease in costs. Telehealth increases costs in terms of equipment and connection fees, but decreases costs in other less obvious ways. Opportunity costs, such as travel time and lost work due to travel, are decreased for both consumers and providers. Costs of specialized services are reduced due to increased access and a lesser need to retain a specialist in an area where they might not have been fully utilized. Telehealth, because of its increased ease of access and decreased opportunity costs, increases the likelihood that a consumer will seek treatment earlier. Earlier treatment often leads to greater prevention and reduced long term care costs . . All of these points suggest that telehealth might provide a viable solution to the problems of distribution of resources, unequal access, and escalating costs.



Thursday, April 16, 2009

ISIF grants funding for ICT development in Asia

Wednesday 15 April 2009 | 02:35 PM CET

The Information Society Innovation Fund (ISIF) plans to fund eleven projects in eight countries to extend ICT infrastructure services. These projects showcase uses of ICT, such as mobile-based tele-healthcare, forensic investigation infrastructure, localised e-mail for tele-centres and the establishment of a national high-speed backbone. The organisations which received funding include The Internet Education and Research Laboratory, Asian Institute of Technology, Thailand; The School of Electrical Engineering and Computer Science from the National University of Science and Technology, Pakistan; The University of Colombo School of Computing, Sri Lanka; The Bac Ha International University, Vietnam; One Destination Centre, Indonesia; Punjabi University, India; Nepal Research and Education Network, Nepal; The Department of Computer Science & Engineering from the University of Moratuwa, Sri Lanka; SynapseHealth, The Philippines, Horizon Lanka Foundation, Sri Lanka and AirJaldi Networks, India. The ISIF is a partnership programme between the Canadian International Development Research Centre, the Internet Society and the Asia Pacific Network Information Centre (APNIC), with support from the DotAsia organisation. The first round of funding occurred in late 2008 with each successful project receiving up to USD 30,000 to be used in 2009. In the next round, ISIF will support up to ten projects with grants up to AUD 400,000. The projects will be selected this year to receive funding and implement the projects in 2010. All the details of the new call for applications are available on the ISIF web site. Applications should be submitted by 31 July 2009.


source : www.telecompaper.com

You can view the same information in detail at http://isif.asia/groups/isif/wiki/29f18/ISIF_grants_program_%E2%80%98kick-starts%E2%80%99_local_innovation_in_the_Asia_Pacific.html

China plans to bring basic healthcare to all ...

Healthcare is the No.1 concern among Chinese, ranking above security, education and even employment. Now the Government has unveiled a 10-year plan aimed at bringing affordable medical services to even the poorest farmer and calming rising public anger.

The government will invest 850 billion yuan (£85 billion) between 2009 and 2011 to bring healthcare to 90 per cent of the 1.3 billion Chinese.

The move comes after the government was alerted by a report that was published by a think tank that branded the system a failure and warned of “severe public criticism of the Government if it did not act.”

Like the U.S., there are reports of Chinese families suffering immense hardships due to illnesses which have either wiped out savings or have left those sick with inadequate treatment.


read the full story at http://www.timesonline.co.uk/tol/news/world/asia/article6056121.ece

IBM, Google and Continua Health Announce Alliance for Personal Health Records


IBM (NYSE:IBM), in collaboration with Google and the Continua Health Alliance, announced software that will enable personal medical devices used for patient monitoring, screening and routine evaluation to automatically stream data results into a patient’s Google Health Account or other personal health record (PHR). According to the release, once stored in a PHR, the data can also be shared with physicians and other members of the extended care network at a user’s discretion.


To read the full press release, visit http://www-03.ibm.com/press/us/en/pressrelease/26603.wss

Things You Don't Want to Hear During Surgery!

  • FIRE! FIRE! Everyone get out now!
  • And now we remove the subject’s brain and place it in the body of the ape.
  • Don’t worry. I think it’s sharp enough.
  • Uh-oh.
  • I don’t know where that came from! Just put it over there.
  • Better crank up that anesthesia.
  • I don’t think that was supposed to come off.
  • Gonna have to stop here, his insurance won’t pay for the rest.
  • Well, it’s five o’clock! We’ll just put this off till tomorrow.
  • Hey... ...maybe the janitor knows what this is.

Wednesday, April 15, 2009

QUESTIONS YOU CAN ASK YOUR DOCTOR !

Today, patients take an active role in their health care. You and your doctor will work in partnership to achieve your best possible level of health. An important part of this relationship is good communication. Here are some questions you can ask your doctor to get your discussion started:

About My Disease or Disorder...

What is my diagnosis?
What caused my condition?
Can my condition be treated?
How will this condition affect my vision now and in the future?
Should I watch for any particular symptoms and notify you if they occur?
Should I make any lifestyle changes?
About My Treatment...

What is the treatment for my condition?
When will the treatment start, and how long will it last?
What are the benefits of this treatment, and how successful is it?
What are the risks and side effects associated with this treatment?
Are there foods, drugs, or activities I should avoid while I'm on this treatment?
If my treatment includes taking a medication, what should I do if I miss a dose?
Are other treatments available?
About My Tests...

What kinds of tests will I have?
What do you expect to find out from these tests?
When will I know the results?
Do I have to do anything special to prepare for any of the tests?
Do these tests have any side effects or risks?
Will I need more tests later?
Understanding your doctor's responses is essential to good communication. Here are a few more tips:

If you don't understand your doctor's responses, ask questions until you do understand.
Take notes, or get a friend or family member to take notes for you. Or, bring a tape-recorder to assist in your recollection of the discussion.
Ask your doctor to write down his or her instructions to you.
Ask your doctor for printed material about your condition.
If you still have trouble understanding your doctor's answers, ask where you can go for more information.
Other members of your health care team, such as nurses and pharmacists, can be good sources of information. Talk to them, too.

Remote Patient Monitoring Improves Outcomes According to New Study

Remote patient monitoring technology enables healthcare providers to treat patients before their conditions becomes more acute, according to a new study from the Spyglass Consulting Group. According to the study, remote monitoring not only saves unnecessary trips to the emergency department but prevents re-admissions to the hospital. An estimated 97 percent of healthcare organizations rely on remote patient monitoring to improve clinical outcomes for critically ill patients, the study says.

Trends in Remote Patient Monitoring 2009 is a follow-up to the Spyglass Consulting Group's 2006 report on the same topic. Spyglass is based in Menlo Park, Calif.

"Early adopters of remote patient monitoring solutions are capitated managed care organizations having fiscal responsibility for their patients across the continuum of care," said Gregg Malkary, managing director of Spyglass. "These organizations include health maintenance organizations, integrated delivery systems, home health agencies, hospices, disease management companies and government agencies like the Department of Veterans Affairs."

Among the key findings are:

Forty-eight percent of healthcare organizations interviewed have funded home telehealth initiatives themselves. A strong return on investment exists for healthcare delivery networks serving as provider and payer, including such organizations as Kaiser Permanente and the Veterans Administration.

Convergence with consumer electronics products enables patients to use devices with which they are already comfortable, including smart phones, personal computers and cable boxes. Prices for remote patient monitoring devices and associated peripherals need to drop from several thousand dollars to less than $500 per unit before healthcare organizations will make further investments to support their patients with other chronic diseases.

Healthcare payers are resistant to providing reimbursement for remote patient monitoring despite evidence of their efficacy by the Veterans Administration, which has deployed more than 35,000 units. Healthcare payer reimbursement is focused on a healthcare delivery model ill-equipped to address the needs of an aging Baby Boomer population with chronic illness. Payers reward healthcare providers for the quantity of the procedures performed rather than the quality of care delivered.

(Source: Health IT News, March 24, 2009)