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A Web-based approach to low-cost telemedicine.

Dov Hersh1, Fred Hersch, Lilijana Mikuletic

  • 1MedTech Outreach Australia, Sydney, New South Wales, Australia. dov@medtechoutreach.org

Journal of Telemedicine and Telecare
|January 20, 2004
PubMed
Summary

A new web-based application improved diagnostic and management decisions for doctors in Vietnam through e-consultations. The system facilitated remote specialist support, aiding clinical practice despite challenges.

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Area of Science:

  • Digital Health
  • Medical Informatics
  • International Health

Background:

  • Peer-to-peer email communication presents challenges in managing medical consultations.
  • Limited access to specialist expertise can hinder diagnostic and treatment planning in resource-limited settings.

Purpose of the Study:

  • To assess the utility and impact of a novel web-based application for managing electronic consultations (e-consultations).
  • To evaluate the benefits and challenges of implementing a telemedicine system connecting Vietnamese hospitals with specialists.

Main Methods:

  • Development and deployment of a web-based application for e-consultations.
  • Referrals from three Vietnamese hospitals over a 12-month period, with limited daily internet access.
  • Voluntary specialist support provided by experts in Sydney.

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Main Results:

  • Six Vietnamese doctors submitted 30 cases within the first six months.
  • Preliminary data indicate the system aided Vietnamese doctors' diagnostic and management decision-making.
  • Five out of six doctors reported gradual integration of the system into daily practice.

Conclusions:

  • The developed web-based e-consultation system shows promise in supporting clinical decision-making in resource-limited international settings.
  • Despite challenges like equipment failure and language barriers, the system fostered valuable inter-country professional relationships.