Development of a Framework for Collaborative Healthcare Services Delivery

Patients require treatment and care that work, good relationship with practitioner, provision of information, and remaining in control of treatment. Patients need to be empowered to live healthy lifestyles through promotion and the delivery of health information. Seventy-five percentages of Nigeria’s estimated 166million population at 2.87% annual growth rate in 2012 live in rural and underserved areas lacking equitable access to both ICT services and healthcare due to poverty and inadequate health care facilities. A shortage of almost 4.3 million doctors, midwives, nurses, pharmacists, and support workers worldwide is most severe in the poorest countries, especially in sub-Saharan Africa, where they are most needed to direct and guide everyone who becomes ill on the correct use of medications. This is compounded by high illiteracy level, poverty and inadequate Health Care Facilities and personnel. Self-medication offers a way out as people begin to sense the positive benefits of multiplying their options in healthcare. Because of the constraints of distance, costs, and availability of providers (doctors and nurses) in specific areas of medical specialties, the model of treating patients in the general hospital is losing its lustre in favour of dedicated clinics dispersed in the community and remote care in the home. The deterioration of the patient-provider relationship, the overutilization of technology, and the inability of the medical system to adequately treat chronic disease have contributed to rising interest in Complementary and Alternative Medicine. Communication is critical to ensuring delivery of the best possible patient-oriented healthcare among all providers towards achieving equitable access to healthcare. Exchanging information and building communication channels are critical ingredients of biomedical education and research. Today, the patient and the physician should not be alone anywhere in the world as long as here is some form of acceptable technology present. Seamless transmission of medical information through the internet enables teleconsultation of doctors from one corner of the world possible. This paper presents a collaborative framework connecting providers directly to patients for healthcare services delivery in response to the dire need for a framework which would facilitate the development of a national fibre optic backbone infrastructure that ensures high bandwidth availability, universal access, encouragement for private operators to roll out the infrastructure and use of existing government structure as platforms for extending ICT to rural and urban communities. The presented framework facilitates healthcare institutions collaborate and share their resources to provide comprehensive, high-quality and accessible healthcare at an affordable cost. Keywords: Collaboration; Communication; Complementary and Alternative Medicine; Healthcare delivery; Teleconsultatio

A Participatory Action Research approach to telemedicine supported health care delivery in rural Nepal

Rural and geographically isolated, the majority of Nepalese communities have very low incomes, poor transportation, and scarce health care resources; these people provide the context for this study. The consequences of these deprivations include high maternal and infant mortality rates, high prevalence of infectious disease and poverty. There are therefore exceptional challenges and disparities in meeting health care needs. However the recent advent of modern information communication technology (ICT) or Telemedicine has unleashed a new wave of opportunities for supporting the delivery of health care services. Despite suggestions that telemedicine will offer hope in developing countries there is only limited published evidence to support this claim. Telemedicine is and must remain a process of the delivery of care rather than a technology. The system must connect patients and healthcare professionals in a chain of care, rather than follow the wide array of existing or new and advanced technology. The successful introduction of telemedicine with tangible outputs requires an in-depth understanding of the existing health care system of the country and its challenges; strongly expressed ‘genuine need’ for the service by all the stakeholders as interested partners (patients, practitioners, health care service providers and the public); the actual status of ICT infrastructure in the country and costs. This study used a Participatory Action Research (PAR) approach to explore the feasibility, acceptability and impact of a telemedicine system in partnership with Dhulikhel Hospital: Kathmandu University Hospital and with three of its 12 rural, remote outreach centres, and the populations they serve. Participatory, repeated data collection methods included surveys, interviewing, listening and being with staff and communities over a two year period. The researcher and researched engaged in a complex inter-locking journey from which the Unlocking, Unblocking and Validation concepts emerged. The findings of this study emphasise the pivotal role that the rural health care workers play. Telemedicine not only has a place in improving access to healthcare through enhanced communication but it also empowers health care workers. These people need continued support to develop their competencies and boost their confidence within the changing health care environment. In conclusion telemedicine is primarily about people rather than technology. Effective and holistic telemedicine development is built upon a combined, interactive model involving access, communication and empowerment

Transnational comparison : A retrospective study on e-health in sparsely populated areas of the northern periphery

Peer reviewedPublisher PD

Organizing the U.S. Health Care Delivery System for High Performance

Analyzes the fragmentation of the healthcare delivery system and makes policy recommendations -- including payment reform, regulatory changes, and infrastructure -- for creating mechanisms to coordinate care across providers and settings

The North Dakota Experience: Achieving High-Performance Health Care Through Rural Innovation and Cooperation

Explores how North Dakota has met the healthcare challenges of rural communities with support for primary care and the idea of a medical home, organization of care through coordination and cooperation networks, and the innovative use of technology

A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

Technology for Good: Innovative Use of Technology by Charities

Technology for Good identifies ten technologies being used by charitable organizations in innovative ways. The report briefly introduces each technology and provides examples of how those technologies are being used.Examples are drawn from a broad spectrum of organizations working on widely varied issues around the globe. This makes Technology for Good a unique repository of inspiration for the public and private sectors, funders, and other change makers who support the creation and use of technology for social good

Scott & White Healthcare: Opening Up and Embracing Change to Improve Performance

Offers a case study of a multispeciality system with the attributes of an ideal healthcare delivery system as defined by the Fund. Describes a culture of continuous improvement, collaboration and peer accountability, and a comprehensive approach to care

Economic Environment and Applications of Telemedicine

Telemedicine is broadly defined as the transmission of electronic medical data across a distance among hospitals, clinicians, and/or patients. This definition is deliberately unlimited to what kind of information is transmitted, how the information is transmitted, or how the information is used once received (HCAB, 2003). Telemedicine has the potential of making a greater positive effect on the future of healthcare and medicine than any other modality. Fueled by advances in multiple technologies such as digital communications, full-motion/compressed video, and telecommunications, providers see an unprecedented opportunity to provide access to high-quality care, independent of distance or location