Medinfo2013-The 14th World Congress on Medical and Health Informatics, August 19-23, 2013, Copenhagen, Denmar

Ahamed Ashir

Ghosh Partha Pratim

Hiramatsu Tatsuo

Inoguchi Toyoshi

Inoue Sozo

Islam Rafiqul

Kitsuregawa Masaru

Kobayashi Kunihisa

Kuroda Masashiro

Nakashima Naoki

Nohara Yasunobu

Kyutacar : Kyushu Institute of Technology Academic Repository

An Affordable, Usable and SustainablePreventive Healthcare System for UnreachedPeople in Bangladesh著者 Nakashima Naoki, Nohara Yasunobu, AhamedAshir, Kuroda Masashiro, Inoue Sozo, GhoshPartha Pratim, Islam Rafiqul, HiramatsuTatsuo, Kobayashi Kunihisa, Inoguchi Toyoshi,Kitsuregawa Masarujournal orpublication titleStudies in health technology and informaticsvolume 192page range 1051-1051year 2013-08-20URL http://hdl.handle.net/10228/5975doi: info:doi/10.3233/978-1-61499-289-9-1051An Affordable, Usable and Sustainable Preventive Healthcare System for Unreached People in BangladeshNaoki Nakashimaa, Yasunobu Noharaa, Ashir Ahamedb,c , Masashiro Kurodad, Sozo Inouee, Partha Pra-tim Ghoshc, Rafiqul Islamc, Tatsuo Hiramatsuf, Kunihisa Kobayashig, Toyoshi Inoguchif, Masaru Kitsuregawaha Medical Information Center, Kyushu University Hospital, Fukuoka, Japan,  b Faculty of Information Science and Electrical Engi-neering, Kyushu University, Fukuoka Japan,  c Grameen Communications, Dhaka, Bangladesh, d National Institute of Information and Communications Technology, Tokyo, Japan, e Graduate School of Engineering, Kyushu Institute of Technology, Kitakyushu,Japan, f Graduate School of Medical Sciences, Kyushu University, Fukuoka Japan, g Fukuoka University Chikushi Hospital,Chikushino, Japan, h Institute of Industrial Science, University of Tokyo, Tokyo JapanKeywords: Public health informatics, Medical Device, Devel-oping countriesIntroductionThrough aggressive IT development in medicine, health care in developing countries will possibly take a different path thanadvanced countries. We are conducted a pilot study of a pre-ventive medical service combining e-health checkup and tele-medicine in developing countries to evaluate stratification rules and short-term effects of the intervention prior to a large scale research study.MethodsWe provided e-health checkup in a village and in several com-panies in Bangladesh. Individual health condition was auto-matically categorized into 4 grades: Green (healthy), yellow (caution), orange (affected), and red (emergent) by interna-tional diagnosis standards of diseases. We provided telemedi-cine for orange and red, and tele-prescription for hypertensive patients. We rechecked orange and red subjects 2 months later. Figure 1  - Work flow (1-6) and data flow (arrow) in a visitResults and ConclusionsThe first checkup was provided to 791 subjects and catego-rized green15%, yellow66%, orange17%, and red3%. At the followup, 96 (62% of orange and red) were visited and catego-rized into green2%, yellow43%, orange43%, and red13%. Theresult shows the system’s potency to deliver effective healthcare in developing countries. We completed 4919 first visits by November 2012. We will continue this e-health ser-vice in its second annual survey in June 2013 .Figure 2 - Results of the pilot studyReferences  [1] Nakashima N, et al, IEEE EMBC2013 in press?[2] Ahmed A, Nakashima N et al, DAPI/HCII2013 in pressAddress for correspondence: nnaoki@info.med.kyushu-u.ac.jpMEDINFO 2013C.U. Lehmann et al. (Eds.)© 2013 IMIA and IOS Press.This article is published online with Open Access by IOS Press and distributed under the termsof the Creative Commons Attribution Non-Commercial License.doi:10.3233/978-1-61499-289-9-10511051

An Affordable, Usable and Sustainable Preventive Healthcare System for Unreached People in Bangladesh

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An Affordable, Usable and Sustainable Preventive Healthcare System for Unreached People in Bangladesh

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