J Telemed Telecare - Implementation of m-health applications in Botswana: telemedicine and education on mobile devices in a low resource setting.

Tópicos

{ research(1218) medic(880) student(794) }
{ implement(1333) system(1263) develop(1122) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ medic(1828) order(1363) alert(1069) }
{ patient(1821) servic(1111) care(1106) }
{ featur(1941) imag(1645) propos(1176) }
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{ sequenc(1873) structur(1644) protein(1328) }
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{ signal(2180) analysi(812) frequenc(800) }
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{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Although Botswana has recently been categorised as an upper middle income country, it is burdened by a scarcity of resources, both human and technological. There are barriers to patients' access to specialized care and healthcare providers' access to medical knowledge. Over the past three years, the Botswana-University of Pennsylvania Partnership (BUP) has piloted four mobile telemedicine projects in the specialties of women's health (cervical cancer screening utilizing visual inspection with acetic acid), radiology, oral medicine and dermatology. Mobile telemedicine has been used in 11 locations in Botswana, training a total of 24 clinicians and successfully contributing to the management of 643 cases. In addition to mobile telemedicine, BUP has initiated an m-learning programme with the University of Botswana School of Medicine. While successfully providing patients and providers with improved access to healthcare resources, the m-health projects have faced numerous technical and social challenges. These include malfunctioning mobile devices, unreliable IT infrastructure, accidental damage to mobile devices, and cultural misalignment between IT and healthcare providers. BUP has worked with its local partners to develop solutions to these problems. To ensure sustainability, m-health programmes must have strategic goals that are aligned with those of the national health and education system, and the initiatives must be owned and led by local stakeholders. Whenever possible, open source technology and local IT expertise and infrastructure should be employed.

Resumo Limpo

although botswana recent categoris upper middl incom countri burden scarciti resourc human technolog barrier patient access special care healthcar provid access medic knowledg past three year botswanaunivers pennsylvania partnership bup pilot four mobil telemedicin project specialti women health cervic cancer screen util visual inspect acet acid radiolog oral medicin dermatolog mobil telemedicin use locat botswana train total clinician success contribut manag case addit mobil telemedicin bup initi mlearn programm univers botswana school medicin success provid patient provid improv access healthcar resourc mhealth project face numer technic social challeng includ malfunct mobil devic unreli infrastructur accident damag mobil devic cultur misalign healthcar provid bup work local partner develop solut problem ensur sustain mhealth programm must strateg goal align nation health educ system initi must own led local stakehold whenev possibl open sourc technolog local expertis infrastructur employ

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