Docstoc

TELEMEDICINE WEEK

Document Sample
TELEMEDICINE WEEK Powered By Docstoc
					                       TELEMEDICINE WEEK 15-19/09/08
In collaboration with WHO Collaborating Centre for Telemedicine, Tromso (Norway) the
Telemedicine & eHealth workshop was held from September 15th to 19th at the Institute of
Tropical Medicine (ITM) in Antwerp. The joint workshop has adopted a more interactive
learning approach, with hands-on sessions on how to develop a Telemedicine/eHealth
system in low resource settings.

The 2008 workshop was open to external participants: In total, the ITM received 20
applications                                for                             participation.
In addition to the four students staying after the short course on antiretroviral therapy
(SCART), five participants came on an individual basis making a total of nine participants
(see Annex 1). Participants’ countries of origin were: Cambodia, Ethiopia, South Africa,
Suriname, Sweden, Switzerland, Tanzania, and Uganda. Participants were health technology
specialists or medical doctors involved in decision making processes at national or
institutional level, planning or already working on Telemedicine/eHealth projects in low
resource settings (see Annex 1).

1       TOPICS COVERED (SEE PROGRAM IN ANNEXE 2):

    - “Country feasibility study for Telemedicine” and needs assessment: the needs for
        pre-studies and context awareness
    -   eHealth in low resource settings: templates and examples of proven practices
    -   Design and architecture of a telemedicine system – adaptations and contextualization
    -   District Health Information System; Medical data acquisition and Data collection:
        examples, software, implementation requirements
    -   Electronic patient records (EPR): examples, software, implementation requirements
    -   Legal/ethical issues in telemedicine: which are the requirements applicable
    -   Fixed and wireless Telecommunication networks
    -   Tele-education, distance learning: tools, courses
    -   Still-images vs on-line tools; low cost videoconferencing systems for medical
        application
    -   Developing a framework of evaluation
    -   Funding and partnership (e.g.,. telemedicine associations)
    -   Proven practices: Raft, iPath, Cell-Life

The topics were covered by:
T. Sørensen, M. Zolfo (Telemedicine)
I. de Waard, C. Kiyan, V. Renggli (eLearning)
S. De Pauw, S. Correwyn (Digital images, videoconference)
K. Didden (DOCdel)
A. Geissbuhler (RAFT)
K. Brauchli (iPath)
J. Saebo (via videoconference: EPR)
U. Rivett (Cell-Life)


                                                                                          1
   2        EVALUATION

   2.1        EVALUATION BY THE STUDENTS PER TOPIC (AVERAGE SCORE)
             (average score on a scale from 6=excellent to 1= very bad)
                                                                                  Score
Topic                                                                        2007    2008
Introduction to telemedicine                                                 5.4      5.5
eHealth in low resource settings: templates and examples of proven
practices                                                                     5       5.3

"Country feasibility study for Telemedicine" and needs assessment: the
needs for pre-studies and context awareness                                  5.4      5.2

Health information on the Internet: Content and quality: procedures for
searching and evaluation                                                     5.4      5.2

ITM Library Support to the Telemedicine Project: DOCDEL                      5.6      3.8
HINARI: how to subscribe and how to access; PubMed: flash animation
and exercise                                                                 5.4      4.6

Tele-education: distance learning, tools, courses                            5.4      5.5
Design and architecture of a telemedicine system - adaptations and
contextualization                                                            5.6          5

Technology: telecommunication networks, satellite, hard ware, software
                                                                              5       4.8
District Health Information System; Medical data acquisition and Data
collection: examples, software, implementation requirements                  5.3      4.7

Electronic patient records: examples, software, implementation
requirements                                                                 5.4      4.7

How to use digital/video camera; how to send X-rays and clinical images
by e-mail; how to manage archive of pictures                                 5.1      4.8

Low cost videoconferencing systems                                           4.4      4.7
Security, Legal/ethical issues in telemedicine: which are the requirements
applicable                                                                   5.3      4.8

Developing a framework for evaluation                                         5           5
Funding and partnership (e.g.,. telemedicine associations)                   4.7      4.7



                                                                                          2
2.2       Participants’ comments:

Under the ‘Free text’, participants commented on the following topics to be included or
expanded in the next course:

         Research methodology for telemedicine / e-health
         Electronic Patient Record
         eLearning
         Evaluation of telemedicine program
         More exercises and practical applications

3         CONCLUSIONS

The Telemedicine workshop has been opened for the first year to external participants. This
year, we also invited projects leaders of other well known Telemedicine/eHealth projects:
Raft, iPath and Cell-Life to share their experience with the audience. A session on District
Health Information system was lectured via video-conference from the University of Oslo.
The group of participants (mixed SCARTees and externals) particularly benefited from the
colleagues coming from established or ongoing projects on Telemedicine/eHealth in low
resource settings.
ITM’s increased experience in eLearning with the development of eSCART, mLearning, has
contributed to develop the workshop content with practical example of open source tools
(i.e., eXe learning, Moodle). However more time should have been dedicated to the practical
sessions (hands-on) after eLearning and the presentation of projects as Raft and iPath.
The week program needs to be revised. This year there were too many presentations which
again lead to insufficient time for working on the case-studies. Topics should be combined
and some presented in more depth, depending on the interest and background of the
participants.
The telemedicine week might be organized as a stand-alone event at ITM, not following the
SCART-course. It could also be organised in connection with a conference or other event,
e.g. Med-e-Tel, IST Africa, e-Learning Africa, as the training concept has been tried out and
evaluated. However, the resources and experience of ITM to organise workshops and short
courses, is excellent and would be hard to find elsewhere. In addition, the logistical workload
would be much higher when organizing such event outside the ITM.
A possibility to organise regional telemedicine training courses, e.g. Cambodia, South
America, East Africa, etc, can be taken into account, hosted by institutions in the field can
be explored once that program is much defined/ consolidated. There could be even an
opportunity to strengthen some of the eHealth topics, e.g. identify different institutions
which could provide long- or short term training within different telemedicine specialties. In
any case there will be a need to plan for these courses in advance to recruit participants and
to explore and secure funding for the participants.
The question about credits should be explored further.



                                                                                             3
       Annexe 1: Participants

  Name            Country       Scholarship       Working at/as
1 Ario Alex       Uganda        BTC               Ministry of health;
  Riolexus
                                                  Coordinating all
                                                  partners
                                                  organizations
2 Moshi Siosty    Tanzania      DGOS              District director
  Joseph
3 Phe thong       Cambodia      Abbot             MSF France

4 Deborah         Suriname      City of Antwerp   National      AIDS
  Charles                                         Program Ministry of
  Stijnberg                                       Health
5 Tsatsi David    South                           Senior Medical
  Thekisho        Africa                          Officer

6 Fassil Degefu   Ethiopia                        Medical Director
                                                  and Telemedicine
                                                  Coordinator

7 Flora Asah      South                           Researcher, Health
                  Africa                          Information Centre
                                                  for Rural Health,
                                                  UKZN

8 Cyril Nogieel   Switzerland                     Senior health
                                                  technology
                                                  specialist, Swiss
                                                  Centre for
                                                  International Health
                                                  (SCIH)

9 Lotta Rydström Sweden                           Royal Institute of
                                                  Technology in
                                                  Stockholm (KTH),
                                                  Sweden




                                                                         4
Progamme
                                     MONDAY September 15
                                          DAY 1

      TIME                          TOPIC                            RESPONSIBLE         ROOM



09.30-10.30         Participants and teachers’ presentation     Tove Sørensen,        Rochus North
                          Scope and purpose                    Carlos Kiyan, Maria
                          Participants’ expectations and       Zolfo
                             experience in the field
                    (will be able to adjust program
                    accordingly, especially the working-group
                    session)
10.30-10.45                         Coffee break                                      Forum

10.45-11.45         Introduction to telemedicine                Tove Sørensen         Rochus North

                    Telemedicine in low resource settings:
                    templates and examples of proven            Maria Zolfo
                    practices1
11.45-12.00                           Break

12.00-13.00         "Country feasibility study for              Tove Sørensen         Rochus North
                    Telemedicine" and needs assessment: the
                    needs for pre-studies and context
                    awareness2
13.00-14.00                           Lunch                                           Forum

14.00–15.00          Health information on the Internet:        Tove Sørensen         Rochus North
                    Content and quality: procedures for
                    searching and evaluation3

1
    Wotton: Introduction to telemedicine, 2nd edition. Chapter 1, 2 Introduction to group
assignment
(division into group , choosing case, feasibility study)
Tele-education: distance learning, tools, courses1: working-groups
Oh H et al: What is eHealth: A Systematic review of Published Definitions. JMIR, Vol. 7,
No1 (2005)
Connecting for health.
http://www.who.int/kms/resources/WSISReport_Connecting_for_Health.pdf
Siika AMet al. An electronic medical record system for ambulatory care of HIV-infected
patients in Kenya. Int J Med Inform 2005; 74: 345-55
2
  Guidelines to a country feasibility study
http://www.telemed.no/getfile.php/36436.357/Guidelines_country_feasibility.doc
3
                Quality                 internet           based               information:
http://www.hon.ch/HONcode/HONcode_membership.html


                                                                                                5
15.00-15.15                         Break

15.15-17.00       Group assignment: telemedicine/eHealth      Tove Sørensen   Rochus North
                  and eLearning4 work-groups                  Carlos Kiyan




https://tspace.library.utoronto.ca/html/1807/4644/jmir.html
http://ec.europa.eu/information_society/eeurope/ehealth/doc/communication_acte_en_fi
n.pdf (full policy document)
Bloome AD. AIDSWEB: African Youth Using Information Technology To Fight 37 ICT.
        AIDSWEB: African Youth Using Information Technology To Fight
        HIV/AIDSHIV/AIDS. See http://www.ictportal.org.za/documents/d00001/
        (last checked 16 July 2007)
Mohammed SN, Thombre A. HIV/AIDS stories on the World Wide Web and
        transformation perspective. J Health Commun 2005; 10: 347-60
4
 Engaging Interactions For eLearning
http://www.elearningpulse.com/eBook/EngagingInteractionsForELearning.pdf
http://portal.unesco.org/ci/en/ev.php-
URL_ID=12034&URL_DO=DO_TOPIC&URL_SECTION=201.html
http://www.edutools.info/index.jsp?pj=1
http://www.marshall.edu/it/cit/webct/compare/comparison.html


                                                                                        6
                                       TUESDAY September 16
                                             DAY 2


      TIME                            TOPIC                            RESPONSIBLE      ROOM



09.30–11.00          RAFT: Réseau en Afrique Francophone           Antoine           Rochus North
                     pour la Télémédecine                          Geissbuhler,
                                                                   Switzerland
11.00-11.15                         Coffee break                                     Forum

11.15-13.00          eLearning tools: content development          Inge de Waard,    Rochus North
                                                                   Carlos Kiyan
13.00–14.00                            Lunch                                         Forum

14.00 – 16.15        ITM Library Support to the Telemedicine       Kris Didden       Rochus North
                     Project: DOCDEL
                          enhancing access to scientific
                              literature
                          providing document delivery
                          keeping an archive
                     HINARI: how to subscribe and how to
                     access5                                       Carlos Kiyan
                     PubMed: flash animation and exercise
16.15-16.30                              Break

16.30-17.00          Design and architecture of a telemedicine     Maria Zolfo       Rochus North
                     system - adaptations and
                     contextualization




5
    Brown H. For richer for poorer. BMJ. 2007 Aug 11;335(7614):280-3


                                                                                               7
                             WEDNESDAY September 17
                                   DAY 3


    TIME                      TOPIC                     RESPONSIBLE             ROOM



09.30–11.00   iPath                                    Kurt Brauchli,         Rochus North
                                                       Switzerland

11.00-11.15                 Coffee break                                         Forum

11.15–13.00   LMSs                                     Inge de Waard,         Rochus North
                                                       Carlos Kiyan,
              Coaching a virtual classroom             Verena Renggli
13.00–14.00                    Lunch                                             Forum

14.00-16.15   How to use digital/video camera          San-Ho Correwyn           Zaal X
              How to send X-rays and clinical images
              by e-mail
              How to manage archive of pictures

              Low cost videoconferencing systems
                                                       Stefan De Pauw
16.15-16.30                     Break

16.30         Cell-Life (videoconference)              Ulrike Rivett, South      Zaal X
                                                       Africa




                                                                                          8
                                       THURSDAY September 18
                                             DAY 4


       TIME                             TOPIC                       RESPONSIBLE         ROOM



09.30–10.15         Technology: telecommunication           Maria Zolfo        Rochus
                    networks, satellite, hard ware,                            North
                    software6
10.15-11.15         Mobile technology                       Inge de Waard      Rochus
                                                                               North

11.15-11.30                     Coffee break                                   Forum

11.30-13.00         Intel, holistic approach for low        Henk Van Den       Rochus
                    resource settings                       Eeckhout, Intel-   North
                                                            Belgium
13.00-14.00                        Lunch                                       Forum

14.00–15.15         District Health Information System;     Johan Sæbø         Zaal X
                    Medical data acquisition and            University of
                                                            Oslo, Dept. of
                    Data collection: examples, software,    Informatics
                    implementation requirements
                    (videoconference)
15.15-15.30                         Break

15.30-16.30         Electronic patient records: examples,   Johan Sæbø         Zaal X
                    software, implementation                University of
                    requirements7 (videoconference)         Oslo, Dept. of
                                                            Informatics




6
    Measuring the Information Society, ITU-report 2007
7
 http://www.afro.who.int/dhs/index.html
Fraser HS, Jazayeri D, Nevil P, et al. An information system and medical record to support
HIV treatment in rural Haiti. BMJ 2004; 329:1142-6


                                                                                             9
                                         FRIDAY September 19
                                              DAY 5


     TIME                               TOPIC                          RESPONSIBLE                     ROOM



09.30-13.00          Security, Legal/ethical issues in               Tove Sørensen             Rochus North
                     telemedicine: which are the requirements
                     applicable8

                     (general overview, discussions with
                     relevance to case studies)
10.45
                     Skype conference call: Leif Erik Nohr,
                     Legal Adviser, Tromso, temporarly from
                     Australia
12.00
                     Skype conference call: 'Technology for
                     Improving National Health conference',
                     Society for Telemedicine and eHealth in
                     Nigeria


                                     Coffee break

11.30-12.15          Developing a framework for evaluation9          Tove Sørensen             Rochus North


12.15-13.00          Funding and partnership (e.g.,.                 Tove Sørensen             Rochus North
                     telemedicine associations)

13.00–14.00                             Lunch                                                          Forum

14.00–16.30          Work-group presentation and course              All                       Rochus North
                     evaluation
                     Certificate of Attendance




8
 Winker MA et al. Guidelines for medical and health information sites on the internet: principles governing
AMA web sites. American Medical Association. JAMA. 2000 Mar 22-29;283(12):1600-6

DIRECTIVE 95/46/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL

9
 Taylor P: Evaluating telemedicine systems and services. Chapter 8 in Wootton et al: Introduction to
Telemedicine 2nd edition


                                                                                                              10

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:10
posted:7/2/2012
language:English
pages:10