A systematic review of the use of telehealth in Asian countries

Durrani, Hammad; Khoja, Shariq

doi:10.1258/jtt.2009.080605

Cited by 48 publications

(42 citation statements)

References 58 publications

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“…[28][29][30][31][32] Asia, the most populous continent, is home to about 4.3 billion people (∼60% of the global population) and includes the world's two most populated countries -People's Republic of China and India -which together constitute about 37% of the world's population. Africa, the second most populated continent, has about 1 billion people (∼15% of global population), while the LAC regions are home to around 600 million (∼9% of global population).…”

Section: Current Usementioning

confidence: 99%

“…Durrani and Khoja performed a systematic review of telehealth in Asia in 2009. 30 They found most studies were from Japan (37%), and the most common modes of application were store-and-forward (43%), videoconferencing (35%), or a hybrid approach (15%). Studies were primarily descriptive (75%), with only eight including comparison against a control group.…”

Section: Telehealth In Asiamentioning

confidence: 99%

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Telehealth in the developing world: current status and future prospects

Scott¹,

Mars²

2015

SHTT

155

129

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Abstract:In a setting of constant change and confusing terminology, telehealth continues to gain ground in both developed and developing countries within the overarching milieu of e-health. Evidence shows telehealth has been used in essentially all countries of the world, but is embedded in few. Uses and needs of telehealth vary between the developed and developing world; the latter struggles with both communicable diseases and noncommunicable diseases, and with very few resources. Common clinical applications include teleconsultation, telecardiology (transmission of ECGs), teleradiology, and teledermatology. Many telehealth projects exist throughout Latin America and the Caribbean, Asia, and Africa, but there is little published evidence and only isolated examples of sustained programs, although several sustained humanitarian networks exist. Application of mobile solutions (m-health) is on the rise in many developing countries. Telehealth is still not integrated into existing health care systems globally. Reasons vary: lack of proven large-scale operations, poor evidence base, inadequate implementation, lack of attention to the "soft side" of implementation (readiness, change management), and many others. For the developing world, reasons can be more pragmatic, including limited resources, unreliable power, poor connectivity, and high cost for the poverty stricken -those most in need. Telehealth is poised to improve health and health care in the developing world, driven by both altruistic and profit motives. But to have the desired effect, telehealth must address very specific and evidence-based health "needs" of each facility, region, or country; the shortage of health workers and specialist services; and the required skills upgrading and training, allowing the developing world to establish its own critical mass of experts. This will only be achieved by raising awareness, understanding, and ability regarding telehealth capability and limitations, and by the coordinated political and professional will of all those involved to guide public and private innovation and telehealth integration.

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Section: Current Usementioning

confidence: 99%

Section: Telehealth In Asiamentioning

confidence: 99%

Telehealth in the developing world: current status and future prospects

Scott¹,

Mars²

2015

SHTT

155

129

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“…ICTs are currently being used in developed [3] and developing countries [4][5][6] and have been used to improve access to sources of knowledge for both patients and health care providers. However, the undersized health and ICT sector in a country such as Afghanistan limits its potential and wider benefits [7].…”

Section: Introductionmentioning

confidence: 99%

Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

Durrani

Khoja²,

Naseem³

et al. 2012

East Mediterr Health J

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This study assessed the need and readiness of health care institutions in Kabul and Bamyan, Afghanistan for successful implementation of information and communication technology in health care (eHealth). A mixed methods design was adopted at 2 institutions in the Aga Khan Development Network in Afghanistan: the French Medical Institute for Children in Kabul and Bamyan Provincial Hospital, Bamyan. Information for the needs assessment was obtained from interviews and focus groups and eHealth readiness was assessed using a validated survey tool. The needs of institutions in the Aga Khan Development Network in Afghanistan were categorized as follows: provision of care needs; learning needs; and information management needs. eHealth readiness on average was lower in Bamyan compared with Kabul in all areas of the readiness assessment. Other institutions in Afghanistan may benefit from adopting the model of needs and readiness assessment used for Aga Khan Development Network institutions.

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“…Only a few of 1 300 telemedicine studies have investigated clinical important effects as pointed out in a recent review; more so, few studies were randomized (16,17). Most trials of telemedicine in general do not follow recognized standards for trials and are difficult to compare and evaluate (18).…”

Section: Discussionmentioning

confidence: 99%