Distributed Architecture towards Tele-Diagnosis

Prabaharan, K.; Lavanya, J.; Goh, K.W.; Kim, Y.; Soh, Christina

doi:10.1109/ddhh.2006.1624808

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…1 -8 We introduced a web-based teledermatology system, 9,10 the distributed personal health information management system (DPHIMS), into a nursing home in Singapore. The introduction was conducted in two phases: Phase 1 (October 2005-July 2006) and Phase 2 (August 2006-July 2007).…”

Section: Introductionmentioning

confidence: 99%

Experience with the implementation of a web-based teledermatology system in a nursing home in Singapore

et al. 2008

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We introduced a web-based teledermatology system, the distributed personal health information management system (DPHIMS), into a nursing home in Singapore. The introduction was conducted in two phases. Five staff nurses in Phase 1 and nine nurse aides in Phase 2 performed the data entry and uploaded digital images of the resident's skin condition. By the end of Phase 2, there were 50 residents registered with DPHIMS. The average age of the participants was 82 years and 84% were women. There were 31 first-time referral requests registered in the system during Phase 2. The average time taken to complete a referral request was 86 minutes. The average time taken by the dermatologist to prepare and submit a diagnosis/treatment report was 11 minutes. An online survey form was given to the nurses and the dermatologists to gauge their level of satisfaction and their experience of using DPHIMS. All the nurses said they would readily recommend DPHIMS to other nurses. Overall, the dermatologists felt that DPHIMS was helpful in obtaining specialist care for the residents. However, some skin conditions required a face-to-face consultation. Thus a mixture of face-to-face consultations and consultations via teledermatology may be necessary to provide complete diagnosis and treatment to patients. Our experience suggests that understanding and addressing the organizational concerns is as important as solving the technical problems.

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Section: Introductionmentioning

confidence: 99%

Experience with the implementation of a web-based teledermatology system in a nursing home in Singapore

et al. 2008

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“…The PHIMS implemented by the UW uses the client/server architecture whereas the D-PHIMS uses the distributed architecture on the local server side and the client/server architecture on the main server side. This type of distributed architecture makes the system scalable, which would enable the expansion of D-PHIMS to various nursing homes around Singapore [4]. The process flow with the D-PHIMS as depicted in Figure 1 can be broken into three parts.…”

Section: A D-phims Architecture and Process Flowmentioning

confidence: 99%

“…Also, they might need additional assistance to travel to and from clinics, especially if they suffer from paralysis or dementia. To address the current unmet needs in healthcare for the aging population, a D-PHIMS system implementing store-and-forward (S&F) teledermatology was developed [4] to evaluate skincare via telediagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Distributed Personal Health Information Management System for Dermatology at the Homes for Senior Citizens

Lavanya

Goh

Leow

et al. 2006

2006 International Conference of the IEEE Engineering in Medicine and Biology Society

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A distributed personal health information management system (D-PHIMS) has been tested at a nursing home for the senior citizens (NHSC) in Singapore. The personal health information management system (PHIMS) from the University of Washington was customized to Singapore's context for teledermatology. A clinical trial commenced in October 2005 is ongoing and the survey results obtained indicate that the participants are satisfied with the D-PHIMS system. The diagnosis and treatment recommendations made by the dermatologists using the D-PHIMS diagnosis module were effective in most cases based on feedback from the nursing staff at the elderly nursing home. The results suggest that a teledermatology system could become a useful tool for the nursing homes and to control increasing healthcare costs for elderly care.

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“…OWADAYS, the union of different technologies is the main challenge into D 2 H 2 (Distributed Diagnosis and Home Healthcare) [1]. The market offers many good solutions to implement an efficient healthcare environment.…”

Section: Introductionmentioning

confidence: 99%

An Approach based on XML for Communication in Home Healthcare Systems

Martin-Moreno

Ruiz-Fernández

Soriano-Payá

2007

2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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Abstract-In this paper we analyze the problems in home healthcare communication and we propose an approach for communication between different technologies implementing a new protocol. We use XML to define the communication frames, stored data and the accessibility. We also propose the ways to access to the information from anywhere using criteria of security, accessibility and the possibility of defining models of actuation before critical situations.

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Distributed Architecture towards Tele-Diagnosis

Cited by 5 publications

References 3 publications

Experience with the implementation of a web-based teledermatology system in a nursing home in Singapore

Experience with the implementation of a web-based teledermatology system in a nursing home in Singapore

Distributed Personal Health Information Management System for Dermatology at the Homes for Senior Citizens

An Approach based on XML for Communication in Home Healthcare Systems

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