E-health and the Universitas 21 organization: 1. Global e-health through synergy

Ho, Kendall; Sharman, Zena

doi:10.1258/1357633054471902

Cited by 8 publications

(4 citation statements)

References 3 publications

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“…That data must in turn be used to effectuate change, which, as the program evaluation literature has shown us, is by no means a guarantee [46,47]. This is one reason why Ho and Sharman [48] stress that researchers not only collaborate with policymakers, health administrators, and health professionals in sharing knowledge, best practices, and innovations, but that individuals with special expertise in this area take advantage of their unique experience and serve as early adopters, coaches, advisers, and enablers. Indeed, it behooves scholars to recognize that the results of their labors can be used both instrumentally, to adjust, modify or improve particular programs or policies, and conceptually, to influence how key stakeholders think about telehealth more generally.…”

Section: Resultsmentioning

confidence: 99%

Solving the disjuncture between research and practice: Telehealth trends in the 21st century

Miller

2007

Health Policy

103

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Section: Resultsmentioning

confidence: 99%

Solving the disjuncture between research and practice: Telehealth trends in the 21st century

Miller

2007

Health Policy

103

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“…However, its greatest weakness, at least in academic terms, is the lack of evidence supporting its clinical and cost advantages relative to traditional services, notwithstanding a number of retrospective reviews demonstrating the value to referrers [ 13 - 15 ]. This represents an important opportunity for research, and the Universitas 21 consortium of universities has recently formed an eHealth partnership with the Swinfen Charitable Trust [ 16 ] with a view to obtaining the follow-up necessary to make assessments of safety and effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Supporting Hospital Doctors in the Middle East by Email Telemedicine: Something the Industrialized World Can Do to Help

Patterson¹,

Swinfen²,

Swinfen³

et al. 2007

J Med Internet Res

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Background Since 1999, the Swinfen Charitable Trust has operated an email referral system between doctors in the developing world and specialists in the industrialized world. Since 2001, it has expanded its operation into the Middle East, in particular Iraq, an area of considerable conflict.Objectives The aim was to compare referral patterns to the Trust from the Middle East with those received from the rest of the developing world and to look for qualitative evidence of health gain.Methods We analyzed referrals to the Swinfen Charitable Trust between July 2004 and June 2007 and compared these by speciality with those received from elsewhere during the same 3-year period. We asked two referring doctors for their views of the process, and we analyzed the total Middle Eastern referrals made to a single specialty (neurology).Results Between July 2004 and June 2007, 283 referrals were received from four countries in the Middle East (Iraq, Afghanistan, Pakistan, Kuwait) and 500 cases were received from 22 other countries. The 283 cases resulted in 522 separate queries to specialists. The median time to specialist reply for the queries relating to the 283 Middle Eastern cases was 24.3 hours (interquartile range 6.1-63.3). There was a significant difference in case mix between the Middle East and the rest of the world (P < .001), with more obstetric referrals and fewer referrals in medical specialties and radiology. The referring doctors were helped greatly by the service. The neurologist was confident of the diagnosis in 20 of 26 referrals received (77%). Both referring doctors and the specialist were able to cite referred cases where management was improved as a result of the service.Conclusions Email telemedicine can be used in areas of conflict such as the Middle East. Perhaps surprisingly, trauma referrals are not increased but obstetric referrals are. Supporting individual doctor-patient encounters in this way is therefore often beneficial and is easily expandable. As well as improving care for individuals, email telemedicine provides effective case-based learning for local doctors, leading to improved care for subsequent similar patients.

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“…14 The term provides a reminder of a simple but crucial fact -in our networked world, local policy has global impact and global policy has local impact. 15 The aim of the present study -which was part of the Universitas 21 (U21) consortium's work in global e-health 16 -was to summarize the status of global e-health policy.…”

Section: Scenariomentioning

confidence: 99%

E-health and the Universitas 21 organization: 3. Global policy

Scott

Lee

2005

J Telemed Telecare

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There is an urgent need to develop global e-health policy in order both to facilitate and to manage the potential of e-health. As part of the Universitas 21 (U21) project in e-health, an evaluation of the status of global e-health policy was performed using a SWOT analysis (strengths, weaknesses, opportunities and threats). The analysis showed that the greatest threat to global e-health policy is the autonomous nature of domestic health-care systems. The greatest opportunity may be the prospect for nations and individuals to work together in establishing mechanisms necessary to offer health-care access through global e-health--a new 'global public good'. Full integration of e-health into existing health-care systems could be achieved in both a practical and a policy sense through global e-health policy initiatives that facilitate integration across jurisdictions. There is a pressing need to resolve a range of e-health policy issues, and a concomitant need for research that will inform and support the process. A process that adopts a global approach is recommended.

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E-health and the Universitas 21 organization: 1. Global e-health through synergy

Cited by 8 publications

References 3 publications

Solving the disjuncture between research and practice: Telehealth trends in the 21st century

Solving the disjuncture between research and practice: Telehealth trends in the 21st century

Supporting Hospital Doctors in the Middle East by Email Telemedicine: Something the Industrialized World Can Do to Help

E-health and the Universitas 21 organization: 3. Global policy

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