Testing a Top-Down Strategy for Establishing a Sustainable Telemedicine Program in a Developing Country: The Arizona Telemedicine Program–U.S. Army–Republic of Panama Initiative

Vega, Silvio; Marciscano, Ivette; Holcomb, Michael J.; Erps, Kristine A.; Major, Janet; Lopez, Ana Maria; Barker, Gail; Weinstein, Ronald S.

doi:10.1089/tmj.2013.0025

Cited by 21 publications

(12 citation statements)

References 26 publications

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“…Fifth, garner support from all angles: administrative, collaborative, and financial. Administrative leaders can lend support if they want you to invest in training local health professionals [ 26 ]. Two such individuals supported us in Haiti.…”

Section: Reviewmentioning

confidence: 99%

“…The project champion will understand these kinds of dynamics, and may also know ways to reignite waning interest. For instance, local leaders can encourage their junior staff by giving them titles and responsibilities, and together you can consider adjunct academic appointments at your respective universities [ 26 ]. Develop and nurture close, trusting relationships among partners in order to prevent attrition; losing interest in an abstract program is harder if it means letting down a respected colleague.…”

Section: Reviewmentioning

confidence: 99%

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Collaborative Development of a Simulation-augmented Health Education Program in Resource-challenged Regions

Renouf

Doyle

Pollard

et al. 2018

Cureus

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Simulation-based health professional education (HPE) is widely practiced in resource-rich regions, yet it is underutilized or ineffectively delivered in resource-poor ones, particularly when we fail to consider local contexts such as infrastructure, literacy, and culture when developing educational programs. Such an approach would be an example of failure of delivery, or the inability to bring services to people whose diseases have proven therapies. It is the biggest obstacle facing global health. This paper is a review of the literature and the authors’ experience in developing, delivering, and evaluating sustainable HPE programs in resource-poor regions, wherever in the world they may be.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Collaborative Development of a Simulation-augmented Health Education Program in Resource-challenged Regions

Renouf

Doyle

Pollard

et al. 2018

Cureus

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“…ayuda de videófono conectado a internet, (con conexión de 768 kilobits por segundo) a un hospital local. A pesar de no contar actualmente con apoyo extranjero, a la fecha se sigue atendiendo casos de pediatría, obstetricia, neumología, dermatología y emergencias (Vega et al, 2013).…”

Section: La Telemedicina En Centroaméricaunclassified

Perspectivas de la telemedicina como una alternativa para la atención en salud en Honduras

Durón

Salavarría²,

Hesse

et al. 2017

Innovare: Rev. Ciencia Tecnol.

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_____________________________________________________________________________________ Resumen:La telemedicina ha demostrado tener numerosas ventajas en la atención en salud en el mundo industrializado por su aplicación, tanto para propósitos clínicos como educativos. Existe un interés creciente en la misma por dos razones: potencial de mejorar la atención en salud y reducción de costos de dicha atención. Se ha publicado varios estudios piloto sobre las posibilidades para hacer telemedicina en Centroamérica y Latinoamérica, pero el uso de la misma es escaso. Una de las aplicaciones más utilizadas ha sido la telerradiología. Las primeras experiencias con esta metodología de atención en salud en Honduras, son prometedoras y han mostrado la viabilidad de establecer redes de telemedicina que conecten al personal de salud de zonas rurales y urbanas. La integración de la tecnología de información y comunicación a los servicios de salud podría reducir costos y dar a la población mayor acceso a atención médica especializada y subespecializada. La telemedicina es un recurso innovador y eficiente en el aspecto educativo del personal de salud mediante teleconferencias virtuales o teleconsulta subespecializada con expertos en otros países.Palabras Claves: Telemedicina; Telesalud; Consulta Remota Abstract:Telemedicine has already proven to have multiple advantages for delivering timely up-to-date health care in industrialized countries by its educational as well as clinical purposes. There is a growing interest in Telemedicine apparently related to two reasons: a potential to improve quality of health care and a reduction in its costs. There have been several pilot studies on the feasibility of telemedicine in Central America and Latin America, but the use of this technology is uncommon. One of the most used applications used is teleradiology. The first experiences that we have had in Honduras are promising and have demonstrated the viability of establishing networks of telemedicine that connect health personnel from urban and rural areas. The integration of timely information and with this new health care technology could significantly reduce costs as well as increase access to specialty and subspecialty care to a larger population. Telemedicine is an innovative and efficient tool in the education of health personnel through virtual teleconferences or subspecialty teleconsultation with experts at home or abroad.

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“…The program received early support from the Panamanian Ministry of Health and endorsements from academic leaders. 54 It was established in a mountainous Indian reservation 230 miles west of Panama City. After 3 years of operation, the program became self-sufficient.…”

Section: Empirical Foundations Of Teledermatologymentioning

confidence: 99%

The Empirical Foundations of Teledermatology: A Review of the Research Evidence

Bashshur

Shannon

Tejasvi

et al. 2015

Telemedicine and e-Health

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Despite these complexities, sufficient evidence was observed consistently supporting the effectiveness of teledermatology in improving accessibility to specialty care, diagnostic and treatment concordance, and skin care provided by primary care physicians, while also reducing cost. One study reported suboptimal clinical results from teledermatology for patients with pigmented skin lesions. On the other hand, confocal microscopy and advanced dermoscopy improved diagnostic accuracy, especially when rendered by experienced teledermatologists.

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Testing a Top-Down Strategy for Establishing a Sustainable Telemedicine Program in a Developing Country: The Arizona Telemedicine Program–U.S. Army–Republic of Panama Initiative

Cited by 21 publications

References 26 publications

Collaborative Development of a Simulation-augmented Health Education Program in Resource-challenged Regions

Collaborative Development of a Simulation-augmented Health Education Program in Resource-challenged Regions

Perspectivas de la telemedicina como una alternativa para la atención en salud en Honduras

The Empirical Foundations of Teledermatology: A Review of the Research Evidence

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