6 Comments
AJ AJ Atuhaire Justus

In response to How do you plan to overcome these barriers?

In order to over come these challenges telemedicine must be regulated by definitive and comprehensive guidelines, which are applied widely, ideally worldwide . Concurrently, legislation
governing confidentiality, privacy, access, and liability needs to be instituted . As public and
private sectors engage in closer collaboration and become increasingly interdependent in eHealth
applications, care must be taken to ensure that telemedicine will be deployed intelligently to
maximize health services and optimal quality and guarantee that for-profit endeavours do not
deprive citizens access to fundamental public health services .
In all countries, issues pertaining to confidentiality, dignity, and privacy are of ethical concern
with respect to the use of ICTs in telemedicine. It is imperative that telemedicine be implemented
equitably and to the highest ethical standards, to maintain the dignity of all individuals and ensure
that differences in education, language, geographic location, physical and mental ability, age,
and sex will not lead to marginalization of care .

AJ AJ Atuhaire Justus

In response to What barriers currently exist for you to accomplish your goals in the next year and in the next five years?

One such challenge is a complex of human and cultural factors. Some patients and health careworkers resist adopting service models that differ from traditional approaches or indigenous
practices, while others lack ICT literacy to use telemedicine approaches effectively. Most challenging of all are linguistic and cultural differences between patients (particularly those underserved)
and service providers.

Legal considerations are a major obstacle to telemedicine uptake. These include an absence of an international legal framework to allow health professionals to deliver services in different jurisdictions and countries; a lack of policies that govern patient privacy and confidentiality visà-vis data transfer, storage, and sharing between health professionals and jurisdictions;
health professional authentication, in particular in e-mail applications and the risk of
medical liability for the health professionals offering telemedicine services .
Related to legal considerations are technological challenges. The systems being used are complex,
and there is the potential for malfunction, which could trigger software or hardware failure. This could increase the morbidity or mortality of patients and the liability of health-care providers
as well

AJ AJ Atuhaire Justus

In response to Provide evidence that this technology works.

Telemedicine holds great potential for reducing the variability of diagnoses as well as improving clinical management and delivery of health care services worldwide by enhancing access,
quality, efficiency, and cost-effectiveness (1). In particular, telemedicine can aid communities

AJ AJ Atuhaire Justus

In response to Provide evidence that this technology works.

Telemedicine holds great potential for reducing the variability of diagnoses as well as improving clinical management and delivery of health care services worldwide by enhancing access,
quality, efficiency, and cost-effectiveness Telemedicine holds great potential for reducing the variability of diagnoses as well as improving clinical management and delivery of health care services worldwide by enhancing access,
quality, efficiency, and cost-effectiveness In particular, telemedicine can aid communities
traditionally underserved – those in remote or rural areas with few health services and staff –
because it overcomes distance and time barriers between health-care providers and patients
(1). Further, evidence points to important socioeconomic benefits to patients, families, health
practitioners and the health system, including enhanced patient-provider communication and
educational opportunities (2) In particular, telemedicine can aid communities
traditionally underserved – those in remote or rural areas with few health services and staff –
because it overcomes distance and time barriers between health-care providers and patients
(1). Further, evidence points to important socioeconomic benefits to patients, families, health
practitioners and the health system, including enhanced patient-provider communication and
educational opportunities (2)
1 Craig J, Patterson V. Introduction to the practice of telemedicine. Journal of Telemedicine and Telecare, 2005,
11(1):3–9
2.Jennett PA et al. The socio-economic impact of telehealth: a systematic review. Journal of Telemedicine and
Telecare, 2003, 9(6):311–320

AJ AJ Atuhaire Justus

In response to Describe the core technology that powers your solution.

Type of information
we will share documents , We will also exchange audios over the phone call. Still images and videos and electronic medical records will be applied.

Using a phone camera, static medical records will be digitized using a camera and then transmitted as still images. For follow-up and non-emergence reviews, copies of written records will be sent as still images to the general doctors and a copy pasted to the consultant for advise prior to telemedicine session.

Low cost and legal appropriate images of a case scenario will be taken by mobile phone camera

Audio: voice will be transmitted by telephone.

Video: real time compressed video image transmission in emergence situation will be done, including assistance with procedures.We will us a 4G enabled airtel modem for transmitting the video signals. Airtel service providers will also offer technical assistance including software upgrades and fault finding. To minimize the costs of high video equipment, we will use video conferencing.
The telephone is cost effective means of transmission method with good coverage in the refugee camp, with of compromising reliability of the service .We will procure phones that can send text information in seconds to the participating links

mobile phones will be low cost but can sustain a good bandwidth (1200bits/s)
enough to carry the required video conferencing and audio signals

where real-time transfer is not needed we will use Mobile phone calls.

Information will be displayed by mobile phone screens.
Sound: we will use the mobile speakers no extra gadgets are required.

 
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