Upload
indonesian-journal-of-cancer
View
215
Download
0
Embed Size (px)
Citation preview
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
1/18
Established Education And Information in Cancer :The Future of Telemedicine
Dr. Harjanto Prabowo
Gintoro, S. Kom, MM.
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
2/18
Agenda
Definition of Telemedicine
Telemedicine Implementation in Others Countries
Why Indonesia Need Telemedicine - ProblemsIdentification
Current Facts About Indonesias ICT and Health
Step by Step Implementing Telemedicine in Indonesia andRSKD
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
3/18
Definition of TELEMEDICINE
Telemedicine means, literally, 'medicine at a distance'. There areseveral different definitions, but:the definition of telemedicine adopted by an international consultationgroup convened by the WHO in Geneva in December 1997 says:
Telemedicine is the delivery of health-care services, where distance is
a critical factor, by health-care professionals using information andcommunication technologies for the exchange of valid informationfar diagnosis, treatmentand preventionof disease and injuries, and forthe continuing education of health-care providers as well as researchand evaluation, all in the interests of advancing the health of individualsand their communities.
Sicurello, Telemedicine for Monitoring of Patients and Prevention
INTERNET
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
4/18
TELEMEDICINE Methods
Teleconsulting:
clinicians clinicians
Telediagnosis:
clinicians phisicians
Telemonitoring:
clinical centers patients
Telesurveillance:
health structure patients
Tele-emergency:
first aid health operators (ambulances)
patients
Sicurello, Telemedicine for Monitoring of Patients and Prevention
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
5/18
TELEMEDICINE Implementationin Others Countries
Tele Cardiological System (Europe)Tele Monitoring (Europe)Tele Observation (Hong Kong)Tele Observation (Alaska - US)
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
6/18
Why Indonesia Need Telemedicine -Problems Identification
Cost for medication in rural area is very high.
Lack of specific experts in rural area.
Lack of integrated knowledge base about specificexpertise in health for refrence, especially for less case
doctors in rural area.
Lack of time for expert doctors in specific area to handleconsultation with the patient.
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
7/18
Current Facts About Indonesias ICT
and Health
Distribution of Internet network and communcation inmost of the cities in Indonesia via cable or satelite(Telkom).
Most of expert doctors lives in Javas big cities.
The growth for the cancer patient in cities outsideJavas big cities are increasing.
25.000.0002.000.0002007*
20.000.0001.700.0002006
16.000.0001.500.0002005
11.226.1431.087.4282004
8.080.534865.7062003
4.500.000667.0022002
4.200.000581.0002001
1.900.000400.0002000
1.000.000256.0001999
512.000134.0001998
UsersSubscribersYear
Indonesia Internet Service Provider Association(www.apjii.or.id) Dec 2007
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
8/18
Step by Step Implementing Telemedicinein Indonesia and RSKD
1. Implementation of Case Based Knowledge Base forcases all over Indonesia.
Knowledge Base portal to search the case using enrich keywords.WIKI for HEALTH/CANCER.
Needs supports from the institution for supervise the contents.
Social networking mechanism for doctors to put their case in theform of text, voice, picture/image or video combine with the Blogformat sharing.
Discussion and knowledge sharing.
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
9/18
1. Case Based Knowledge Base Model
Medical Knowledge Base Portal
Physician as
Knowledge Contributor
INTERNET
Physician as
Knowledge Contributor
Remote Area
Hospital/Medical Center in
Remote Area
Smaller Hospital
/Puskesmas
Remote Area
Hospital/Medical Center in
Remote Area
Smaller Hospital
/Puskesmas
Center Hospital
Supervise the Content
[ RSKD ]
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
10/18
Step by Step Implementing Telemedicine inIndonesia and RSKD (cont.)
2. Transformation the Case Based Knowledge Base intoExperts System or Inteligent Agents that works on casebased reasoning that can help patient answers severalquestions and collecting preliminiary data.
Dr. ELIZA, somekind of intelegent agents to collect the data andgiving some initial pointer for public/patient.
Information center to answers tons of questions from patient,public using inteligent agents.
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
11/18
2. Experts System / Inteligent AgentsModel
INTERNET
Question(s)
Pointer
Pointer
Question(s)
Medical Knowledge Base Portal
Experts System/Inteligent Agent
Pointer
Question(s)
Remote Area
Hospital/Medical Center in
Remote Area
Smaller Hospital
/Puskesmas
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
12/18
Step by Step Implementing Telemedicine inIndonesia and RSKD (contd.)
3. Educating public with learning contents portal to helppublic understand all information about the diseases.
Video campaign, case campaign, email campaign to gainawareness from public for prevention or how to resolve their/theirfamily disesases.
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
13/18
3. Public Information Portal Model
Medical Knowledge Base Portal
Experts System/Inteligent Agent
INTERNET
Remote Area
Hospital/Medical Center in
Remote Area
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
14/18
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
15/18
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
16/18
WIKIPEDIA
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
17/18
MAYOCLINIC
8/8/2019 Established Education and Information in Cancer: The Future of Telemedicine
18/18