This content is not included in
your SAE MOBILUS subscription, or you are not logged in.
Internet-Based Continuing Medical Education in Remote Areas of China: WebMEd: Economical PC-Based Tele-Education and Telemedicine
Technical Paper
1999-01-2019
ISSN: 0148-7191, e-ISSN: 2688-3627
Annotation ability available
Sector:
Language:
English
Abstract
China and other areas of the planet share the unfortunate reality that their rural populations have limited or no access to specialty health care personnel, expertise or facilities. A simple, cost-effective web-based Continuing Medical Education program is presented that allows even some of the most remote areas of China virtual access to medical information, medical specialists and teams of medical consultants, regardless of their location. The proposed project suggests a grassroots approach in improving widespread medical education using the existing telecommunication infrastructure, with minimal equipment requirements that would act as a backup to future systems. For the purposes of this paper, the presented system is termed WebMEd (Web- based Medical Education) and hopefully will be considered for immediate implementation as a feasibility study for future satellite based systems. WebMEd is a simple, grassroots and sustainable project that can represent future advanced systems, while remaining economical.
The medical consultation process and CME are blended together here to include tele-education, tele-presence and telemedicine. This paper will focus on the possible implementation in China as a model for other countries in need for remote continuing medical education. This paper will also attempt to show how Internet assisted consultation process can facilitate patient care while educating providers. An interesting case report published on the Internet that resulted in saving the life of an actual patient in China is presented as a successful model for virtual case presentation and education.
Several internet-based medical educational and consultation techniques were evaluated during the course of this study. These ranged from simple e-mail consultations and virtual case presentations to inexpensive Video Teleconferencing (VTC). The case presentations consisted of e-mailing information about patients (known as cases without associated names) with interesting or unusual diseases to groups of physicians in various specialties throughout Northern California. The cases would often include x-rays or digital photographs as attachments for evaluation of quality and acceptance, while determining the actual etiology of their condition.
Virtual rounds were complemented with references to applicable Internet sites embedded in the email text, with attached supporting documentation when helpful. A web site was created as an example of one way of coordinating such discussion groups from scratch. It is concluded that WebMEd (with the exception of the VTC initially) will make a viable platform for a feasibility study in China or other remote areas of the world. The advantages of the low-cost and ease of implementation of the system presented seem to make this option the most feasible, however, alternative scenarios should be addressed. Cost comparisons can be made during proposal presentations and development phases as to facilitate the best system for the goals set.
Authors
Topic
Citation
Folio, L., Yancy, W., and Yancy, R., "Internet-Based Continuing Medical Education in Remote Areas of China: WebMEd: Economical PC-Based Tele-Education and Telemedicine," SAE Technical Paper 1999-01-2019, 1999, https://doi.org/10.4271/1999-01-2019.Also In
References
- Hsiao WC The Chinese health care system: Lesson for other nations Soc. Sci. Med. 41 8 1047 1055 1995
- Buntic RF Siko PP Buncke GM, et al. Using the Internet for rapid exchange of photographs and x-ray images to evaluate potential extremity replantaion candidates The Journal of Trauma: Injury, Infection and Critical Care 43 2 342 344 August 1997
- Xin L Aldis J Valentino D BEI Z The first international telemedicine trial to China: ZHU Lingling’s case. http://www.radsci.ucla.edu/telemed/zhuling/ bulletin/3040, html
- Internet diagnosis: New link to China. U.S. Medicine December 1995
- Larkin M Telemedince finds its place in the real world. The Lancet 350 9078 646 August 30 1997
- Check W DICOM teminal offer on-site image archive. Diagnostic Imaging A27 29 November 1996
- deTreville RE Scotti SD Williamson, MP et al. The telemedicine experience in Haiti Federal Practitioner 56 62 March 1997
- Cawthon MA Goeringer F Telepak RJ, et al. Preliminary assessment of computed tomography and satellite teleradiology from operation desert storm Investigational Radiology 26 100 854 857
- Late M Telemedicine: Collagoration seen wave of future. U.S. Medicine May 1996 3 12
- Folio L Stokes R Frankfurter J From film to filmless: military experience with teleradiology in Korea. Applied Radiology 36 39 July 95
- Siedband MP Kramp DC Army medical imaging system (ARMIS). Applied Radiolgy. June 1989
- Late M. Patient information goes high-tech in Air Force. U.S. Medicine, 56. January 1998.
- Zachariah SB The health care future is now. Federal Practitioner, 62 68 March 1998
- Folio L University of CA, Davis Medical Center bone home teaching file. http://www-radiology.ucdmc.ucdavis.edu/UCD/BoneJ-lome.html Fall 1997
- Frye TA Royal SA Lopez RR Blanchard MH Spooner SA Pediatric imaging on the world wide web: a survey. Pediatrics 100:443 September 1997
- Peters R Sikorski R Radiology resources on the internet. JAMA. 279 7 February 18, 1998
- Bieze J Radiology on the Web. Diagnostic Imaging May 1997 48 61
- http://logitech.com/us/cameras/ca29_100.html
- http://www.microsoft.com
- http://www.icq.com/icqtour/quicktour.html Copyright ©1998 ICQ Inc
- Einstein, D Chat for free online sofware lets you talk or message on the Internet San Francisco Chronicle 17 Feb 1998
- Yahoo! http://www.edit.my.yahoo.com
- Heddegem JV http://www.ispo.cec.be/ispo/newsletter/ISPOCTO98/ISP OCTO3.html
- Silberg W Lundberg GD Musacchio RA Assessing, controlling, and assuring the quality of medical information on the Internet. JAMA 277 1244 1245 1997
- Alta Vista ® http://www.altavista.com/
- U.S. National Library of Medicine http://igm.nlm.nih.gov/cgi-bin/doler?account=++&password=++&datafile=medline Last updated: 21 July 1998
- LEXIS ® -NEXIS ® ,a division of Reed Elsevier Inc. http://web.lexis-nexis.com/universe/ 1998
- Hotmail ® http://www.hotmail.com
- Yahoo ® http://www.yahoo.com
- Folio L. http://www.geocities ® www.geocities.com/CapeCanaveral/Campus/7906/Web MEd.html
- Tripod ® http://www.tripod.com
- Holzman DJ. Cancer researchers getting caught up in the net Natl Cancer Inst 88 707 709 June 1996
- Sanders JH. Checkup yields healthy prognosis for telemedicine Diagnostic Imaging 49 57 January 1996
- Telemedicine needs better evaluation Public Health News & Notes January / February 1997 112 5 6
- Working through the telemedicine licensure, liability and credibility American College of Radiology 53 7 10 23 July 1997
- Beall DP Teleradiology for the year 2000: legal implications. The American College of Radiology 3 24 54 1 January 1998
- Mendelson DN Salinsky EM Health information systems add the role of state government. Health Affairs. May-June 1997
- Mathews JT. Power Shift. Foreign Affairs 50 99 January/February 1997
- Appleby C. Electronic Records: Welcome to Appalachia online. Hospitals 71 3 82 92 February 5 1997
- Vizard, F. Space calls; Satellite telephone system. Popular Science 4 253 94 October 98
- Alcatel to double spending in China. Electronic Times 6 2 November 98
- Liu S. emphasis switches to adding value to the network, ensuring service quality - China’ s telecom overhaul eners a new phase. Electronic Engineering Times 16 November 98
- Freedberg S J. Jr. Opening up China, one byte at a time The National Journal 30 29 1672 18 July 98
- Dorminey, B. Internet to spur satcom comeback Asia- Pacific Space 149 23 72 7 December 98
- Prosise J. Crawling the web. PC Magazine 277 July 1996
- Sandlin N. Contemplating the mysteries of bandwidth American Medical News 21 May 25 1998
- Mace T. The perfect Internet connection. PC Magazine 196 July 1996