The International Digital Transformation of Healthcare: Telehealth Development in the Global Community

Keywords: telemedicine, telehealth, mhealth, digital health, international telehealth, global healt

Abstract

Using advances in information and communication technologies (ICT), telemedicine and eHealth are providing a means to transform systems of care for people throughout the world by providing greater access to clinical service, consultation, sharing knowledge, education and training, public and community health, health systems development, epidemiology and research. Leap-frogging over prior barriers, rapid advances in information communication technologies (ICT), computing, and wireless networks are offering greater continuity in access to these services in both developed and developing countries. The use of telehealth must be put in the context of the critical health needs in each country, cultural perspectives, current and future communication infrastructure, other supportive resources, and likelihood for sustainability. Furthermore, these telehealth efforts should be aimed at improving the local capacity in providing ongoing health services in each country and blend into that country’s current and future health care strategies. As the world continues to “shrink”, developing this international telehealth “network of networks” offers an opportunity for cooperation, collaboration, knowledge sharing and improving the health of every individual in the world, applying information technologies for peace and the betterment of mankind. The time is now for open and constructive dialogue designed to facilitate that coordination between key stakeholders and other international organisations. These types of international exchange experiences enhanced with telehealth offer significant opportunities for understanding the common denominators, as well as unique differences, related to global health among countries and cultures around the world. These programs can promote international understanding and mutual respect in a manner that can improve the health of the entire global community.

References

Wootton R, Patil NG, Scott RE, Ho K (eds). Telehealth in the Developing World. London: Royal Society of Medicine Press and Ottawa: International Development Research Center, 2009.

Mills A. Health Care systems in low- and middle-income countries. N Engl J Med 2014; 370:552-557. DOI: https://doi.org/10.1056/NEJMra1110897.

Alverson DC, Mars M, Rheuban K, et al. International pediatric telemedicine and ehealth: transforming systems of care for children in the global community. Pediatric Annals 2009;38:10: 579-585. DOI: https://doi.org/10.3928/00904481-20090918-11.

Mann DM, Chen Ji, Chunara R, Testa PA. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc 2020;27(7):1132–1135. DOI: https://doi.org/10.1093/jamia/ocaa072.

Branagan L, Chase LL. Organizational Implementation of Telemedicine Technology: Methodology and Field Experience. In: 2012 IEEE Global Humanitarian Technology Conference. Seattle, Washington USA; 2012;271-276.

Hidalgo R, Alverson DC, Cartagenova G., Maldonado L. Development of a Collaborative Telehealth Network in Ecuador: Programa Nacional de Telemedicina. American Telemedicine Association National Annual Meeting, Seattle, WA, April 6-9, 2008. Telemed J e-Health 2008;14 (supp1):51. DOI: https://doi.org/10.1089/tmj.2008.9979.supp.

Hopkins KS, Alverson DC, Hidalgo RO, Cartagenova G, Johnson-Moser S. Integrating cross-cultural indigenous and Western healing with modern technology update. American Telemedicine Association National Annual Meeting, Seattle, WA, April 6-9, 2008. Telemed J e-Health 2008;14 (supp1);52-53. DOI: https://doi.org/10.1089/tmj.2008.9979.supp.

Wootton R. Telemedicine support in the developing world. J Telemed Telecare 2008;14:109-114. DOI: https://doi.org/10.1258/jtt.2008.003001

Alverson DC. The Role of Telehealth in International Humanitarian Outreach. In: Rheuban KS, Krupinski EA, editors. Understanding Telehealth. McGraw Hill Education; 2017;251-266.

Marshall C, Lewis D, Whittaker M. mHealth technologies in developing countries: a feasibility assessment and a proposed framework. Herston, Australia: University of Queensland. 2013 Jun:1-47. Available at: http://www.academia.edu/download/43930706/Strengthening_health_systems_in_mHealth_20160320-19913-1esu4pz.pdf accessed 13 December 2020.

Center for Connected Health Policy. (2020). Store and Forward Asynchronous Telehealth. Available at: https://www.cchpca.org/about/about-telehealth/store-and-forward-asynchronous accessed 11 December 2020.

NZ Telehealth. (2020) Store and Forward. Available at: https://www.telehealth.org.nz/what-is-telehealth/store-and-forward/ accessed 11 December 2020.

Center for Connected Health Policy. (2020). Remote Patient Monitoring. Available at: https://www.cchpca.org/about/about-telehealth/remote-patient-monitoring-rpm accessed 11 December 2020.

SearchHealthIT. (2020). Remote Patient Monitoring. Available at: https://searchhealthit.techtarget.com/definition/remote-patient-monitoring-RPM accessed 11 December 2020.

Pan American Health Organization. eHealth in the Region of the Americas: breaking down the barriers to implementation. Results of the World Health Organization’s Third Global Survey on eHealth. Washington, D.C.: PAHO, 2016

World Health Organization. Global diffusion of eHealth: making universal health coverage achievable: report of the third global survey on eHealth. Geneva, World Health Organization. 2017.

Goklani B. MindInventroy. (2020). Internet of Medical Things (IOMT). Available at: https://www.mindinventory.com/blog/internet-of-medical-things-will-change-face-of-healthcare/ accessed 11 December 2020.

Akter S, Ray P. mHealth - an ultimate platform to serve the unserved. Yearb Med Inform 2010;94-100. PMID: 20938579.

Arora S, Kalishman S, Thornton K, et al. Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care. Hepatology 2010;52(3):1124-1133. DOI: https://doi.org/10.1002/hep.23802.

Arora S, Thornton K, Murata G, et al. Outcomes of treatment for hepatitis C virus infection by primary care providers. N Engl J Med 2011;364:2199-2207. DOI: https://doi.org/10.1056/NEJMoa1009370.

Arora S, Geppert CM, Kalishman S, et al. Academic health center management of chronic diseases through knowledge networks: Project ECHO. Acad Med 2007;82(2):154-160. DOI: https://doi.org/10.1097/ACM.0b013e31802d8f68.

Arora S, Thornton K, Jenkusky SM, Parish B, Scaletti JV. Project ECHO: linking university specialists with rural and prison-based clinicians to improve care for people with chronic hepatitis C in New Mexico. Public Health Rep 2007;122(Suppl 2):74-77. DOI: https://doi.org/10.1177/00333549071220S214.

Arora S, Kalishman S, Dion D, et al. Partnering urban academic medical centers and rural primary care clinicians to provide complex chronic disease care. Health Aff (Millwood) 2011;30(6):1176-1184. DOI: https://doi.org/10.1377/hlthaff.2011.0278.

Arora S, Kalishman S, Dion D, Thornton K, Murata G, Fassler C, Brown J. Knowledge networks for treating complex diseases in remote, rural, and underserved communities. In: Learning Trajectories, Innovation and Identity for Professional Development. Springer Netherlands; 2012;47-70.

Simmons S, Alverson DC, Poropatich R, D’Iorio J, DeVany M, Doarn CR. Applying telehealth in natural and anthropogenic disasters. Telemed J e-Health 2008;14(9): 968-971. DOI: https://doi.org/10.1089/tmj.2008.0117.

Alverson DC, Edison K, Flournoy L, Korte B, Magruder C, Miller C. Telehealth tools for public health, emergency or disaster preparedness and response: A Summary Report. Telemed J e-Health 2010;16(1):112-114. DOI: https://doi.org/10.1089/tmj.2009.0149.

Creating a Framework to Support Measure Development for Telehealth, NQF Report. (2017). Available at: http://www.qualityforum.org/Publications/2017/08/Creating_a_Framework_to_Support_Measure_Development_for_Telehealth.aspx accessed 11 December 2020.

Wootton R, Patil NG, Scott RE, Ho K. Tele-health in the Developing World. Royal Society of Medicine Press IDRC; 2009. ISBN 978-1-85315-784

World Health Organization. Health-for-all Policy for the Twenty First Century (Document EB101/INF. DOC./9). Geneva: WHO, 1998

World Health Organization. Strategy 2004-2007. E-health for Health Care Delivery. Geneva: WHO, 2004

WHO Sustainable Development Goals. Available at: https://sustainabledevelopment.un.org/sdgs accessed 11 December 2020

United Nations. Millennium Development Goals. Available at: www.un.org/millenniumgoals/ accessed 11 December 2020.

WHO Library Cataloguing-in-Publication Data Management of patient information: trends and challenges in Member States: based on the findings of the second global survey on eHealth. (Global Observatory for eHealth Series, v. 6)

PAHO. (2020). Available at: https://www.paho.org/en accessed 11 December 2020.

Doctors without Borders or Medecins Sans Frontieres (MSF). Available at: https://www.doctorswithoutborders.org/ accessed 9 November 2019.

Swinfen Charitable Trust (SCT). Available at: http://swinfencharitabletrust.org/ accessed 9 November 2019.

International Society for Telemedicine and eHealth (ISfTeH). (2020). Available at: https://www.isfteh.org/ accessed 11 December 2020.

American Telemedicine Association (ATA) and it’s international Chapters. Available at: https://www.americantelemed.org/ accessed 9 November 2019.

Asociacion Iberoamericana de Telesalud y Telemedicina (AITT). (2020). Available at: http://teleiberoamerica.com/index.html accessed 11 December 2020.

World Health Organization. mHealth New horizons for health through mobile technologies: Based on the findings of the second global survey on eHealth, Global Observatory for eHealth series - Volume 3. Geneva, WHO. 2011.

World Health Organization. Telemedicine: opportunities and developments in member states. Report on the second global survey on eHealth. World Health Organization. 2010

Ghani MKA, Mostafa SA, Mustapha A, Aman H, Mohamed MA, Jaber MM. Investigating telemedicine approaches: a 10-country comparison. Int J Eng Technol 2018;7 (3.20):451-460. DOI: https://doi.org/10.14419/ijet.v7i3.30.19093.

Alverson DC, Holtz B, D’Iorio J, DeVany M, Simmons S, Poropatich R. One size doesn’t fit all: bringing telehealth services to special populations. Telemed J e-Health 2008; 14(9): 957-963. DOI: https://doi.org/10.1089/tmj.2008.0115.

DeVany M, Alverson D, D’Iorio J, Simmons S. Employing telehealth to enhance overall quality of life and health for families. Telemed J e-Health 2008;14(9):1003-1007. DOI: https://doi.org/10.1089/tmj.2008.0107.

Published
2020-12-20
How to Cite
Alverson, D. (2020). The International Digital Transformation of Healthcare: Telehealth Development in the Global Community. Journal of the International Society for Telemedicine and EHealth, 8, e13 (1-5). https://doi.org/10.29086/JISfTeH.8.e13
Section
Special Theme: DigiHealthDay-2020 (Keynote Papers)