01735nas a2200217   4500000000100000008004100001100001700042700002400059700001400083700001500097700001500112700001600127700001600143700001300159245005400172250001500226300001000241490000700251520121300258020004601471       2011                            d1 aDalipanda T.1 aMartiniuk Alexandra1 aHersch F.1 aJagilli R.1 aHouasia P.1 aGorringe L.1 aChristie A.1 aNegin J.00aTelemedicine in the Solomon Islands: 2006 to 2009  a2011/06/02  a251-60 v173 a<p>
Telemedicine has been used in the Solomon Islands since 2000. We used quantitative and qualitative methods to examine telemedicine use in the Solomon Islands from January 2006 to June 2009. During the study period 66 telemedicine cases were submitted to the store and forward telemedicine system being used there. These included orthopaedic, oncology, cardiothoracic, infectious, congenital, gastroenterology and dermatology cases. Most cases (52%) were submitted by doctors at the National Referral Hospital (NRH) in Honiara. The majority of responses came from the NRH (27%). A final, firm recommendation regarding patient diagnosis and/or care was given for 46% of the cases. Interviews were conducted with 23 stakeholders in the Solomon Islands and in Australia to better understand the current and future use of telemedicine. The interviews identified the fragility of the Solomon Islands infrastructure, including the lack of training, as the largest barrier to the future use of telemedicine. The best use of telemedicine appears to be case sharing within the Solomon Islands, with connections to clinicians in other countries as a secondary benefit when particular expertise is required.
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