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.
AD - George Institute for Global Health, PO Box M201, Missenden Road, NSW 2050, Australia amartiniuk@george.org.au. AN - 21628420 BT - Journal of Telemedicine and Telecare ET - 2011/06/02 LA - eng M1 - 5 N1 - Martiniuk, AlexandraNegin, JoelHersch, FredDalipanda, TennethJagilli, RooneyHouasia, PatrickGorringe, LilijanaChristie, AnnieEnglandJournal of telemedicine and telecareJ Telemed Telecare. 2011;17(5):251-6. Epub 2011 May 31. N2 -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.
PY - 2011 SN - 1758-1109 (Electronic)1357-633X (Linking) SP - 251 EP - 6 T2 - Journal of Telemedicine and Telecare TI - Telemedicine in the Solomon Islands: 2006 to 2009 VL - 17 ER -