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Transcript of Telehealth in Australia Laurie Wilson PhD Honorary Secretary, Australasian Telehealth Society...
Telehealth in Australia
Laurie Wilson PhDHonorary Secretary, Australasian Telehealth Society
Post-Retirement Fellow, CSIRO ICT Centre
Telehealth in Australia
• Challenges posed by large distances and small populations– Excellent health system but unequal access to the
best expertise– Poorer health outcomes in rural and remote areas
• Long history – Royal Flying Doctor Service 1928
• Development limited by– Lack of national vision– Fragmentation due to state-based health systems– Lack of access to advanced network and user
interface technology
Australia is a big country…….
0 200 400 600 800 1000 1200 1400
Chile
Australia
Malaysia
Peru
Canada
Korea (S)
Thailand
Vietnam
Philippines
Mexico
Japan
Indonesia
USA
China
Population (millions)
Selected Asia-Pacific Nations
…with a small population
Some recent developments
• Broad band critical care telemedicine pilots
• Announcement of National Broadband Network
• Formation of Australasian TeleHealth Society
Telehealth on Advanced Networks
• Projects supported by Australian Department of Broadband, Communications & the Digital Economy– Virtual Critical Care Unit (ViCCU)– ECHONET
• Use of advanced network permits delivery of more complex services– Better use of stretched medical workforce
Virtual Critical Care Unit
• Developed by CSIRO with support from Australian Department of Broadband, Communications & Digital Economy
• Uses multiple high-bandwidth video & audio channels to permit a trauma specialist to join a team in a rural hospital
ViCCU®
100 Mbit/s fibre
ECHONET
• Connects regional ICU to major tertiary referral ICU
• Supports bedside consults and echocardiography
• Major teaching role
ECHONET system
Royal Hobart Hospital Cardiology
Royal Hobart Hospital ICU
Burnie Hospital ICU
100 Mbit/s network
Australasian TeleHealth Society
• www.aths.org.au• A forum for telehealth in Australia and New
Zealand• Affiliated to International Society for
Telemedicine and eHealth (ISfTeH)• Formed in 2008; growing rapidly• Dedicated to raising the profile of telehealth in
Australia• Around 50 members
– Corporate members include Royal Flying Doctor Service
Trends
• Better networks and user interfaces support:– Complex medical procedures and cases, e.g.
critical care– Point of care consultations– User-activated consultations underpinned by
high degree of usability– Distributed expertise model of health care
delivery
National Broadband Network
• Recently announced by Australian Department of Broadband
• $A43billion investment
• Health as major beneficiary
Telehealth in Australia
• Australasian TeleHealth Society to push for national approach
• National Broadband Network to provide opportunities for further rollout of advanced systems
Two events in 2010
• 29th APAN Meeting, Sydney 8-12 February
• Annual Scientific Meeting of the International Society for Telemedicine & eHealth, Perth, November (incorporating 1st Scientific Meeting of Australasian Telehealth Society)