The changing face of radiology: from local practice to global network

Adler, Julian; Yu, Christopher; Datta, Mineesh

doi:10.5694/j.1326-5377.2009.tb02256.x

Cited by 10 publications

(2 citation statements)

References 11 publications

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“…Teleradiology is increasingly being suggested as a solution for providing imaging services to underserved communities,[4142] but this may be too expensive for SSA. [43] Furthermore, tele-ultrasound, although promising, is still under investigation.…”

Section: The Way Forward: Responsibility Of the State And Training Inmentioning

confidence: 99%

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Kawooya

2012

Journal of Clinical Imaging Science

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The objectives of this review are to outline the needs, challenges, and training interventions for rural radiology (RR) training in Sub-Saharan Africa (SSA). Rural radiology may be defined as imaging requirements of the rural communities. In SSA, over 80% of the population is rural. The literature was reviewed to determine the need for imaging in rural Africa, the challenges, and training interventions. Up to 50% of the patients in the rural health facilities in Uganda may require imaging, largely ultrasound and plain radiography. In Uganda, imaging is performed, on an average, in 50% of the deserving patients in the urban areas, compared to 10–13 % in the rural areas. Imaging has been shown to increase the utilization of facility-based rural health services and to impact management decisions. The challenges in the rural areas are different from those in the urban areas. These are related to disease spectrum, human resource, and socio-economic, socio-cultural, infrastructural, and academic disparities. Countries in Sub-Saharan Africa, for which information on training intervention was available, included: Uganda, Kenya, Tanzania, Rwanda, Zambia, Ghana, Malawi, and Sudan. Favorable national policies had been instrumental in implementing these interventions. The interventions had been made by public, private-for-profit (PFP), private-not-for profit (PNFP), local, and international academic institutions, personal initiatives, and professional societies. Ultrasound and plain radiography were the main focus. Despite these efforts, there were still gross disparities in the RR services for SSA. In conclusion, there have been training interventions targeted toward RR in Africa. However, gross disparities in RR provision persist, requiring an effective policy, plus a more organized, focused, and sustainable approach, by the stakeholders.

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Section: The Way Forward: Responsibility Of the State And Training Inmentioning

confidence: 99%

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Kawooya

2012

Journal of Clinical Imaging Science

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“…The outcomes of telemedicine services can be: i) accessibility to healthcare in remote areas, allowing consistent and reliable communication; ii) fast, affordable, and reachable care; iii) h24 diagnosis (also known as night-hawking); iv) efficiency in care delivery like telestroke scenario; v) cost and time optimization and saving; vi) better collaboration between Specialists [6].…”

Section: Introductionmentioning

confidence: 99%

A Cloud Telemedicine Platform Based On Workflow Management System: A Review Of An Italian Case Study

Mitrano¹,

Caforio²,

Calogiuri³

et al. 2022

Adv. sci. technol. eng. syst. j.

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The paper aims to describe a new technological and organizational approach in order to manage teleconsultation and telemonitoring processes involving a Physician, who remotely interacts with one or more Specialists, in order to evaluate and discuss the specific clinical conditions of a patient, based primarily on the sharing of digital clinical data, reports and diagnostic images. In the HINT project (Healthcare INtegration in Telemedicine), a teleconsultation and telemonitoring cloud platform has been developed using a Hub and Spoke architecture, based on a Business Process Management System (BPMS). The specialized clinical centres (Hubs) operate in connection with the territorial hospital centres (Spokes), which receive specific diagnostic consultations and telemonitoring data from the appropriate Specialist, supported by advanced AI systems. The developed platform overcomes the concepts of a traditional and fragmented teleconsultation and consequently the static organization of Hubs and Spokes, evolving towards an integrated clinical workflow management. The project platform adopts international healthcare standards, such as HL7 FHIR, IHE (XDS and XDW) and DICOM for the acquisition and management of healthcare data and diagnostic images. A Workflow Management System implemented in the platform allows to manage multiple and contemporaneous processes through a single platform, correctly associating the tasks to the Physicians responsible for their execution, monitoring the status of the health activities and managing possible clinical issues.

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Teleradiology in Australia: At the Crossroads of Electronic Health

Tie¹

2011

Journal of the American College of Radiology

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The changing face of radiology: from local practice to global network

Cited by 10 publications

References 11 publications

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

Training for Rural Radiology and Imaging in Sub-Saharan Africa: Addressing the Mismatch Between Services and Population

A Cloud Telemedicine Platform Based On Workflow Management System: A Review Of An Italian Case Study

Teleradiology in Australia: At the Crossroads of Electronic Health

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