Using Telemedicine With Point-of-Care Testing to Optimize Health Care Delivery in Thailand

Kulrattanamaneeporn, Shayanisawa; Tuntideelert, Masarus; Kost, Gerald J.

doi:10.1097/01.poc.0000243981.30761.4d

Cited by 11 publications

(3 citation statements)

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“…We assessed needs scientifically based on methods [ 17 – 20 ] codified by multicenter teams from the NIH National Institute of Biomedical Imaging and Bioengineering Point-of-care Technologies Centers and Research Network [ 21 – 23 ]. We generated a collection tool for needs assessment data (Additional file 2 ), which was synthesized for use in the Philippines from prior POCT needs assessment questionnaires used in Cambodia [ 24 , 25 ], Taiwan [ 26 ], Thailand [ 27 – 33 ], Vietnam [ 16 , 34 – 36 ] and southern Thai provinces following the Andaman Sea Earthquake and Tsunami [ 30 , 32 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

Kost,

Füzéry,

Caratao

et al. 2023

Int J Health Geogr

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Objectives To perform geographic contour analysis of sea and land ambulance rescue times in an archipelago subject to super typhoons; to design point-of-care testing strategies for medical emergencies and weather disasters made more intense by global warming and rising oceans; and to assess needs for prehospital testing on spatial care paths that accelerate decision making, increase efficiency, improve outcomes, and enhance standards of care in island nations. Methods We performed needs assessments, inspected healthcare facilities, and collected ambulance rescue times from professionals in the Bantayan Archipelago, Philippines. We mapped sea/land ambulance rescue routes and time contours. To reveal gaps, we statistically compared the fastest and slowest patient rescue times from islands/islets and barangays to the District Hospital on Bantayan Island. We developed spatial care paths (the fastest routes to care) for acute myocardial infarction, community care, and infectious diseases. We generated a compendium of prehospital diagnostic testing and integrated outcomes evidence, diagnostic needs, and public health goals to recommend point-of-care strategies that build geographic health resilience. Results We observed limited access to COVID-19 assays, absence of blood gas/pH testing for critical care support, and spatial gaps in land and airborne rescues that worsened during inclement weather and sea swells. Mean paired differences (slowest-fastest) in ambulance rescue times to the District Hospital for both islands and barangays were significant (P < 0.0001). Spatial care path analysis showed where point-of-care cardiac troponin testing should be implemented for expedited care of acute myocardial infarction. Geospatial strengths comprised distributed primary care that can be facilitated by point-of-care testing, logical interisland transfers for which decision making and triage could be accelerated with onboard diagnostics, and healthcare networks amenable to medical advances in prehospital testing that accelerate treatment. Conclusions Point-of-care testing should be positioned upstream close to homes and island populations that have prolonged rescue time contours. Geospatially optimized point-of-need diagnostics and distributed prehospital testing have high potential to improve outcomes. These improvements will potentially decrease disparities in mortality among archipelago versus urban dwellers, help improve island public health, and enhance resilience for increasingly adverse and frequent climate change weather disasters that impact vulnerable coastal areas. [350 words].

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Section: Methodsmentioning

confidence: 99%

Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

Kost,

Füzéry,

Caratao

et al. 2023

Int J Health Geogr

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“…Throughout Phang Nga, we investigated telemedicine based on previous experience at Ao Luk CH in Krabi Hospital, 8 the first amphur (district) in Thailand where telemedicine between the local CH and local PCUs was innovated for daily primary and urgent care.…”

Section: Telemedicinementioning

confidence: 99%

Point-of-Care Testing Value Proposition for Disaster Preparedness in Small-World Networks

Kost¹,

Katip²,

Kulrattanamaneeporn³

et al. 2013

Point of Care: The Journal of Near-Patient Testing &Amp; Technology

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Objective: The 2004 earthquake/tsunami devastated Southeast Asia.We studied point-of-care testing (POCT) and O 2 saturation monitoring in Phang Nga, hardest hit southern coastal province, to develop preparedness strategies for low-resource small-world networks (SWNs).Design, Setting, and Participants: Early 2005, we surveyed 4 provinces then, in 2007Y2011, focused on Phang Nga with new field/ phone/mail/e-mail/fax surveys of 7 primary care units, all 7 community hospitals, and both regional hospitals. We used short-and long-form Thai surveys, photodocumented instruments, and assessed resources. Chiang Rai, unaffected by the tsunami in the north, served as control for pulse oximeter utilization.

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“…3 Health care practitioners then can integrate POCT results and patient information dynamically and flexibly in the event of crises, yet justify the marginal costs of readiness by using the SWNs for daily routine health care while also connecting with professional expertise in distant specialty centers via telemedicine to local community hospitals. 4 The recently awarded telehealth networks funded nationally by the Federal Communications Commission (FCC) rural health care support mechanism might be viewed as opportune test beds for exploring different models for integrating POCT systems into the heterogeneous range of health care systems. In fact, we, as the managing institution for one such initiative, are creating just this type of opportunity by integrating the University of California Davis Health System via telemedicine with rural care units and other providers throughout the State of California (http://www.…”

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confidence: 99%

Knowledge ⇒ Education ⇒ Mind Connectivity

Kost¹,

Minear²,

Siegel³

et al. 2008

Point of Care: The Journal of Near-Patient Testing &Amp; Technology

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Telehealth-embedded knowledge packets in conjuction with point-of-care testing strategically placed in small-world networks for regional health care delivery can provide multilingual education and intellectual connectivity at levels of sophistication appropriate for the practice of modern evidence-based medicine worldwide. In addition, appropriate demographic and topographic integration can provide efficient critical, emergency, and disaster care and thereby improve public health preparedness, especially in underserved low-resource settings most in need of help.

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Using Telemedicine With Point-of-Care Testing to Optimize Health Care Delivery in Thailand

Cited by 11 publications

References 0 publications

Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

Using geographic rescue time contours, point-of-care strategies, and spatial care paths to prepare island communities for global warming, rising oceans, and weather disasters

Point-of-Care Testing Value Proposition for Disaster Preparedness in Small-World Networks

Knowledge ⇒ Education ⇒ Mind Connectivity

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