The North Slope Borough (NSB) Telehealth Project involves the use of slowscan (freeze-frame video) and telephone communications between 7 small villages, a central 14-bed hospital, and a large urban hospital over 700 air miles away. The project is intended to improve the quality of health care in this remote rural area in northernmost Alaska. This article describes the initial testing stages of the project and discusses applications for use of this technology. It focuses on the technological potentials for bridging cultural and linguistic differences between health care provider and client and from provider to provider for enhanced primary health care.
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1576.
A discussion of actual problems in the medical maintenance of the Armed Forces of Russia--combat and deployment readiness of the medical service, its personnel training programmes, sanitary-epidemiological control, medical treatment and prophylactics, medical materiel research and development for troops health care. The article deals with the military medical service' tasks of 1999 and of the imminent future focusing on the medical specialists' education with a due regard for their stationing and a possibility of substitution of military medical officers by civilians and the formation of an overall Armed Forces medical maintenance system on a territorial basis.
To determine the incidence and nature of calls for on-call physicians after hours at a tertiary-level rehabilitation center.
Prospective survey of on-call physicians during 1 year.
A tertiary-level rehabilitation center with 66 beds in Nova Scotia.
Residents, clinical associates, and staff physicians covering calls.
Number of calls during 1 year, types of calls, medical issues dealt with, and time spent in center after hours dealing with calls.
The overall response rate by on-call physicians was 75%. In the 274 days for which surveys were returned, 467 calls were received. Of these calls, 53% were for medication orders, 36% for medical issues, 7% for procedures, and 5% for incidents.
For a 65-bed unit, on-call staff were called a median of once per night. The most common call was for medication orders. House staff were required to come in about once in every 9 calls (11%) and stayed less than 1 hour in most cases.
The article deals with main issues of regional diagnostic service functioning in actual conditions. The focus is made on the need of development of forms of organization of diagnostic service. The strategy of its reorganization on the regional level is proposed. The positive outcomes achieved in some regions after these proposal were applied is discussed.
To determine the potential need in medical technologies based on Novosibirsk regional clinical diagnostic center data, the social hygienic evaluation of the population pathology detection during medical consulting care was organized. It is established that the detection of diseases of thyroid gland, bronchial asthma, hypertension, urolithiasis, duodenal ulcer chronic hepatitis, hepatocirrhosis, and allergic rhinitis is the most important issue in the social hygienic evaluation of prevalence of pathologic affection.
The authors have summed up their 12-year experience in forming a system of organizational measures for the diagnosis of pulmonary diseases in an industrial area with the adult population of 3,616 mln. The major stages of diagnosis were studied, measures for its improvement defined, the main causes of diagnostic errors brought to light. The authors are of opinion that separate examination of patients with pulmonary pathology in different institutions is inappropriate.