title: Telehealth in the Pacific Islands: a perspective and update from the Fiji School of Medicine.
abstract: The Fiji School of Medicine (FSM) has increased participation with telehealth/telemedicine in general, and specifically with the Pacific Public Health Surveillance Network (PPHSN) and the Western Pacific HealthNet(WPHNet), through the establishment of a WPHNet Centralised Triaging Service (CTS). The FSM Telehealth/Telemedicine Unit (FSMTU) will oversee the development of the CTS which is being closely coordinated with existing clinical consultation services provided through Project Aamai and the Tripler Regional Medical Center (TRMC). While the WPHNet CTS will initially be concerned with distance clinical consultation, the FSM mission encompasses community health and professional health education in a wide range of disciplines. Currently, WPHNet only serves the jurisdictions of the US-associated Pacific islands but with WPHNet CTS there will be an opportunity to include new member jurisdictions that do not have political affiliation with the USA. (e.g. Cook Is, Kiribati, Niue, Samoa, Solomon Is, Tonga, Vanuatu etc). In addition, although Internet technology is expanding rapidly in the region, the capacity for outside communication throughout the Pacific is quite varied. Very remote areas may currently only be able to communicate by using short wave radio. Others have telephone and/or fax while some have E-mail but not full internet capacity. The FSMTU will implement mechanisms to field requests through any of these communication avenues and so the WPHNet CTS will serve as a proxy for regional healthcare providers that do not have internet access.
authors.affiliation: Fiji School of Medicine, Private Mail Bag, Suva, Fiji. pryor@fsm.ac.fj
authors.forename: J
authors.initials: J
authors.lastname: Pryor
authors.forename: W
authors.initials: W
authors.lastname: Baravilala
authors.forename: C
authors.initials: C
authors.lastname: Katoanga
mesh_terms: D005367:Fiji; D006801:Humans; D020407:Internet; D010139:Pacific Islands; D012040:Regional Health Planning; D012041:Regional Medical Programs; D012577:Schools, Medical; D017216:Telemedicine