title: Telemedicine in the Solomon Islands: 2006 to 2009.
abstract: Telemedicine has been used in the Solomon Islands since 2000. We used quantitative and qualitative methods to examine telemedicine use in the Solomon Islands from January 2006 to June 2009. During the study period 66 telemedicine cases were submitted to the store and forward telemedicine system being used there. These included orthopaedic, oncology, cardiothoracic, infectious, congenital, gastroenterology and dermatology cases. Most cases (52%) were submitted by doctors at the National Referral Hospital (NRH) in Honiara. The majority of responses came from the NRH (27%). A final, firm recommendation regarding patient diagnosis and/or care was given for 46% of the cases. Interviews were conducted with 23 stakeholders in the Solomon Islands and in Australia to better understand the current and future use of telemedicine. The interviews identified the fragility of the Solomon Islands infrastructure, including the lack of training, as the largest barrier to the future use of telemedicine. The best use of telemedicine appears to be case sharing within the Solomon Islands, with connections to clinicians in other countries as a secondary benefit when particular expertise is required.
authors.affiliation: George Institute for Global Health, PO Box M201, Missenden Road, NSW 2050, Australia. amartiniuk@george.org.au
authors.forename: Alexandra
authors.initials: A
authors.lastname: Martiniuk
authors.forename: Joel
authors.initials: J
authors.lastname: Negin
authors.forename: Fred
authors.initials: F
authors.lastname: Hersch
authors.forename: Tenneth
authors.initials: T
authors.lastname: Dalipanda
authors.forename: Rooney
authors.initials: R
authors.lastname: Jagilli
authors.forename: Patrick
authors.initials: P
authors.lastname: Houasia
authors.forename: Lilijana
authors.initials: L
authors.lastname: Gorringe
authors.forename: Annie
authors.initials: A
authors.lastname: Christie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia; D002648:Child; D002675:Child, Preschool; D003199:Computer Systems / Q000600:supply & distribution; D003906:Developing Countries; D005069:Evaluation Studies as Topic; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020407:Internet / Q000600:supply & distribution; D007407:Interviews as Topic; D008297:Male; D008507:Medically Underserved Area; D008542:Melanesia; D008875:Middle Aged; D017216:Telemedicine / Q000706:statistics & numerical data* / Q000639:trends*; D055815:Young Adult