Telehealth: Global Medicine From Home

Rob Brumer, PhD

Medical Student 4

Rutgers New Jersey Medical School

Global Medicine

• Have you ever wanted to

practice global medicine?

• Have you been limited by

factors such as cost and

time commitments?

https://modeofaide.w ordpress.com/2012/03/19/global-medic ine-the-universal-

language-of-health-and-human-rights/

https://w ww.biomedcentral.com/collections/mgh

Access to healthcare in Africa

1 – Ouma, P et al, 2018. Images reproduced under CC-BY

Physician Shortage

2 – WHO, 2018

Delivering healthcare

https://w ww.un.org/africarenewal/magazine/december-2016-march-2017/taking-health-services-remote-areas

Forays into telehealth

https://telemed.msf.org/msf/index.php

https://w ww.doctorswithoutborders.org/sites/default/f iles/MSF169175.jpg

Forays into telehealth

• Zencey – Telehealth appointments via cell phone video chat

– Nigeria, Ghana, Cote d’Ivoire, Cameroon, Senegal, Mali, Liberia, Sierra

Leone

http://w ww.zencey.com

Limited cellular service

https://www.mobilecoveragemaps.com/

Satellite Wifi?

https://satelliteprome.com/new s/satellite-internet-supports-access-broadband-cymru/

Satellite Wifi

Satellite Wifi

https://w ww.starlink.com/

The future of delivering healthcare?

https://w ww.un.org/africarenewal/magazine/december-2016-march-2017/taking-health-services-remote-areas

Other Applications

• LGBTQ+ youth in hostile areas3

• Substance use disorder4

• Sexual health

https://w ww.aha.org/aha-center-health-innovation-market-scan/2019-02-26-w hy-telehealth-critical-health-care

3 – Rotheram-Borus et al, 20184 – Lin LA et al, 2019

Keep Our Momentum!

https://giphy.com/gifs/udHYCJ97Ow V4A/html5

Bibliography

References

1) Ouma, P. O., Maina, J., Thuranira, P. N., Macharia, P. M., Alegana, V. A., English, M., … Snow, R. W. (2018).

Access to emergency hospital care provided by the public sector in sub-Saharan Africa in 2015: a

geocoded inventory and spatial analysis. The Lancet Global Health, 6(3). doi: 10.1016/s2214-

109x(17)30488-6.

2) The 2018 update, Global Health Workforce Statistics, World Health Organization, Geneva

3) Rotheram-Borus, Mary Jane et al. “Getting to Zero HIV Among Youth: Moving Beyond Medical Sites.” JAMA

pediatrics vol. 172,12 (2018): 1117-1118. doi:10.1001/jamapediatrics.2018.3672

4) Lin LA, Casteel D, Shigekawa E, Weyrich MS, Roby DH, McMenamin SB. Telemedicine-delivered treatment

interventions for substance use disorders: A systematic review. J Subst Abuse Treat. 2019;101:38‐49.

doi:10.1016/j.jsat.2019.03.007

Resources

https://www.who.int/gho/health_workforce/physicians_density/en/

https://www.mobilecoveragemaps.com/

https://www.zencey.com/

https://www.starlink.com/

https://www.aafp.org/practice-management/health-it/telemedicine-telehealth.html

Acknowledgments

• Dr. Levounis

• Project ECHO Team

• All of you!