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
Satellite Wifi?
https://satelliteprome.com/new s/satellite-internet-supports-access-broadband-cymru/
Satellite Wifi
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!