Indeed health care becomes accessible to the most marginalized, namely those living in remote areas. We conclude with this quote from a patient with heart disease that we interviewed during field visits: "the mere fact of asking me to go to Bamako capital of Mali for a test worsens considerably my illness. Therefore, for me this project is a miracle". The Mali experience. Yearb Med Inform. Stud Health Technol Inform. Elsevier, Computerized Medical Imaging and Graphics. International Journal of Medical Informatics. Arch Int Med. Dudal website. Chandrasekhar CP, Ghosh J: Information and communication technologies and health in low-income countries: the potential and the constraints.
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Correspondence to Cheick Oumar Bagayoko. COB and AG designed the research project and conducted the research. COB wrote the first draft of the manuscript.
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DT and GB carried out the statistical analysis. COB wrote the final version of the paper. This article is published under license to BioMed Central Ltd. Reprints and Permissions. Search all BMC articles Search.
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Volume 14 Supplement 1 Uptake and impact of research for evidence-based practice: lessons from the Africa Health Systems Initiative's research component. Article metrics Accesses 9 Citations 3 Altmetric Metrics details. Methods The impact of telehealth on health care utilization, quality, and costs was assessed using a five-point Likert-scale based questionnaire consisting of three dimensions.
Results The telehealth activities contributed to improving medical diagnoses in cardiology and obstetrics Background The results of several pilot studies point to the role of Information and Communication Technologies ICTs or e-health as a key element in creating equitable health care systems and services in low- and middle-income countries LMICs [ 1 — 3 ].
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Results The impact on care The first variable, usefulness of ultrasound or EKG to establish diagnosis, was not helpful in only one case and a little helpful in 15 cases. Table 1 Distribution of the usefulness of the examination, conformity of diagnosis, and on-site support Full size table. Figure 1. Change in the number of visits between intervention sites and control sites from Full size image. Discussion The results of our study show that telehealth has a positive influence on the improvement of the medical decision making in remote area, on the reduction of health care costs for patients, and on increasing attendance and appeal of the health centres.
Conclusions In light of our study, we can affirm that telehealth has a positive impact on the quality of care, health care costs reduction, and increasing the appeal of participating district hospitals. References 1. PubMed Google Scholar 3. PubMed Google Scholar 4.
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Barriers to Development of Telemedicine in Developing Countries
The Butaro Cancer Center is a national referral hospital for cancer care established in as a joint venture between the Rwandan Ministry of Health, the Clinton Health Access Initiative and the Boston-based nonprofit, Partners in Health. Housed within Butaro Hospital, the center includes a bed cancer ward and a weekly cancer outpatient clinic, which provides complex cancer care for poor, rural-based patients.
Like many low- and middle-income countries, the Butaro center does not have an on-site pathologist to evaluate cells and tissues under a microscope to make a definitive cancer diagnosis. The World Health Organization estimates that there is only one pathologist for every one million people in sub-Saharan countries, compared to one pathologist for every 20, people in the U.