e-healthcare activities and international collaboration with australia professor peter yellowlees...
TRANSCRIPT
E-Healthcare activities and International collaboration with Australia
Professor Peter Yellowlees [email protected]
Simple searches
Sex 10mMoney 9mMicrosoft 10mGod 4mBible 3mTax 4m
Australia 7m Beatles 4m Pam Anderson
0.1m Bill Gates 0.3m Jesus 2.5m Coca Cola 0.3m
“Health” 27 million pages
Death 5m Birth 6m Disease 3m Hospital 3.5m Medicine 5m Medication 0.3m Therapy 1.7m
Patient 2m Nurse 0.6m Physician 1m Doctor 2m Therapist 0.2m Alcohol 1m Depression 0.6m
E-book
Three Forces of Change
An empowered Consumerate creates impatient Patients
E-Health adaptability equals survival, especially with broadband
Genomics shifts healthcare from cure to prevention
Source: PWC HealthCast2010, 1999
Health research and Internet2
Two areas of collaborative international research
Virtual RealityGlobal Health Service Delivery
Both involve the use of internet2 for the research process itself, as well as in development of health products.
Research in Virtual Reality
Present day psychiatric successes
Use of Psychosis Tapes for Teaching
Success in Phobia Treatment
The Basic Idea
To develop virtual reality three dimensional environments to allow patients to build precise models and descriptions of their perceptual states, including symptoms such as hallucinations and passivity phenomena, and to use these environments for teaching and preventive health activities.
Possible Virtual Reality uses in Psychiatry
Development of standardised experiences of psychosis and depression (and other less prevalent disorders)
Development of patient driven simulated environments for monitoring, diagnostic reviews and use in rehabilitation and to drive behavioural change
Education of clinicians and carers
Development of reliable stimuli for use in functional imaging (fMRI)
The Problems VR Rooms can solve in psychiatry
Diagnosis is often subjective and depends on interpretation by clinicians of perceptions described by patients
Clinicians observe physical and mental characteristics (including facial movements etc) but these have never been standardised or reliably quantified
Clinicians and carers cannot truly understand the experience of mental illness unless they have suffered it themselves.
It is sometimes very hard to identify quantitative effects of treatment, or outcome improvements – patients and carers tend to have differing ideas of what is a successful outcome
Functional MRI and Virtual Reality
The lack of standardised stimuli for patients undergoing fMRI is a major problem.
Personalised virtual reality scenarios, mimicking illness, or mimicking specific symptoms that are being investigated, could greatly help our understanding of the significance of physiological changes noted on the fMRI.
Virtual Reality for prevention/education – the use of “Active Worlds” Available to
educational institutions, teachers, students and individual programs.
Explore new concepts, learning theories, creative curriculum design, discover new paradigms in social learning.
Over 80 worlds available plus others from the main Active Worlds site.
Participants
Over 80 in total but little health activity
Fairholme College Flinders Medical Centre Rural and
Remote Mental Health Services Griffith Uni, School of Arts RMIT, Dept. of Visual Communication UNSW, Faculty of Built Environment USA, School of Art
The Link with Internet2 and Highbandwidth/Computing Capacity
These projects would undoubtedly create massive amounts of data incorporating three dimensional perspectives, signal processing for facial and movement analysis,and multiple video analyses.
Initially the projects would be for research only, but in the long run high bandwidth and considerable interactivity between groups of researchers, will be necessary to unravel what is effectively a “x-ray of the perceptions and internal self”, or descriptions of entire perceptual worlds.
Global Health Service Delivery and Internet2
Australia +/- 2 time zones
Globalization
“the inexorable integration of markets, nation-states and technologies to a degree never witnessed before- in a way that is enabling individuals, corporations and nation-states to reach around the world farther, faster, deeper and cheaper than ever before…”
Thomas L. Friedman, The Lexus and the Olive Tree, 2000
Health on the internet
E-healthcare global delivery environment
Incorporates a variety of features Videoconsultations Electronic consumer owned health
records – voice driven Practice management and
communications software Web-based educational material –
video and written Flexible consumer focussed clinicians
and health regulation environments
Login Screen
Quick, intuitive, secure
Homepage
Consistent menu at left
Clear, concise, instructions
List of previous and current consultations
Health Record
Supporting documentation can be uploaded for any entry
Doctor entered data highlighted
Health Record (charting)
Patient or doctor can chart any progressive numeric measures by clicking on a single icon
Doctor’s Homepage
Outstanding consults are listed immediately
Hyperlinks go straight to the consult questionnaire
e for people, stupid
the internet is a revolution primarilyin communication, not technology. It’s about people. (Gerry McGovern, The Caring Economy)
An alternative view…..
The medical practice of the future will have only two workers - a nurse and a dog.
The nurse will be there to feed the dog, and the dog will be there to prevent the nurse touching any equipment.
