On Thursday 08 February 2007 15:22, John Mackenzie wrote:
> My proposal is to use these technologies for the mission critical
> task of providing after hours care to rural hopitals/ communities
> from "call centres" staffed by suitably experienced GPs.
>
> My medical experience tells me that this will work and lift/ lighten
> the great burden of after hours care off rural GPs.

Your proposal might help in some areas.

My main concern as rural GP 5/7 on call is not so much the on call load (which 
is manageable in my area thanks to effective, skilled and determined  triage 
nurses - but the fact that I am tied to a place which I cannot leave eg to 
watch a movie, go to a restaurant, a CME event, snorkelling  etc.

Telemedicine woudl not liberate me - but under current policies it might 
deprive me of a great deal of income (shameful thought that this has to be 
taken into consideration).

If I am woken up to watch a patient on the screen or whether I actually see 
the patient, makes absolutely no difference to me.

But if I have a problem patient and can get instant telemedical help from more 
experienced /specialized colleagues at tertiary institutions any time of the 
day, now THAT makes a huge difference - as I experienced in Norway

The later implies that we need teelmedical equpment anyway. If some places can 
use them to lessen the on call burden, it's a bonus

It is really sad that one of the OECD countries with the greates need for 
telemedicine has in fact one of the least implementation rates - we are a 
telemedical backwater same as we remain an internet backwater

Horst
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