the tele-health revolution. medical i.c.t. construction incompetence? negligence? or...
TRANSCRIPT
THE TELE-HEALTH REVOLUTION
Medical
I.C.T.
Construction
Incompetence? Negligence? or Un-professional?
ICT Adoption Trends
21.6 million internet users ~53.3% internet penetration (March 2014)
31.8million mobile phone subscribers~78.1% Drop in SMS use- adoption of more internet
instant messaging
Increase in social media consulting and information exchange
41% of medical professionals use mobile phones to seek information for clinical purposes
Source: CAK Statistics 2014, Utilization of ICTs for Accessing Health Information by Medical Professionals in Kenya: A Case Study of Kenyatta National Hospital -Journal of Health Informatics in Developing Countries, Dr. George M. Gatero
CPD in Healthcare -Trends
Common practice across all cadres i.e. physicians, dentists, nurses, clinical officers, pharmacists, medical lab techs
Includes both formal/structured and also informal & self directed.
Often regulated and accredited by their respective regulatory bodies (awards CPD points for monitoring).
One of the main factors considered during practice license renewal
Each respective regulatory body have their own CPD guidelines
Sources of Medical Information
Professional colleagues: consultation from colleagues and other medical specialists
Pharmaceutical representatives: research as relates to drugs.
Textbooks and journals: Pocket handbooks are common especially by registrars and interns e.g. BNF
Internet and e-journals: Internet and e-journals also serve as important sources of information for medical doctors.
- Medical meetings: valuable source of general medical information.
Source: Utilization of ICTs for Accessing Health Information by Medical Professionals in Kenya: A Case Study of Kenyatta National Hospital -Journal of Health Informatics in Developing Countries, Dr. George M. Gatero ,2010
HCP Distribution in Kenya (Doctors)
Uneven distribution of doctors in the former 8 provinces:
32% Nairobi (hosts only 8% of the national population),
18% - R.Valley, 14% -Central, 11% - Eastern, 9% - Nyanza, 8% - Coast, 6% - Western, 2% - North Eastern (hosts 6% of the national
population) 78.7% of Kenyans living in rural areas have access to
less than 21.3% of doctors. (AFHWO-HRH MoH IPPD Date 2009)
Ratio of Doctors to population served in Kenya(2013):21:100,000 ~ Approx.1: 4762 (WHO standard - 1:600)
KMA Daktari Online
e-learning platform for healthcare workers and the public in general on health issues.
Medical Practitioners and Dentists’ Board (MPDB) requirement for CPD of Medical doctors.
Legal prerequisite for retention in the MPDB register.
Background
Health workers are fundamental to ensuring equitable access to health services and achieving universal health coverage.
Kenya continues to experience a severe health workforce shortage resulting from lack of adequate training and migration (brain drain).
Background
57 countries face critical health workforce shortages
WHO estimates that 2.4 million healthcare workers are needed to meet the Millennium Development Goals(MGDs) set for 2015.
Background
57 countries face critical health workforce shortages
WHO estimates that 2.4 million healthcare workers are needed to meet the Millennium Development Goals(MGDs) set for 2015.
e-Learning
eLearning is used increasingly in health care to support the delivery of learning in outcome-based education.
Broadly speaking, eLearning is considered to be the application and integration of educational technology to the learning process.
eLearning approach is defined as learning with no face-to-face component that relies entirely on the use of eLearning technology and techniques for its delivery
Why Doctors Seek Information?
Backing up prescribing decision (drug administration & effects)
Support the roles and tasks related to teaching and research activities
Maintain their competence throughout their career
To meet the legal requirement for continuous licensing. To improve the management of patients
Provide better patient care service and keep up-to-date with the current trends in medicine
Effective diagnosis hence treatment
Limitations to Information Access
Lack of resource centers and hospital libraries
Lack/few of computers and internet facilities within workplaces
Relevance of internet information to the local context
Lack of local medical reference works in libraries
Lack of general awareness of available information
High costs of subscriptions to journals
Accessibility of information from locations outside the hospitals vis-a-vis their schedule of work
Objectives of Daktari Online
The main objective of Daktari Online is to fill the gap of the lack of a reliable and accessible Continuous Professional Development (CPD) tool within the medical fraternity.
Provide a platform for online consultation, reference and publishing of local research/cases
Provide a reliable, localized public online medical education platform
Capacity building of health workers to ensure improved quality of care to the public.
Daktari Online Services
Daktari Online (Public)
First Aid
Symptoms Checker/Drug Interaction
Disease Management
Patient Rights
Healthcare Facilities & Centers
Medical Financing Services
Medical Specialists Directory
Daktari Online Pro (HCPs)
CPD/CMEs
References
Publications
Events
Training
Awareness Campaign
Help improve understanding of medical conditions, diagnosis, disease, or disability.
Help improve understanding of methods and means to manage multiple aspects of medical condition.
Motivation to comply through effective communication and patient education
Patient Outcomes – Patients more likely to respond well to their treatment plan – fewer complications.
Daktari Online (Public)
Daktari Online (Public)
Help patients make informed Consent by providing the information they need.
Utilization – More effective use of medical services – fewer unnecessary phone calls and visits.
Satisfaction and referrals – Patients more likely to stay with your practice and refer other patients.
Risk Management – Lower risk of malpractice when patients have realistic expectations
Quality of Content
KMA CPD, Ethics and research committee
Daktari Online editorial board
Accreditation by the MPDB and other regulatory bodies
Platform development backed up with
over 3 years of research of Medical Education in Kenya
Our partnership with Kenya Medical Association with a membership of over 2000 doctors countrywide
Platform for doctors piloted for the 12 months
Daktari Online Status
Daktari Online Status
Over 1000 registered doctors from over 41 different counties representing over 48 different healthcare institutions
Accredited online platform by the medical board to offer online CPD activities
2.5million hits in December 2014 i.e. 71063 hits by day
Daktari Online Status
Opportunities For Partnership
Platform for sharing of CMES from different CME providers
Implementation of similar CPD program other HCP cadres
Content research and development for the Daktari Online wellness platform for the general public
Publishing opportunity with available peer review
Target HCW Categories
Daktari Online Pro (HCP)
Physicians (6000)
Dentists (700)
Nurses (65,000)
Clinical Officers (8600)
Pharmacists (2000)
Medical Lab Technologists
Paramedics
Homepage - Physicians
Post CME- Quiz
CME in PiP
Event Publications