Hello Everyone,


I regularly come onto this awesome forum to help me with my work.  This is a great way of sharing and learning around Health Informatics.


I have enrolled onto a PhD Research in the area of Telemedicine around Primary Care - however I do need some help in identifying a problem domain where Telemedicine can contribute and increase efficiency.  I have started looking at cloud computing and how this could potentially help primary care, but I am still at a very early stage and urgently need some information or pointers into the right direction.


Please feel free to share you thoughts with me.


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  • I started my research a year ago in this arena and proposed a service for rural China's primary care. However, I already received my degree without delving deeper into the field research. If you'd like, you can use my thesis as the basis. This is the Abstract: 

    Designing a Mobile Health Data Service for Rural China


    A rural population of more than 100 million in China has no medical care. China’s healthcare reform has a core goal of improving healthcare access for rural patients. To facilitate delivery of a web-based multi-specialty telemedicine program for chronic disease management in rural areas, and to better utilize health information resources in village clinics, we propose establishment of a mobile health data service. To design the software used by village physicians and mobile staff, we focus on the current international standards and open source technologies of health informatics. We propose a field study of this approach as an ancillary service of a telemedicine program in sample regions of rural China.We explored four areas of public domain and/or open source software applications: electronic health record system, clinical data acquisition modalities, health information exchange, and web-based telemedicine. The key to a successful software package for Chinese users is software localization, from the international standards to China’s national standards. We must use standards to guide the design and development of healthcare software applications. We also analyze the operational role and opportunities of health informatics in China’s rural healthcare reform.We design the field study to start from the sample regions of an existing telemedicine program. With input from local providers, we will customize software to local user requirements. We will train technicians and deploy them to rural clinics on scheduled days to collect health-2-data, or to exchange information with local providers who have no Internet access. When technicians return to a health information exchange hub where Internet is available, the collected local information will be forwarded to a web-based multi-specialty telemedicine service. Appropriate returning messages will be routed to local providers through physical delivery to ensure information integrity. Phone calls or text messaging will be used only during a medical emergency. With lessons learned from this field study, we will establish a workable model of health information exchange and telemedicine to connect rural patients with medical services available only in the cities.


    If my thesis in attachment doesn't show up right, you can email me:  cheernurse@gmail.com

    • Thank you Wen,


      I have sent you an email to request the thesis so I can have a read of it.  Here in the UK (if I'm not mistaken) the rural community do have access to good healthcare, nevertheless it will be a good read and will no doubt increase my knowledge.


      The cost of implementing a Telemedicine solution in Primary Care (or care for that matter) is expensive and the benefits including savings need to out weigh the implementation cost - I am tempted to look a little deeper into Cloud technology as the back-bone of implementing a Telemedicine solution for Primary Care - for this I need some information from people who have either worked with cloud technology or researched into it.  This Cloud technology is just one idea but I would be grateful for others to share their views with me.


      • Hi Abdi,
        Just joined this forum recently. Have you managed to finish your PhD? I am looking into doing a research in sustainability part of telemedicine. I want to build a sustainable model of telemedicine implementation in developing nation. Any progress in your research? This will help me shape my problem statement
    • hI,

      Can you plz send me the thesis.I am willing to go in this field.




      Dr Suleman Atique

  • Hi Abid,


    How about having a look at the idea of hosted EMR solutions for primary care. There is a company called PracticeFusion who are offering a web-based EMR. This means that primary care doctors don't need to buy and install their own EMR systems but can just sign up online.


    If you are interested in telemedicine and cloud computing you could look at the use of web-based video-conferencing solutions like Adobe Connect and how they are used in healthcare.





    • Hi Guys


      I am Shabbir from Taipei Medical University. I am doing research exactly as Abid wants to do. I am now in Beijing.. Here these people are using cloud computing EHR to reach rural population... as i am still working on the data.. Inshallah soon i will be submitting this study for publications... Meanwhile if anyone can provide more information on Cloud computing Healthcare will be appreciated from other part of the world.




  • Telemedicine is an extremely new field which has geared up momentum in recent years. Telemedicine has become the innovative process which synergises the benefits of satellite communication technology and information technology withb iomedical engineering and medical sciences to deliver the health care services. It usually targets the remote, distant and under served regions of the country.

    • Hi Aisha,


      Telemedicine has actually been around in various forms for quite a while now - although I certainly agree it's been gearing up in recent years as you say. A very early example is tele-cardiology:

      On March 22nd 1905 Einthoven recoded the first tele-cardiogram. He utilized a telephone cable to transmit the signal from the hospital to his laboratory 1.5 km.



      I think one of the differences nowadays is the move to using IP technology rather than satellite or other Point-to-Point technology to transmit the video and data.


      There are also significant advances in linking in telemedicine tools to the EHR and other clinical systems.


      I think that many of the lessons learned delivering remote care to rural and distant locations will find applications in less remote telemedicine link-ups - connections between nursing homes and hospital clinicas are a good example of this.

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