The use of ICT in the medical field has given rise to a new dimension so called telemedicine. Telemedicine is not a new concept, but the level of use differs between the developed and the developing countries, because of the limited infrastructural development and high expenses of technology in the later case. Though it is certain that using ICT in healthcare will improve health status of the nation, answers to the questions like which technology to choose; and what strategy to follow in order to achieve maximum benefit from minimum investment is still under consideration for developing countries.
This study was carried out at Dhulikhel Hospital to explore the infrastructural development of telemedicine, its usage, benefits and users’ perspectives on the stability and sustainability of the services in future with context to hospitals in Nepal. A qualitative method with interpretive research approach was chosen for the study using informal discussions, observation and semi-structured interviews with open-ended questionnaires as data collection tools. The empirical findings have been generalized via Information Infrastructure (II) and Actor Network Theory (ANT) as theoretical framework.
The findings from the study indicate that telemedicine is not simply technology; rather it is teamwork which requires good relationship between the users and good understanding of the setup. Furthermore, the study concludes that even a simple technology if implemented with proper vision and strategy can save many lives, and sustainability with telemedicine for developing countries can be achieved through slow and steady progression.
Key words: Telemedicine, Nepal, sustainability, strategy, slow and steady progression.
The aim of this thesis was to implement prototype which, provides relevant information to the user at right time. The personal information that is targeted here was health-related information. This may include various type of information, such as drug information, education information, health monitor data for instance glucoses meter, step counter, personal notes, health related images ,PDF files. To implement prototype, we use metadata of the information. Some of the metadata of the information describes the context of the information. We used time, date and location context of information to implement our goal successfully. By using these contexts of the information, the relevant information to user is provided.
The four components were implemented to implement prototype: Metadata extractor, Information manger, controller and user interface. The metadata extractor allows user to download files and automatically store file in to the download folder and context of these files was extracted and stored in to the database. The second component was information manger; the main function of this component was to reads the context of downloaded files and make association of similar files by using context. The third component was controller, it was use to represent related files to the end users and the user interface allows user to interact with our system.
The implemented prototype was tested for providing related information to the users. The information access was based on the context of the information, which eases to get results and to recognize useful information for the users. It was also tested whether the prototype stores updated files or not. The prototype makes association of new downloaded files to the database and it also avoids redundancy of files. Thus, it helps users to access the updated information and to reduce redundancy of data. The prototype provides user with the right set of information to the right time, by identifying the need of the users by matching with available information.