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Telemedicine: Low-Bandwidth Applications for Intermittent Health Services in Remote Areas
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To the Editor.—Telemedicine has benefited greatly from rapid advances in imaging hardware and transmission technologies.1-5 Intermittent service projects can augment medical care in developing countries with effectiveness and quality in such fields as plastic surgery, which are characterized by low morbidity and rapid recovery. Yale University, in collaboration with Interplast (http://www.Interplast.org), a pro bono plastic surgery program, used Internet telemedicine to make more efficient use of limited service project time by screening patients prior to arriving on-site in Manaus, in the state of Amazonas, Brazil, on the Amazon River.
The program was publicized through the news media and patients were referred to an oncological hospital, the Hospital CECON (Centro de Controlee de Oncologia [Center of Oncology Control]), where they underwent an initial evaluation including imaging of the congenital malformation and a history and physical examination. The initial service mission took place in 1996.
Yale used a Power . . . [Full Text of this Article]
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