Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia...
Transcript of Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia...
![Page 1: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/1.jpg)
Dec 11, 2019 @ASREN, Abu Dhabi, UAE
Shuji Shimizu, MD, PhD
Telemedicine Development Center of Asia,International Medical DepartmentKyushu University Hospital, Fukuoka, Japan
http://www.imed.med.kyushu-u.ac.jp/en/index.html
Telemedicine
in Asia and beyond- Experiences over 15 years -
![Page 2: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/2.jpg)
Key-hole operation:
Open Endoscopic
Many doctors want to learn the new surgeries.
1990sRevolution!
![Page 3: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/3.jpg)
Visiting hospitals・・・
▪ Time
▪ Expenses
▪ Limited number of people
▪ Few occasions
Especially to abroad
![Page 4: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/4.jpg)
Teleconference/Live demo
Expensive!
SatelliteInternet
Poor image!
1990s
![Page 5: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/5.jpg)
Situations changed dramatically in
Network revolution!
Big Internet
(2G).
Japan
Korea
Hub in
Kyushu U
2002
![Page 6: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/6.jpg)
Cheap and User-friendly
Video camera
PC
DVTS: free software
Good for
developing
countries!
![Page 7: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/7.jpg)
OR Surgical movie
NCC, KoreaKyushu Univ., Japan
Endoscopic Surgery for Gastric Cancer
Aug 1, 2003
The first live demonstration of surgery
2003
![Page 8: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/8.jpg)
Live surgery: TV news reportsAug 22, 2003
TNC in the evening news
RKB
KBC
NHK
KBC
![Page 9: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/9.jpg)
Asia-Pacific Academic Network (APAN)
International R&E Network (REN)
Advanced Internet
around the world
Secretariat of
Medical WG
![Page 10: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/10.jpg)
KR
China
Gastric cancer
Bhutan
Thailand
India
Vietnam
Malaysia
JP
Singapore
Nepal
Recovery
Less cost
Back to work
Endosc
Early
Admission
Recurrence
Death
Ope
Advanced
Diagnosis and
treatment
Early detection is essential!
Myanmar
![Page 11: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/11.jpg)
China-Japan Early Gastric Cancer Teleconference
Tokyo/JPFukuoka/JP
Shanghai/CNSince 2007
Beijing/CN
Video
Big Population!
![Page 12: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/12.jpg)
Global endoscopic conference
2012.8.28
IN
LKTW KR
GEIN KRSG
HK
Video
![Page 13: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/13.jpg)
Expansion
of Network
to South
Africa
2010
![Page 14: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/14.jpg)
First to Cape Town in South Africa
Kyushu U, JP
Cho Ray, VN
U Cape Town, ZA
2011.9.21 2011.3
14,000km
Video
![Page 15: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/15.jpg)
Orthopedics Teleconference with Uganda
Makerere Univ./UG
2015.3
Fukui Univ./JP
![Page 16: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/16.jpg)
Midwife Teleconference in Tanzania
Tokyo/JP
Muhimbili Univ/TZ 2018.1.5
![Page 17: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/17.jpg)
Mortality of Gastric Cancer (Male)
![Page 18: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/18.jpg)
Teleconference with Latin America
Osaka, JP
INNCZ, MX MXBR Alemana, CL
Cali, CO
La Paz, BO
KUH, JP
CR
VIDEO
Since 2013,
17 times
![Page 19: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/19.jpg)
2018.7
4th Russia-Japan Endoscopy Teleconference
Yaroslavl
Tokyo, JP
Fukuoka, JP
Bishkek, KG
Nizhniy
Yaroslavl VologdaKhabarovsk
Moscow
Vladivostok
Novosibirsk
Bishkek, KG
12 sites (8 months later)
![Page 20: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/20.jpg)
2004.7
Sapporo
2004.1
Beijing
2004.12
2005.1
Tokyo
Bangkok
Shanghai
Singapore
Kuala Lumper
NUS
2004.7
2004.1
Brisbane
ManilaPhilippine U
BandungITB
2005.11
2005.6
Iwate 2005.7
2005.11
Taichung2005.11
New DehliERNET
2004.10
HaLong
2006.6
2006.7
2006.7
Taipei
MumbaiTata MH
2003.2Jilin
Jakarta, UI
Hanoi
Melbourne
Sydney
Auckland
2007.3
CanberraANU
Hawaii
Ho Chi MinCho Rai Hosp
2007.1
2007.1
Before 2005
After 2008
2006 - 2007
2007.1Adelaide
Flinder’s Hosp
2005.11
2007.3
California
2007.1
Stanford, UC IrvineHong
Kong
Brazil
FukuokaYokohama
Cairnes
EgyptCairo U
2007.8<Asia Medical Project>
70 countries
738 institutions
1095 programs
Seoul
Europe
South Africa
![Page 21: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/21.jpg)
Endoscopy32%
Surgery21%
Pediatrics5%
Fetus5%
Student4%
Nurse3%
Healthcare3%
Pancreas3%
Technology2%
Transplantation2%
Medical Infomatics
1%
Cardiology1%
Oriental Medicine1%
Hepatology1%
Dental1%
Neurology1%
Oncology1%
Hematology1%
Urology1%
Chest Surgery1%
Ophthalmology1%
Robot1%
Infection1%
Others9%
Others:
・Gynecology
・Neurosurgery
・ENT
・Pathology
・Orthopedics
Contents
N=703
31 subspecialties
![Page 22: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/22.jpg)
Infection: Bird Flu Teleconference2007
Indonesia
VietnamPhilippines
Australia
USA
China
Thailand Japan
•Dengue
•Ebola
•MERS
•Zika
![Page 23: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/23.jpg)
Dental teleconf.
Kagoshima UKyushu U
Airlangga Univ.
Harapan Kita
Hospital
Indonesia
Video
2015.3
![Page 24: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/24.jpg)
Nurse teleconferences
Malaysia タイThailand
Singapore
Australia
Russia
Japan
![Page 25: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/25.jpg)
Medical Students 2017.6
KU-1
KU-2
KU-3
St Luke’s U, PH
Mahidol U, THJapan
![Page 26: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/26.jpg)
Key for the success
1. Access
2. Needs
3. Skills
Internet
Engineers
Doctors
Engineers Medical Staff
ASREN
Training
Champions
![Page 27: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/27.jpg)
On-the-Job Training @APAN
2018.3.25-29
SG
2018.8.5-9
NZ2019.2.18-23
KR
Hands-on training for many medical sessions.
![Page 28: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/28.jpg)
Train-the-Trainers @TEMDEC
Lectures
Hands-on Ope Rm
Endosc RmCertificate
Foster the leaders in each country after going home.
![Page 29: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/29.jpg)
Aug 2016
Domestic Workshop Indonesia
Doctors
Engineers
Philippines Vietnam Nepal Myanmar Kyrgyz
![Page 30: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/30.jpg)
Telemedicine Project
Ensure inclusive and
equitable quality education
and promote lifelong
learning opportunities for all
Ensure healthy lives
and promote well-being
for all at all ages
![Page 31: Telemedicine in Asia and beyondasrenorg.net/eage19/sites/default/files/files...Telemedicine in Asia and beyond - Experiences over 15 years - Key-hole operation: Open Endoscopic Many](https://reader034.fdocuments.in/reader034/viewer/2022042117/5e9524fcfb27f934eb317562/html5/thumbnails/31.jpg)
Time to start!
FIFA2022 in Arab!