Thursday, October 25, 2018

A White Paper on the "Case for a Global Telemedicine Vehicle Network"

          By Drew Klein

Nearly 50% of the world’s population have no access to basic health services. A new "white paper" from Ottawa ON based C-COM Satellite Systems hopes to address this challenge using modern telemedicine and telecommunications technologies.

According to the white paper, the vast majority of the world's population lives outside cities, in areas where few hospitals exist and healthcare is sporadic. Those geographical areas with limited to no healthcare accessibility are called ‘medical deserts,’ and they continue to expand as people move out of rural regions and into cities.

Medical deserts can be found in both developed and developing countries alike.

In the United States, approximately 30 million people live more than 30 miles from a hospital that provides emergency care. In Niger, more than 60% of the population (10 million people) live further than a one hour walk to a basic healthcare center. While Africa is urbanizing, approximately 63 percent of the total Sub-Saharan population still live in rural areas. Even France, often lauded as a prized model for national healthcare, has struggled with a steady decline in rural doctors, notably general practitioners.

To combat this growing crisis, C-COM has issued an international call to doctors, government health workers, hospitals, universities, vehicle/coach builders, satellite operators, service providers and system integrators to:
  • Use modern Earth imaging and communications technologies to identify the world’s "medical deserts."
  • The work together to create a global telemedicine vehicle network to address the problem and reverse the decline of healthcare in rural and hard to serve communities. 
The complete paper, under the title "The Case for a Global Telemedicine Vehicle Network: A Mobile Health Clinic White Paper," is available online at the C-COM website.

Both the US Centers for Disease Control (CDC) and the National Institutes of Health (NIH) have confirmed that a direct correlation exists between distance to hospitals and an increased risk of preventable death.

In India, for example, it was estimated that 50,000 deaths (out of 72,000) from sudden abdominal conditions in 2010 could have been averted with better medical access.  Those who lived more than 100km from a hospital were at the highest risk.

A 2016 study showed that only 1 in 8 high income countries had developed a national policy on hospitals in rural or remote areas.  Rural healthcare facilities have historically been a poor investment and their sustainability is concerning.  Even in the US, 83 rural hospitals have closed since 2010 with another 673 vulnerable to shut down.

The problem isn’t likely to improve so long as the cost of building hospitals in rural areas remains prohibitive

According to one Harvard study, for every $1 spent on mobile healthcare, there is a return of $36 to the healthcare budget.

Mobile surgical vehicles, mobile MRI/CAT/Mammography/Ultrasound clinics, mobile maternity, mobile primary health care (Medical/Dental/Vision), and many other types of telemedicine vehicles can be strategically circulated throughout the world’s medical deserts, bringing healthcare to billions of people.

And while healthcare costs vary dramatically from country to country, a sad reality is that it will never be economically feasible to build hospitals or health care facilities in all the world’s medical deserts.

Providing mobile clinics to people who live in hospital deserts is both cost effective and efficient.
Drew Klein

Drew Klein is the director of international business development at Ottawa ON based C-COM Satellite Systems

The original version of this post appeared as the October 25th, 2019 C-Com press release, "The Case for a Global Telemedicine Vehicle Network."

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