m. oberholzer, k.brauchli, k.d.kunze university hospital basel, switzerland globalization in...

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M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine ... an utopia or more ?

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Page 1: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

M. Oberholzer, K.Brauchli, K.D.Kunze

University Hospital Basel, Switzerland

Globalization in medicine

... an utopia or more ?

Page 2: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Telemedicine Team

Dr.phil.II Kurt BrauchliInformatic technology

Monika HublerAdministration

Prof.Dr.med. Klaus-Dieter KunzeDiagnostic service

Page 3: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

The «history at the beginning»

Concept

The «history of the Solomon Islands»

Main applications of iPath

The «history today»

Page 4: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Basel

Samedan

280 km

1991

Page 5: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Distribution of knowledge

from centers in the periphery

Avoiding the transport of patients

from the periphery to a center

1991

Page 6: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

DISTRIBUTION

Page 8: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 9: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

OperativeserversNon-expertsTest-servers

2008

Page 10: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Logins per day 80(every 18 minutes)

Activities

New cases per day 11

Groups 251

Active users 3‘274

Page 11: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

The «history at the beginning»

Concept

The «history of the Solomon Islands»

Main applications of iPath

The «history today»

Page 12: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Group A(Discussion)

Group C(Experts)Group A(Teaching)

Group B(Discussion)

Page 13: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

asks

ClientClient

Client

Non-Expert

Experts

answer

Platform

ClientsServer

Page 14: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

«Structured conversation». about objects (images)

. over distances

Telemedicine =

Page 15: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

The «history at the beginning»

Concept

The «history of the Solomon Islands»

Main applications of iPath

The «history today»

Page 16: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 17: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 18: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Time for a pathological-anatomicaldiagnosis:

5 - 6 weeks

Solomon Islands

before iPath ...

Page 19: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 20: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

... 48 hours after the biopsy was token

Page 21: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

The «history at the beginning»

Concept

The «history of the Solomon Islands»

Main applications of iPath

The «history today»

Page 22: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Rural countries

Page 23: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Dermatology

Page 24: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 25: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 26: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Cardiology

Page 27: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 28: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Orthopedics

Page 29: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 30: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Gynecology

Page 31: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 32: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 33: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Industrialized countries

Page 34: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Peripheral hospitalsiPathPathologistRadiologistOncology center

Tumor boards

Page 35: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

COLLECTION

Page 36: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Frozen section diagnosis

Page 37: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

The «history at the beginning»

Concept

The «history of the Solomon Islands»

Main applications of iPath

The «history today»

Page 38: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Teleteaching

Page 39: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 40: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?
Page 41: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

21th Octobre 2007

BaselTiranaUlaanbaatarSeoul

Page 42: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Management board- Developing projects- Managing projects- Organizing collaboration

LocalmanagementLocalmanagementEditorial board- Virtual campus- Training

Clinical board- Virtual clinics- Tumor boards- Competence centers

Technical board- Maintenance of servers- Development of modules- Development of iPath

Page 43: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Sponsors

Assoziation South Pacific, Switzerland

Stanley Thomas Johnson Foundation, Switzerland

Jürg Ammann Foundation, Switzerland

Swiss Agency for Development and Cooperation

Swiss Army

Department of Pathology, Basel, Switzerland

Page 44: M. Oberholzer, K.Brauchli, K.D.Kunze University Hospital Basel, Switzerland Globalization in medicine... an utopia or more ?

Thank you