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Editors: Anton Vladzymyrskyy, Malina Jordanova, Frank Lievens A Century of Telemedicine: Curatio Sine Distantia et Tempora A World Wide Overview – Part I 2017 All rights reserved. No part of this book may be reproduced, stored in a retrieval system or otherwise used without prior written permission from the authors and publisher. ©Anton Vladzymyrskyy, editor, 2017 © Malina Jordanova, editor, 2017 © Frank Lievens, editor, 2017 © Malina Jordanova, Publisher, 2017 Sofia, Bulgaria, 2017 ISBN 978-619-90601-2-4 Contents PREFACE .................................................................................................... 6 AUSTRALIA ................................................................................................ 8 Introduction ..................................................................................... 8 History of Telemedicine in Australia ............................................ 10 Indigenous Australia ............................................................. 10 Colonisation .......................................................................... 11 The Telegraph ....................................................................... 11 Royal Flying Doctors Service (RFDS) ................................. 13 The Telephone ...................................................................... 14 The National Broadband Network (NBN) ............................ 16 The Emergence of Modern Telemedicine ..................................... 17 Regulatory, Legal and Policy context ........................................... 23 Government .......................................................................... 23 Legal and Regulatory Environment ...................................... 23 Telemedicine Standards ........................................................ 24 Policy Development .............................................................. 25 Personal Electronic Health Record ....................................... 27 Industry Players in Australian Telehealth ..................................... 28 The Royal Australian College of General Practitioners (RACGP). ................................................................................ 28 Telehealth, Health Informatics Societies .............................. 29 Telstra ................................................................................... 29 Tunstall Healthcare ............................................................... 30 The Australian College of Rural & Remote Medicine ......... 30 Commonwealth Science and Industrial Research Organisation (CSIRO) ................................................................................... 30 Telehealth Research and Innovation Laboratory (THRIL) ... 30 Australian Institute of Health Innovation ............................. 31 Melbourne Networked Society Institute ............................... 31 Recent Telemedicine Initiatives .................................................... 31 Western Australia ................................................................. 33 Victoria ................................................................................. 33 Queensland ........................................................................... 34 New South Wales ................................................................. 34 1 Northern Territory ................................................................ 34 Tasmania ............................................................................... 35 Transformation of Telehealth By New Technologies ................... 35 Kinect for Autism Project ..................................................... 36 Telemedicine via Alternative Worlds ................................... 36 Patient Monitoring and Telerehabilitation ............................ 37 Tele-diagnosis ....................................................................... 38 Teledentistry ......................................................................... 39 Royal Children's Hospital Melbourne................................... 41 Challenges of Delivering Telehealth in Australia ......................... 42 Conclusion ..................................................................................... 43 Appendix ....................................................................................... 44 References ..................................................................................... 45 BRAZIL ...................................................................................................... 54 Introduction ................................................................................... 54 Telemedicine in Brazil .................................................................. 56 Brazilian Telehealth Programme ................................................... 63 Telemedicine University Network (RUTE) .................................. 66 Open University (Universidade Aberta do SUS - UNASUS) ....... 67 Teledentistry .................................................................................. 69 Final Remarks ................................................................................ 71 Note ............................................................................................... 73 References ..................................................................................... 74 CZECH REPUBLIC ................................................................................. 77 Introduction ................................................................................... 77 Historical Background ................................................................... 78 First Regular Tele-consultancy ............................................. 79 Recent Development ............................................................. 80 Health Care System in the Czech Republic ................................... 80 eHealth and Telemedicine in the Czech Republic ......................... 82 Case Studies of eHealth Applications Offered by Health Insurance Companies ............................................................... 83 Case Studies: Institutions and Regions ................................. 84 Applications Provided as Commercial (above standard) Services .................................................................................... 91 ePrescription ......................................................................... 99 Pilot Projects in eHealth and Telemedicine ........................ 100 2 Selected Research Projects ................................................. 108 eLearning ............................................................................ 111 Assistive Technologies as Inseparable Part of Care .................... 112 Conclusions ................................................................................. 114 References ................................................................................... 115 INDIA ....................................................................................................... 118 Evolution of Telemedicine in India ............................................. 118 Telemedicine Initiatives .............................................................. 120 Indian Space Research Organization .................................. 120 Apollo Hospitals ................................................................. 121 Importance of Telemedicine in India .................................. 121 Current Scenario of Telemedicine in India ......................... 121 Continuing Medical Education ........................................... 122 Mobile Telemedicine .......................................................... 122 Village Resource Centers for Telemedicine ....................... 123 Current Usage of Telemedicine in India...................................... 123 Telemedicine in Special Situations ..................................... 123 Telemedicine during Tsunami ............................................ 123 Telemedicine and Its Recent Developments in India .................. 125 Product and Service Offerings ............................................ 126 Specialty to District Hospital Model .................................. 126 Primary Care Telemedicine ................................................ 127 Narayana Hrudayalaya — Telemedicine Service ............... 127 World Health Partners ........................................................ 129 SkyCare Centers ................................................................. 129 SkyHealth Centers .............................................................. 129 Neurosynaptic Communications ......................................... 129 Role of the Multinational-Deployment of Cisco’s Healthpresence ....................................................................... 130 Apollo Telemedicine Networking Foundation ................... 131 Proposed Service Delivery Model-2 ................................... 131 Indian Telemedicine Market ........................................................ 132 A Typical Framework of Telemedicine in India................. 137 Key Objectives in Defining the Standards .......................... 137 Framework in Defining the Guidelines and Standards ....... 137 Framework for Telemedicine in India ................................ 138 Key Stakeholders of Telemedicine in India ................................ 138 3 A. Government and Government Bodies ............................ 138 B. Technology Providers ...................................................