Abstract

Introduction: With ongoing development of technology, and especially amid the current COVID-19 pandemic, there is rapidly increasing need for remote communications, including in the field of medical education. This study aimed to evaluate our telemedicine activities between Japan and Indonesia. Methods: We retrospectively analysed the data acquired for the period 2010–2019 inclusive, looking at number of programmes, content, participating sites, and videoconferencing systems. We also digitally sent questionnaires to attendees to request their evaluation of image quality and programmes. Results: There were a total 135 programmes, with 29 participating institutions in Indonesia. The number of programmes increased rapidly in 2017, following a rapid increase of participating sites in 2016. Programmes included endoscopy (50 programmes, 37%), neurology (25, 19%), and dentistry (12, 9%). Between 5 and 10 sites connected with 81 programmes (60% of all), and more than 10 sites with 33 (24%). The most commonly used videoconferencing system was Vidyo (108, 80%), followed by Zoom (15, 11%). Participating institutions were located among 19 cities on the five major islands. Image quality received a favourable evaluation from 98% (504/516) of questionnaire respondents, with 100% (400/400) holding a favourable view of the programmes. Conclusion: Remote medical education expanded in Indonesia in the 10 years under review. This expansion is expected to continue to foster more specialists and it is anticipated to improve medical care nationwide.

Highlights

  • The Sustainable Development Goals (SDGs) adopted by the United Nations in 2015 are a collection of 17 global targets for the world’s people to achieve by 2030.1 “Good Health and Well-being” and “Quality Education” are the two SDGs to which remote medical education can most substantially contribute

  • The COVID-19 pandemic accelerated the need for remote education, amid many countries and major cities implementing lockdowns for months, with people obligated to stay at home and/or keep distance from one another

  • The Telemedicine Development Centre of Asia at Kyushu University Hospital, Japan, has collaborated with academic hospitals worldwide since 2002, and with those in Indonesia since 2006.10,11 In this study, we review our remote medical education and telemedicine activities in Indonesia to study how they have evolved from 2010 to 2019

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Summary

Introduction

The Sustainable Development Goals (SDGs) adopted by the United Nations in 2015 are a collection of 17 global targets for the world’s people to achieve by 2030.1 “Good Health and Well-being” and “Quality Education” are the two SDGs to which remote medical education can most substantially contribute. Telemedicine, for its part, typically offers time and cost benefits for healthcare providers by eliminating the needs for provider or patient to physically change locations, especially beyond geographic borders. It aids efficiency and scalability because it can be used repeatedly and with large numbers of people.[7] Recently, telemedicine’s additional benefit of reducing the carbon footprint, owing to decreased physical movement, has been discussed.[8,9]

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