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How the NBN will change rural medicine

08 Sep, 2010 02:01 PM
Rural health services are currently inadequate, a senior health researcher says, but a national broadband network could go a long way towards changing that.

“We’re ready to move on a variety of forward-thinking initiatives that are the result of three years of work,” said Professor Lesley Barclay, head of the Northern Rivers University Department of Rural Health.

“They won’t necessarily all get done as well as we’d like, but it’s visionary thinking, and the national broadband network is part of that.

“To go backwards with this would mean that rural and remote populations will continue to suffer unreasonably. This is one aspect of forward thinking that might make a difference.”

Prof. Barclay, an internationally known maternal child health researcher who lives in Bangalow, in north-eastern NSW, said an NBN could transform rural medicine in several important ways.

Instead of patients having to travel to other centres to visit specialists, with all the travel and accommodation costs this entails, country GPs could consult directly with specialists over a broadband link.

In Prof. Barclay’s field of expertise, training of the health workforce, rural training centres could hook up with seminars or training resources anywhere in the world.

And the NBN could significantly lessen the professional isolation of practitioners - doctors and nurses - who choose to work in rural areas, but who feel themselves getting out of touch with the latest thinking.

“I think it’s going to intensify the quality of care that people can get in country areas,” Prof. Barclay said.

Last weekend, she added, she gave up downloading medical documents over the wireless link from her home in Bangalow because the service was so slow.

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Date: Newest first | Oldest first
I cannot see how the NBN will make so much difference! When my husband suffered a major coronary attack many years ago, our local GP was able to consult immediately with cardiac specialists at Prince Charles hospital in Brisbane. Given that the attack occurred in the wee, small hours of the morning, this is a great tribute to rural doctors. The GP stayed at the hospital for several hours, and was in constant contact both by phone and fax with these specialists. Conversely, I heard first hand of a young man who had a fall from a quad bike, and was taken to the major hospital in this area, where a scan was taken and faxed to an off-duty radiologist. In spite of the fact that this resulted in a reply fax at 17.50, it was 5 hours after this, (after the off-duty had been contacted again) that his return fax was read. I guess it's all in the luck of the draw!
Posted by mrs e, 9/09/2010 10:59:51 AM
Good point, Mrs E. The fact that an e-mail is sent doesn't mean it has been read by the responsible person. The real risk with the development of broadband is that it will used as a poor proxy, and an excuse for the continued neglect of practitioners on the ground. Watch this space.
Posted by Ian Mott, 9/09/2010 1:50:22 PM
Why are we bothering with fibre optic when, as I uderstand it, China rolled it out at least 5 years ago, and have now moved on to something better. Why install something that is obsolete?
Posted by Concerned Northerner, 9/09/2010 4:59:21 PM
One of the things that broadband can do is provide real-time video conferencing. Instead of sitting across the desk from your GP you can be sitting in front of a monitor consulting with a Dr anywhere in in the country, or even the planet while they have full access to all your medical records. In theory it wouldn't even be necessary to go into town in some cases. Where tests need to be taken these could be done under remote supervision by a skilled nurse/paramedic. (Think the old flying Dr Kit on steroids.) Even keyhole surgery, which is done by robotic manipulation, has been successfully carried out remotely. My understanding of fibre optics is that the upper bandwidth of the actual cable hasn't yet been found and the limitations are in the equipment at either end. (But I'm not an expert on that.) The virtual office is slowly becoming a reality. The only real impediments at the moment are cultural, people still seek the real-life face-to-face interaction of the traditional office. But that may well change as another generation grows up comfortable in the virtual world.
Posted by Qlander, 10/09/2010 10:21:25 AM
Presenting broadband as a great white hope substitute for the neglect of rural health is a contemptuous thing to do by Labor governments to country people who are living with a third world health system. FIX the real problems starting by giving a damn!
Posted by Susan, 10/09/2010 1:41:24 PM
There is nothing better than fibre, Concerned Northerner. What have they moved on to that can deliver faster than the speed of light?
Posted by Bushie Bill, 14/09/2010 4:23:55 PM

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