Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/10251
Full metadata record
DC FieldValueLanguage
dc.contributor.authorClarke, M-
dc.contributor.authorMars, M-
dc.date.accessioned2015-02-17T12:17:29Z-
dc.date.available2014-06-13-
dc.date.available2015-02-17T12:17:29Z-
dc.date.issued2015-
dc.identifier.citationTelemedicine and e-Health, 21(2): 115-119, (February 2015)en_US
dc.identifier.issn1530-5627-
dc.identifier.urihttp://online.liebertpub.com/doi/abs/10.1089/tmj.2014.0079-
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/10251-
dc.descriptionThis article has been made available through the Brunel Open Access Publishing Fund.-
dc.description.abstractAbstract Background: We investigated the use of third-generation (3G) mobile communications to provide telehealth services in remote health clinics in rural KwaZulu-Natal, South Africa. Materials and Methods: We specified a minimal set of services as our use case that would be representative of typical activity and to provide a baseline for analysis of network performance. Services included database access to manage chronic disease, local support and management of patients (to reduce unnecessary travel to the hospital), emergency care (up to 8 h for an ambulance to arrive), e-mail, access to up-to-date information (Web), and teleclinics. We made site measurements at a representative set of health clinics to determine the type of coverage (general packet radio service [GPRS]/3G), its capabilities to support videoconferencing (H323 and Skype™ [Microsoft, Redmond, WA]) and audio (Skype), and throughput for transmission control protocol (TCP) to gain a measure of application performance. Results: We found that none of the remote health clinics had 3G service. The GPRS service provided typical upload speed of 44 kilobits per second (Kbps) and download speed of 64 Kbps. This was not sufficient to support any form of videoconferencing. We also observed that GPRS had significant round trip time (RTT), in some cases in excess of 750 ms, and this led to slow start-up for TCP applications. Conclusions: We found audio was always so broken as to be unusable and further observed that many applications such as Web access would fail under conditions of very high RTT. We found some health clinics were so remote that they had no mobile service. 3G, where available, had measured upload speed of 331 Kbps and download speed of 446 Kbps and supported videoconferencing and audio at all sites, but we frequently experienced 3G changing to GPRS. We conclude that mobile communications currently provide insufficient coverage and capability to provide reliable clinical services and would advocate dedicated wireless services where reliable communication is essential and use of store and forward for mobile applications.en_US
dc.description.sponsorshipThe Royal Society, United Kingdom.en_US
dc.languageENG-
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Inc. publishersen_US
dc.subjectE-healthen_US
dc.subjectMobile healthen_US
dc.subjectTelecommunicationsen_US
dc.subjectTelehealthen_US
dc.subjectTelemedicineen_US
dc.titleAn investigation into the use of 3G mobile communications to provide telehealth services in rural KwaZulu-Natalen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1089/tmj.2014.0079-
dc.relation.isPartOfTelemed J E Health-
dc.relation.isPartOfTelemed J E Health-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences/Dept of Computer Science-
pubs.organisational-data/Brunel/Brunel Staff by College/Department/Division/College of Engineering, Design and Physical Sciences/Dept of Computer Science/Computer Science-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies-
pubs.organisational-data/Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies/Biomedical Engineering and Healthcare Technologies-
Appears in Collections:Brunel OA Publishing Fund
Dept of Computer Science Research Papers

Files in This Item:
File Description SizeFormat 
Fulltext.pdf115.88 kBAdobe PDFView/Open


Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.