The start of the argument about Health 2.0 got me thinking. As sexy, functional and efficient as the health software trend may be - I think we all agree on the fact that it's just not applicable in the African context... yet.
So what might be applicable? SA Doctors need lab results, need to do research, need to store and retrieve patient records (on demand)... How do you get a connected, low cost, easy to use, low maintenance technology infrastructure into South Africa's hospital system? And then keep it there?

We've been using Ubuntu Linux (a proudly South African distribution of the Linux operating system - with our very own billionaire Mark Shuttleworth as the brains) around the office a bit - mainly to do tricky techy stuff, but I've been absolutely blown away with the new version (6.06 I think). It's funky, it's African, it's VERY easy to use (provided you don't mess with settings / use installed packages - which are more than ample for everyday use) and it runs on fumes.
I've personally run Ubuntu on a P3 256mb RAM - like lightning on the highveld.
So here's the challenge:
TO MARK SHUTTLEWORTH, OUR BILLIONAIRE BRUVVA...
Well done, chaps, excellent job. How about a project? We could secure funding (Government?) for an independent, empowered, Section 21 company to create an Ubuntu network of computers linking all SA's primary, secondary and tertiary care hospitals together.
I think I'm onto something - if I dare say so myself. South Africans are too ready to throw away local solutions when faced with more expensive, inappropriate overseas ones. A project like this, while creating jobs and uplifting infrastructure would equip and empower our medical industry to fight a battle they're not getting a lot of help with. And we'll be doing it, the South African way.
Baragwanath is 2km wide. How would you like to run a kilometre (the phones just don't get answered) and wait in a queue (only 5 terminals work currently) for those lab results as your patient lies gasping on the slab?
This is a call. Who's in? Are the folks at Ubuntu interested in pursuing a project like this? Is there anything going on at the moment?

So what might be applicable? SA Doctors need lab results, need to do research, need to store and retrieve patient records (on demand)... How do you get a connected, low cost, easy to use, low maintenance technology infrastructure into South Africa's hospital system? And then keep it there?

We've been using Ubuntu Linux (a proudly South African distribution of the Linux operating system - with our very own billionaire Mark Shuttleworth as the brains) around the office a bit - mainly to do tricky techy stuff, but I've been absolutely blown away with the new version (6.06 I think). It's funky, it's African, it's VERY easy to use (provided you don't mess with settings / use installed packages - which are more than ample for everyday use) and it runs on fumes.
I've personally run Ubuntu on a P3 256mb RAM - like lightning on the highveld.
So here's the challenge:
TO MARK SHUTTLEWORTH, OUR BILLIONAIRE BRUVVA...
and all the folks at UBUNTU Linux:
Well done, chaps, excellent job. How about a project? We could secure funding (Government?) for an independent, empowered, Section 21 company to create an Ubuntu network of computers linking all SA's primary, secondary and tertiary care hospitals together.
- It's low cost because the operating system is free.
- It's low cost because it runs on the kind of computers America is throwing away.
- It's low maintenance, because once the networking protocols, any required software and web browser have been installed - the OS can be locked down and user logins/passwords managed fairly easily.
- It doesn't get viruses. Including the ones spread by the nasty germs on the kettle in the tea room (whole new post, different time).
- It could network and interlink over a low cost dialup, sponsored by Telkom.
- It could encourage the open source community (multiverse, universe... I get confused) to get together and develop some simple software for storing patient records, lab results, X-Rays and making them available to the right channels at the right time.
- It doesn't crash!
I think I'm onto something - if I dare say so myself. South Africans are too ready to throw away local solutions when faced with more expensive, inappropriate overseas ones. A project like this, while creating jobs and uplifting infrastructure would equip and empower our medical industry to fight a battle they're not getting a lot of help with. And we'll be doing it, the South African way.
Baragwanath is 2km wide. How would you like to run a kilometre (the phones just don't get answered) and wait in a queue (only 5 terminals work currently) for those lab results as your patient lies gasping on the slab?This is a call. Who's in? Are the folks at Ubuntu interested in pursuing a project like this? Is there anything going on at the moment?
If I'm not mistaken - movements like this ARE the spirit of Ubuntu. Leave a comment, we're really interested in your views...
Comments
Humour is always lost on stupid people. Ah. Dear.
Sorry I am a programmer and not a businessman so I do not know if my friend's/boss' company meets the section 21 restriction you mention or not or what it is.
Oh and I am an Ubuntu user myself. The newest longterm stable release is 6.06 but the newest stable version is 6.10. I think both are very good Linux releases.
Or if you are looking for an open source free program to be written I'd be interested in helping a group with developing the program in some of my free time.
I created, back in 2002, a version of Linux called MfxLinux, which is used in the medical office management field, with what my boss told me was 5,000+ installs as of the time I left the company. Thus I know the needs and wants of doctors, as well as the building of a Linux distro internals.
The challenge you present here could be solved with any flavour of Linux, not just Ubuntu, but considering it's name's origin, it would be appropriate. I wouldn't mind helping, even in just an advisory role.
You can contact me at farrell.mcgovern on the electronic post system that google runs...and hopefully, this format will prevent my email from being harvested by spammers! :-)
ttyl
Farrell
I think there's two things that need to be done here. Network via telkom/dial up a good idea - a telephone is pretty much the only infrastructure you can count on. The other would be stability - and also what type of software a hospital would need.
All food for thought. I'll start working on a post.
But experience is experience as they say... Your linux solution - was that open source or proprietary... ie can we have a look at it?
MOST important thingm, and I know this is just a concept of ours at the moment, is to KEEP IT SUSTAINABLE.
Who's going to pay telephone bills and pc costs and and and
Those are the meetings that need to happen.
While it may be overkill for your needs, surely it may provide some valuable information that could be adapted to your needs?
See OpenVista: http://sourceforge.net/projects/openvista
And WorldVista:
http://sourceforge.net/projects/worldvista
Best wishes in getting your project successfully implemented!
David Neeley
Texas, USA
I work in an area where high level programmers are abundant but they would much rather pay hundred of thousands of dollars on commercial Unix-based software that they could write themselves in a world-wide collaborative approach.
And you should see how absurdly bad some of the software is!! I mean infantile, slow and unable to meet event the first line of its sales hype. And costly? Oi, geval!!!
There are a good number of 'EMR' and practice management programs already, unfrotunately, none fit my needs (the authors all build systems to do what they want, and needs across medicine are diverse). Ina ddition, none are easy to install or run.
The ZA forums can be found here.
Keep an eye on the thread - if this goes anywhere - will try pull everyone together and see what can be done...
www.linuxmednews.com
www.gplmedicine.org
There are also a number of web-based free-open source Electronic Health Record already available:
www.freemed.org
www.mirrormed.org
www.gnumed.org
I think these projects are worth a look and their developers would be eager to collaborate in an effort to implement the software on further hospitals and health institutions worldwide!
Best regards from Spain:
David B.
I would like to introduce you to the Debian Med project. Our goal is to create a custom debian distrubution focused on medical and pre-clinical open-source software. We are currently active in three main areas: medical practice, imaging and bioinformatics. Our webpage is:
http://www.debian.org/devel/debian-med/
As you may know, Ubuntu is mostly based on Debian packages, so our work is automatically integrated to the Medical Ubuntu project. Therefore, you may be intersted to have a look at our pages, and suggest some software of interest to be placed on top of our priority list. Our main communication channel is our mailing list:
http://lists.debian.org/debian-med/
Have a nice day,
--
Charles Plessy
Debian-Med packaging team
Wako, Saitama, Japan
I'm also a Ubuntu user.
And I have bin locking into opensorce for medical use, for a African project in Ethiopia.
For digital x-ray storage are there a lot of alternative. DICOM= Digital Imaging and Communications in Medicine
My best interests is for now.
CDMEDIC PACS
PacsOne Server
ConQuest
We are using PacsOne Server on our hospital for testing. Then you can use a web application to look at the images, or with a standalone client viewer.
Now we have Studio-ubuntu, Kubuntu, Xubuntu, Edubuntu, what about a mediubuntu??
Som nice links:
http://opendicom.sourceforge.net/
http://www.clubpacs.com
http://www.idoimaging.com
-mel-
Good job Keep it up.
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