Gillard promises video doctors with NBN

 

GP after-hours helpline to launch in July 2012.

Prime Minister Julia Gillard has pledged $392.3 million to supporting online medical consultations and an after-hours General Practitioner (GP) videoconferencing service.

At the Australian Labor Party's (ALP) campaign launch in Brisbane on Monday, Gillard described future electronic health services that would rely on the National Broadband Network (NBN).

She pledged $250.5 million to making Medicare rebates available for online consultations in rural, regional and outer suburban communities from 1 July 2011.

A further $56.8 million would be spent on incentivising GPs and specialists to deliver online services, and $35 million would be spent on training and supervising health professionals online.

The ALP pledged $50 million to expanding its existing, phone-in 'GP After-hours Helpline' to include videoconferencing, so practitioners could provide triage and basic medical advice online.

The Helpline would be available from 1 July 2012, "through the power of the internet", Gillard said at the campaign launch.

"Of course, this can't happen ... if we don't have the broadband," she said.

The Australian Information Industry Association (AIIA) welcomed Gillard's e-Health commitments, noting that they would foster a competitive environment in the local ICT industry.

Last week, the Association published an open letter urging political parties to discuss the "high-level issue" of the digital economy, rather than getting "bogged down" in filtering and broadband technology debates.

"It is clear that comprehensive digital infrastructure will deliver very real returns to all Australians," said AIIA CEO Ian Birks following Gillard's Monday announcement.

"To date, too much of the public discussion has focused on issues such as speed and other technical aspects of competing broadband plans."

"The real issues are what that capacity will deliver to the bottom line of our economy and our communities. It's very important that we elevate the current conversation on broadband needs to this level."

The Royal Australian College of General Practitioners (RACGP) also welcomed the ALP's $392.3 million commitment, although it called for more details about how it would be implemented.

RACGP president Chris Mitchell said the move was "innovative and exciting", adding that patients were exposed to "unnecessary risks" without e-Health and improvements in medical information management systems.

"The College has consistently lobbied for investment in e-health and for greater flexibility in the delivery of consultations, including telephone medicine and video conferencing," he said.

"Online, video and tele-medicine are not substitutes for face-to-face contact; however, they have the capacity to save time for patients while supporting GPs to provide high-quality care to the local communities that they serve."

Copyright © iTnews.com.au . All rights reserved.


Gillard promises video doctors with NBN
"There is only one reason for this! GPs LIVE FROM INDIA!!! Then they can cut the Medicare rebate."
By Greg22
 
 
 
Comments: 30
Thysce
Aug 17, 2010 3:20 PM
But will the NBN be ready by then?
djzort
Aug 17, 2010 3:29 PM
Are the doctors wanting to work more hours than they already do? How will this affect insurance if your consultation is via a doctor with a webcam?
RDEFCON1
Aug 17, 2010 3:55 PM
oh I can see it now! remote stethoscopes for listening to your chest, remote controlled probes for your prostate checks.... Yep - e-medicine is the future!

I can do a video call over skype on my existing broadband connection. What is NBN going to offer (wrt e-health) that couldn't be offered right now over existing technology?
Maxxi2
Aug 17, 2010 4:14 PM
RDEFCON: Let's think about that for a moment... What do massive upgrades of IP shared bandwidth networks bring to end users?? Perhaps some aspects such as massive growth in concurrent user transmission qualities, reliability, larger data stream capabilities leaidng to larger screen windows for more effective consultation, better graphics and screen sharing capabilities for explanantion purposes and instructions, longer distance consultations providing the basis for true national GP access 24x7, higher levels of security to support doctor/client confidentiality (Skype is only partially secure...), medical operations grade transmissions for specialist conferencing, more efficvient and faster medical picture library access and consultation conferencing, remote specialist access during operations, and and and ....

If you had ever worked in provisioning mediacl networks and servcies you would know what they lack today and what the earnest medical professionals have as requirements.

I suggest you do some research there mate before suggesting Skype will do... lol, you might be surprised.
Maxxi2
Aug 17, 2010 4:15 PM
lol, pleeeaase excuse the terrible typo rate, tried to rush it in a break...
RDEFCON1
Aug 17, 2010 4:52 PM
Maxxi2:

That all explains the need for bandwidth at the Hospital/GP end... not at the home. I can do high quality video conferencing today using other applications... not just using Skype.

As far as I can tell, none of the things you've actually mentioned are uniquely to NBN / GPON access, and many of them could be done today on existing technologies - if they were actually viable.
Digger11
Aug 17, 2010 5:55 PM
precisely RDEFCON,

ADSL2+ can easily do this - another CPOn by the Labour party to trick voters into voting them in.

Maybe Labour shoudl be renamed the dirty tricks party ??? as they are so absolutely desperate to get back into power and keep on earning the big taxpayer funded salaries for themselves.
I suppose that is waht happens when you were brought up in Fottscray or wherever that horrible Gillard thing is eminates from.

Anyway, I'm voting Labour just so you all get what you dumb Aussies deserve.
davmel
Aug 17, 2010 6:44 PM
RDEFCON1 "That all explains the need for bandwidth at the Hospital/GP end... not at the home. I can do high quality video conferencing today using other applications"

LOL. I suppose your definition of a "high quality" meal is a visit to McDonald's.
I'm sorry, but you just can't have a high quality bi-directional video conference using the crippled <1Mbps uplink speeds of ADSL. Sure, you might think it all looks great with what you are looking at with ~24 Mbps downlink but high quality video conferencing sucks with the horribly low uplink speed restrictions of ADSL/HFC etc.
Sure, you can get super expensive rip-off SHDSL to get better uplink speeds, or we can acknowledge the horrible asymmetric disparity of existing access options and move to fibre.

Digger11: "Anyway, I'm voting Labour just so you all get what you dumb Aussies deserve."
The only "dumb" Aussies are the ones that don't appreciate how crippled the uplink speed is with ADSL2+ and have no idea about all the applications a high speed uplink can provide to homes and small businesses. But I guess if you only use the internet to download porn/warez/tv/movies your 24Mbps downlink ADSL2+ is good enough.
deteego
Aug 17, 2010 6:54 PM
@davmel

So according to you, every country is crippled apart from South Korea, Japan and Singapore

Hmmm..............
mikeyx11
Aug 18, 2010 5:53 AM
@deteego: And look where those countries are... far, far ahead :)

@davmel: 24Mbps would be great! Too bad the majority of people only get about 4Mbps. But surely even that is enough to support real-time smartmeters, multiple 3D high definition video streams, bandwidth intensive work from home, and the constant download and upload of the many dozens of devices that are going to infiltrate our homes in future, right?

If RDEFCON1, deteego and Digger11 had their way, horse-drawn carts would be still be transporting everything. Surely taking a week to get to and from capital cities is more than enough? 2010 can't be all that different from 1890...

Just like 12Mbps is more than enough for sending emails... because that's all people are going to be using the internet for in 10 or 20 years.
johnpro2
Aug 18, 2010 7:27 AM
@mikeyx11
lol, pleeeaase excuse the terrible typo rate, tried to rush it in a break.
[all fixed....]


Let's think about that for a moment... What do massive upgrades of IP shared bandwidth networks bring to end users?? Perhaps some aspects such as massive growth in concurrent user transmission qualities, reliability, larger data stream capabilities leading to larger screen windows for more effective consultation, better graphics and screen sharing capabilities for explanation purposes and instructions, longer distance consultations providing the basis for true national GP access 24x7, higher levels of security to support doctor/client confidentiality (Skype is only partially secure...), medical operations grade transmissions for specialist conferencing, more efficient and faster medical picture library access and consultation conferencing, remote specialist access during operations, and and and ....

If you had ever worked in provisioning medical networks and services you would know what they lack today and what the earnest medical professionals have as requirements.

I suggest you do some research there mate before suggesting Skype will do... lol, you might be surprised.
Digger11
Aug 18, 2010 8:25 AM
@mikeyx, your analogy between the NBN and motor cars is just plain wrong.
A better analagy would be the Govt. spending $43b on new 10 lane freeways all over the country even before the motor car has been invented !!!

A total and utter waste of my money is the NBN (remember that it was developed from a sinister plot by Telstra to maroon all of the Copper based DSLAM invesmtnets by its competitors - it was NEVER developed becasue we actually need it).

It's funny how the truth is hidden by time......
mikeyx11
Aug 18, 2010 10:52 AM
@johnpro2: What? I think you got names mixed up...

@Digger11: Not sure if you've noticed, but plenty of uses for 100Mbps+ fibre have been invented, and plenty more are being developed. Nobody would build roads without first knowing motor cars are coming, but the fact is we do know what's coming - well, at least some of the more informed ITN readers do anyway.

Don't know if you are aware, but Telstra has more investment in DSLAM and copper infrastructure than anyone else (obviously), and actually have the most to lose.

However, your thinking is akin to Telstra in the 90's: Let's build RIMs, they are cheaper and nobody is ever going to need more than dial-up, or 1.5Mbps ADSL. And look at all the problems because of those...

What's cheaper now is NOT always what's best. Quick cheap solutions are not GOOD long term solutions. It's time our country thinks and plans for the future, instead of providing cheap solutions that only work for one term of government.

If you think the NBN is a sinister plot by Telstra then you have another thing coming. With an NBN, what happens to all those who are currently forced on wholesale Telstra equipment in outer suburbs, or their landline phone dominance, or Foxtels cable advantage, and Next G being the only way many places can receive decent broadband speeds? A fibre NBN will change everything.

Tin foil hats aside, what analogy did I make about motor cars? That's right... I didn't. The analogy is not even about infrastructure, but more so your (and others) lack of forward-thinking. Honestly, with thoughts like yours, it's a wonder you even use a computer.
Digger11
Aug 18, 2010 1:16 PM
@Mikey - you can aleady get 100Mbps+ in most capital cities for big business use.

The NBN is a totla waste of my money - we need more hospitals etc., spend more money on pensioners who suffered and built thsi great country.

The NBN to 90% of houses is such a total and utter waste - it is like building a 10 lane freeway to Mildura in the hope that someone might use it one day.

A total waste of money.
jjcoolaus
Aug 18, 2010 2:31 PM
The problem with suggesting that ADSL2+ is enough for video consultations is that firstly, most people get less than 12mbit with it, and secondly the government won't use skype, msn, paltalk, or anything else - they'll go with either a custom developed solution, or possibly something open-source.

It's not going to be a bandwidth effecient app - it's like saying that FetchTV should've just used windows media player or realplayer to stream TV at 512kbps or 1Mbps, instead of requiring 5mbps for HD and 2.5mbps for SD.

We need fibre IMO. The coalitions solution is short-term that will last 3 years before it needs to be replaced anyway.
davmel
Aug 18, 2010 3:37 PM
@mikeyx11 "@davmel: 24Mbps would be great! Too bad the majority of people only get about 4Mbps. But surely even that is enough to support real-time smartmeters, multiple 3D high definition video streams, bandwidth intensive work from home, and the constant download and upload of the many dozens of devices that are going to infiltrate our homes in future, right?"

Regardless of what the downstream sync rate is for ADSL2+ the uplink is not going to get any higher than a pathetic 1 Mbps (unless AnnexM is used which few ISP's offer with only a slight increase anyway) which excludes many internet applications that need much more for bi-directional communications. The internet is capable of far more than surfing websites and downloading tv shows. Australia needs to be far more than a nation of luddites that consume content and start collaborating and producing content. We can't do that effectively with existing access technologies unless we can afford the massive monthly costs of high uplink speed internet options.
davmel
Aug 18, 2010 3:43 PM
@Digger11 "you can aleady get 100Mbps+ in most capital cities for big business use."

LOL. What about the rest of us in homes and running small business that isn't a multi-national company???? Don't we deserve to have affordable internet that doesn't cost $25,000 a month to access?
Digger11
Aug 18, 2010 3:57 PM
@davemel, Homes do not need 100Mbps +, it's like having a 10 lane Freeway from Mildura to Albury, nice to have but totally useless.
Whereas a freeway from say Los Angeles to Disneyland is the same, but actually has a use.
If businesses need 100Mbps+ (and there are not many that do) then they base themselves in cities.

Most homes use the Internet to download Porn and Movies - c'mon all of u tech heads be honest with yourselves - what are you all doing at this exact moment on the Internet that even needs ADSL2+ speeds ????

I cannot believe how Aussies have become so gullible and believe everything they read.

The NBN IS A TOTAL AND UTTER POLITICAL TOY AND WASTE OF MONEY.

If we had unlimited $'s then go and build an NBN - but let's get our priorities straight - hospitals, water, roads, pensions etc. are all infinitely more important for our future quality of life than faster Broadband that 99.999% of us will never use nor need, especially with large population growth about to be thrust upon us.

Edited by Digger11: 18/8/2010 04:00:00 PM
Sams
Aug 18, 2010 4:07 PM
repetition != truth
Tom Brown
Aug 18, 2010 7:31 PM
OH Digger11
So little desire to contemplate the whole.
In this world of economic woes it would make better political sense to tighten the purse strings so the electorate sees your fiscal acumen "what they do not know does not hurt them".

Back to the NBN, for a business to develop in today's world they need to access robust high speed up and down communications. Telstra do not offer this unless it is already at your doorstep. Try getting a business connection at http://www.telstrabusiness.com/business/portal/online/site/productsservices/telstrabusinessbroadbandethernet.10838 and see how you go.
There is (almost) no one else who are offering other than onselling Telstra so you have to arrange an individual contract. You have to pay for all the infrastructure end to end. Big business have to do that but rising business does not have the resources.
So what does the NBN offer for today, everything!*

*note: there has to be some individual setup and further development but it is the only technology offering the backbone to fan-out required.
And off course people like to make the road analogy, the coalition wants to "develop" a rats nest.

johnpro2
Aug 19, 2010 8:07 AM
@mikeyx11 What? I think you got names mixed up...



yep ..bring on the video optometrist ...

Jp
Rhino
Aug 19, 2010 10:53 AM
So some poor bugger with a rash in a place he doesn't want to talk about jumps on his web cam and shows a GP. It gets flagged in the Gov't data collection procedures, and the GP gets added to the great aussie filter.

And lets not forget how lax the security of government databases are (remember the filter list) so this poor bugger is now recorded and posted on Youtube for the world to see.

And because this is RC material Youtube is now collected in the filter.

Man this an awesome country!!!!
johnpro2
Aug 19, 2010 12:27 PM
Rhino@so this poor bugger is now recorded and posted on Youtube for the world to see.


Maybe ..but gaining an audience might be another issue ..?

Jp
mikeyx11
Aug 19, 2010 3:47 PM
@davmel: I was actually supporting what you said, but with sarcasm (for the others) :P

@Digger11: That's right, homes don't need 100Mbps. Now.

That's the point. You seem to like using roads as an example, so I will do the same... If road use was increasing at the same rate that bandwidth demand was, then a 10 lane highway to Mildura wouldn't be that far-fetched.
johnpro2
Aug 20, 2010 8:38 AM
@mikeyx11: then a 10 lane highway to Mildura wouldn't be that far-fetched.


4 lanes would be nice all the same.

Jp
RDEFCON1
Aug 20, 2010 10:55 AM
@TomBrown - "There is (almost) no one else who are offering other than onselling Telstra"

That's one hell of an 'almost'. Way to (almost) lie through your teeth.
papaiso
Sep 6, 2010 6:43 PM
Videoconferencing may benefit only a small number of rural GPs. However, with the introduction of video-consultation, there are a number of medical-legal issues to take into consideration.

What GPs desperately need, particularly if they get connected to ultra-fast networks such as the NBN, it is better security. Most GP practices are small businesses which rely on consumer-grade security equipment and on amateurish IT advise.

The government should instead focusing on providing GPs with better security, particularly if they are going ahead with their plan of implementing shared personal electronic health records by 2012.
Maxxi2
Sep 10, 2010 2:13 PM
Hi guys...

I am not commenting under mikeyx nor mikeyx11 btw... >;))

Johnpro2: Thanks for fixing the typos... Nice shot at the names too...

RDEF: Actually it is required for both segments of the communications implementation.

Hospitals, clinics, medical offices and roaming access points for medical staff and professionals are a give, except that many of these are increasingly in general public or residential access situations in any case.

Second, there is and will continue to be an increasingly effective home based diagnosis and consultancy activity from medical and other professional sectors, that will require higher bandwidth, better optical resolution, higher stability rates, higher reliability, less jitter etc.

There are many open and private communications apps and platforms used and that would be used, and they all have the same requirements for transmission quality that cannot yet be delivered by the existing infrastucture at the levels required for broader adoption.

Whoever does not believe this would benefit from researching recent actual developments in audio/visual communications adoption for various purposes across open networking infrastructure.

The growth and demands is strong and when Internet based connectivity is made avaiulable at an acceptable performance and quality level, the adoption rates are significant.

Naturally not all activities can be handled across and face to face video session between a medical or other professional with a patient or client, that is blindingly obvious, however it is just as blindlily obvious that many can and that this practice will inexorably grow.

In all our medical industry activities, suitable security was always a priority and a given: *Not secure/not activated.*

Especially in after hours services delivery. It is not a question of whether 100% would use it or whether to build an NBN just for this (balderdash lol), it is a question of the sum of the parts.

It is the same base principle that got people investing $4000 in a 2400 baud modem card when they were available, and why people just kept on spending on faster network and internet access technologies since they were first released.

Heck, some folks even spent $800 on a computer kit they had to build first and then laboriously punched in a tiny amount of code with a large number of key punch's, just to do some computing, and thus launched the broader public computer age and changed the IT/comms industry forever... >;))

Does anyone REALLY think all that progress had a sudden halt 5 minutes prior to Conroy announcing his version of the NBN? That the inexorable march of technology, applications, digitalisation apps, business prodcess re-engineering, compuretisation, digital services delivery, etc etc will stop as of Entity Conroy and the NBN criticism from the coalition?

Heck, my wife has now begun to do video skype sessions with clients in Australia, obviating many personal meetings, travel and costs, and has now also gained clients in Mexico, Japan and Germany...

Never before possible, much more productive, not always possible but what an improvement in costs and efficiencies, reach and delivery options.

I had to do the setup for the first few sessions, and I have now lost my prized new laptop to her office, but all things we are ready to do for love, family, business and money? Right?
thor
Sep 10, 2010 5:14 PM
Maxxi2 wow 2 in the same week we agree with.

Rural areas that either dont have the expertise nor the bandwidth will definitly benefit, those that are only using satellite 512kp which is also the standard for video conferencing (ISDN).

With the increase bandwidth mutliple connection for regional hospitals, GP clinic will help to save lives otherwise lost due to the long distance between hospital etc.

Digger11- We know you dont like the NBN but you havent once actually said a decent alternative that will work in reality. the NBN will be built, deal with it
Greg22
Sep 13, 2010 8:22 AM
There is only one reason for this!

GPs LIVE FROM INDIA!!! Then they can cut the Medicare rebate.
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