Unit | Health Technology Management and Telemedicine

Simulation of Delivery, Ukraine

Technology for Improved Health Systems

Health systems are increasingly dependent on technology. Appropriate infrastructure, medical facilities and equipment, health devices, logistics and proper management are crucial for preventive and curative health services. The rapid propagation of health technology is fuelled by changing demographics, scientific progress, societal expectations and a changing burden of diseases.

Our Expertise, our Country Focus,

We are experts in the field of Health Technology management and the use of Information and Communication Technologies in health systems. We focus on international development in low income and transition countries. Our core competencies are technology and know-how transfer through systematic assessment, appropriate solutions, process and system optimization, including human resources and institutional capacity building.

Martin Raab

Martin Raab, MSc, MPH

Project Leader, Head of Unit
+41 61 284 82 79
martin.raab@unibas.ch

Added Values and Long Term Sustainability

The implications of technology in terms of opportunities, increasing recurrent costs, additional support services, change in medical practice and training needs are often underestimated. As a result, the widespread irrational use of technology leads to wasting of scarce resources and weakens health systems performance. The most current knowledge is required to ensure that health service provision makes the best use of available technology.

Medical Imaging in Egypt

The quality of diagnostics determines patient treatment pathways and eventually outcomes. A comprehensive reform agenda in radiology had been set and implemented with the Directorate of Radiology of the Ministry of Health in Egypt since 2002. Interventions span from radiation safety to facility standards and enhanced skills training for radiology professionals. The transition from conventional to digital radiology had been in focus in the final years of the project. Several information systems to enable teleradiology and maintenance management had been successfully introduced.

Clinical Decision Support for General Practitioners in Switzerland

Disease prevention and health promotion is an important theme in primary care. When going for a ‘checkup’ at a primary care physician there is a surprisingly wide variation of recommendations for what screening and interventions should be done. This project is built on the latest evidence on which prevention measure has proven effectiveness for particular age groups. An information system linked to the Electronic Medical Record generates relevant scores and individualized graphics for a targeted health coaching.

Computerized Algorithms for Infant Care

Medical care in many lower income countries is severely compromised by the lack of adequately trained health professionals. Also, the use of medicine, in particular antibiotics is irrational and has led to dangerous drug resistance. A computerized, tablet based decision support system based on the WHO Integrated Management of Childhood diseases had been set up to guide clinical care for children up to 5 years old. The International Committee of the Red Cross has mandated this project which is currently implemented in Afghanistan and Nigeria. 

eHealth Toolbox

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Selected projects at this location:

Zaugg C, Raab M. Improving health technology management: development of a model for the implementation of an essential information system for medical devices in low- and middle-income countries. In: Jordanova M,Lievens F, eds. Global telemedicine and eHealth updates: knowledge resources, vol. 3, 432-436. Luxembourg: International Society for Telemedicine & eHealth, 2010

Moharra M et al. Systems to support health technology assessment (HTA) in member states of the European union with limited institutionalization of HTA. Int J Technol Assess Health Care. 2009;25 Suppl 2:75-83. DOI: 10.1017/S0266462309990717

Raab M, Blunier M. Telemedicine & e-health: information and communication technologies as a means to foster population health: "knowledge is the foundation upon which healthier communities are built". . Bern: Swiss Agency for Development and Cooperation, 2004

Raab M. Plädoyer für ein verbessertes Ressourcenmanagement: "...weil der Bohrer nicht funktioniert". Bull Medicus Mundi. 2001(82)

Raab M. Technology assessment in healthcare: modern technologies: scapegoat for rising costs or magic bullet for improved healthcare?. Bull Medicus Mundi. 2001(82)