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High-tech health in the bush

  • 14 April 2010

Technological innovation is an important part of supporting the health and wellbeing of communities.

The Rudd Government has recognised the positive impact that new and emerging digital technology can have in creating better health outcomes by its commitment to eHealth in the planned reform of Australia's health and hospital system, the introduction of the Individual Electronic Patient Health Record (IEHR), and the contribution of significant funding to the National eHealth Transition Authority. eHealth, it seems, is the way of the future.

The IEHR is a secure, electronic record of a person's medical history, stored and shared in a network of connected systems, which individuals and health professionals can easily view through a computer and online. This suggests a more coordinated and efficient communication of patient information that can help to improve the quality of care and reduce health expenditure in the long term.

The problem is that the rollout of the IEHR and other eHealth projects face challenges due to the differences between and among communities across Australia in relation to their quality and frequency of access to technology, and the ways in which health and wellbeing are understood and communicated.

Communities from diverse cultural and linguistic backgrounds in rural areas, such as the Vietnamese, Tongans and Sudanese in country Victoria, and Indigenous Australians in the Northern Territory, face significant challenges not only in the provision of effective health and wellbeing information and support, but also the kinds of technology available for their everyday use.

Research performed by the Australian Communications Consumer Action Network found that people who live in rural and remote regions, including Indigenous communities, do not have the same access to technology services as people in metropolitan areas. They are less likely to have broadband access. 3G network coverage can be unreliable, and even basic telephone usage in some places is limited.

Engagement with technology is further complicated by cultural background, age, educational level, language proficiency and familiarity with technology. This has particular implications for refugee and migrant groups.

VICNET and The State Library of Victoria worked with members of the Dinka, Harari and S'gaw Karen communities in the Wyndham area and discovered that simple training and access to the internet is not enough to ensure digital inclusion for many new and emerging communities. Internet content in the appropriate language is scarce, and to create culturally appropriate content requires specific skills.

These are important considerations for eHealth initiatives that require health service