Design and Evaluation of Two Way Interactive Video eConsult System (TWIVES): A Web-Based Care and Continuity Solution Enabling Secure and Private Patient-Provider Connections

Abstract

<p>This thesis reports on the development of a Two Way Interactive Video eConsult System (TWIVES), a telemedicine application for the continuity of care in rural communities, remote areas, and in developing countries. In developed countries like Canada, there has been much development of complex telemedicine solutions that may not be suitable for rural communities in developing countries. TWIVES can be a useful alternative when mobility is limited, the patient is disabled, or commuting is not an option for the patient. This system is both easy and inexpensive to use, and operates well in the low bandwidth Internet connections available in these areas.</p> <p>TWIVES aims to facilitate an environment where users can securely request medical consultations from healthcare providers at distant locations, thereby saving time, money, and providing patients access to medical expertise that would otherwise not be available. TWIVES also introduces the concept of web-based submission of requests, replacing the existing traditional method of telephoning to arrange personal face-to-face appointments.</p> <p>TWIVES is a proof of concept (POC) designed and built with the Drupal framework, with particular attention paid to access control and user management, content management, custom search, private messaging and file sharing, request management, and real time video consultation. This thesis explain the purpose and features of TWIVES, its interfaces, what it can do, the constraints under which it must operate, and how it will react to external stimuli.</p>