Turkish Telemedical Assistance Service: last four years of activity
Abstract
Background: Telemedical Assistance Service (TMAS) is very important for seafarers and passengers who are far from full-fledged health services. This study aimed to determine the frequency of using Turkish TMAS by seafarers and other patients and to compare the given services.
Materials and methods: The data obtained from calls to Turkish TMAS in between 2014 and 2017 are composed of 5080 calls. In the study, they were examined in two groups as calls regarding seafarers and other patients. Also, the diseases or injuries related to these calls were evaluated in 22 main groups according to ICD-10 code. All of these cases were analysed by using descriptive statistics according to types of callers, type of diseases, types of given services and methods of contacts.
Results: There were 5080 contacts to Turkish TMAS from January 2014 to December 2017. Contacts were 92.3% for seafarers and 7.7% for other patients. The most common reason of contacts was similar for both seafarers and other patients and it was injury and poisoning situations. While the most common service given to seafarers was giving a medicine or other treatment, the most common service given to other patients was medical evacuation.
Conclusions: This study laid weight on diseases or injuries of seafarers and other patients at sea. According to this situation, TMAS can improve and maintain its service quality and also in the light of the findings, a guide for seafarers and other patients can be prepared in order to lessen such diseases and injuries.
Keywords: telemedicinemaritime healthseafareroccupational health
References
- Bird KT. Teleconsultation: A New Health Information Exchange System. Third Annu. Rep. Veterans Admin. Washington, DC. 1971.
- World Health Organization. A Health Telematics Policy: Report of WHO Group Consultation on Health Telematics. 1998.
- Saarni H, Niemi L. Medical Handbook for Seafarers. Finnish Institute of Occupational Health, Helsinki. 2007.
- Angioli RD, Saturnino A, Sibilio F, Amenta F. Healthy Ship: A New Project for Improving Medical Care of Sailing Seafarers. http://www.cirm.it/documenti/cirm_th3-2.pdf.
- Goethe WHG, Watson EN. and Jones DT (eds.). Handbook of NauticalMedicine. Springer-Verlag Berlin, Heidelberg. 1984.
- http://www.telesaglik.gov.tr/ (Accessed: 12/03/2018)).
- http://www.telesaglik.gov.tr/category/istatistikler/ (Accessed: 12/03/2018).
- World Health Organization. International Statistical Classification of Diseases and Related Health Problems 10th Revision. WHO, Geneva. 2011.
- Mahdi SS, Amenta F. Eighty years of CIRM. A journey of commitment and dedication in providing maritime medical assistance. Int Marit Health. 2016; 67(4): 187–195.
- Westlund K, Attvall S, Nilsson R, et al. Telemedical Maritime Assistance Service (TMAS) to Swedish merchant and passengers ships 1997-2012. Int Marit Health. 2016; 67(1): 24–30.
- Amenta F, Dauri A. Activities of the International Radio Medical Centre (C.I.R.M.) in Rome during the last five years (1996-2000). Centro Internazionale Radio Medico. Int Marit Health. 2001; 52(1-4): 68–73.
- Amenta F, Dauri A, Rizzo N. Organization and activities of the International Radio Medical Centre (CIRM). J Telemed Telecare. 1996; 2(3): 125–131.
- Lateef F, Anantharaman V. Maritime radio-medical services: the Singapore General Hospital experience. Am J Emerg Med. 2002; 20(4): 349–351.
- McKay MP. Maritime health emergencies. Occup Med (Lond). 2007; 57(6): 453–455.
- Lefkowitz RY, Slade MD, Redlich CA. "Injury, illness, and work restriction in merchant seafarers". Am J Ind Med. 2015; 58(6): 688–696.
- Napoleone P. Accidents on board merchant ships. Suggestions based on Centro Internazionale Radio Medico (CIRM) experience. Int Marit Health. 2016; 67(1): 21–23.
- Ehara M, Muramatsu S, Sano Y, et al. The tendency of diseases among seamen during the last fifteen years in Japan. Ind Health. 2006; 44(1): 155–160.
- Mahdi SS, Sibilio F, Amenta F. Dental hygiene habits and oral health status of seafarers. Int Marit Health. 2016; 67(1): 9–13.
- Lucas R, Boniface K, Hite M. Skin disorders at sea. Int Marit Health. 2010; 61: 9–12.
- Amenta F, Capone L, Sibilio F. (2013). Telemedical assistance of patients on board ships activity of Centro Internazionale Radio Medico (CIRM), the Italian Telemedical Maritime Assistance Service (TMAS). . http://www.cirm.it/documenti/cirm_th3-1.pdf.
- Mitchelson MA, Ferguson J, Armes R, et al. Characteristics of radio medical advice to fishing vessels in Scottish coastal waters. J Telemed Telecare. 2008; 14(3): 145–146.
