Medical Social Informatics Application of Human Computer Interface for Traumatic Brain Injury in the Rural Area

Agung B. Sutiono, Ahmad Faried, Sony A. Yuniarto


Medical social informatics is a framework to solve public health problems by using the information technology based on the public needs. In the field of neurosurgical services as part of public health, traumatic brain injury (TBI) is common in Indonesia. Roughly, 200 neurosurgeons in Indonesia are working for 250 million population. Most of them are working in the big city so that TBI in the rural and disaster area cannot be treated properly. To support the treatment of TBI during the absence of a neurosurgeon, we have developed a TBI supported information system focussing on the TBI graphic user interface (GUI). This system can be employed by general surgeons, doctors and nurses under a neurosurgeon’s distant guidance. The human-computer simulation was performed using Lenovo T500 with finger touched mouse keyboard and Lenovo X201 with pen-tablet ThinkPad. A patient admitted to the emergency room was the candidate on this simulation. Data were assessed and recorded in the system simultaneously by nurses, doctors and general surgeons after they login according to their qualification. The speed of data comprehending and data entry was almost similar on both types of computer; however, the particular tablet PC was found more convenient and faster. Under neurosurgeon guidance, the paramedics were competent to provide early treatment, to stabilize the patient’s condition and to perform minimal surgical intervention for saving patient’s threatened life. Therefore, this system is expected to be useful for the rural and disaster area that has no neurosurgeon.


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