Tripler Army Medical Center , Honolulu, HI , USA.
Front Public Health. 2014 Oct 13;2:175. doi: 10.3389/fpubh.2014.00175. eCollection 2014.
INTRODUCTION/BACKGROUND: US Associated/Affiliated Pacific Islands (USAPI) include three freely associated states: Marshall Islands, Federated States of Micronesia, Palau, and three Territories: American Samoa, Guam, and Commonwealth of the Northern Mariana Islands.
The Pacific Island Health Care Project (PIHCP) provides humanitarian medical referral/consultation/care to >500,000 indigenous people of these remote islands.
In the mid-1990s, we developed a simple store-and-forward program to link the USAPI with Tripler Army Medical Center. This application allowed image attachment to email consultations.
More than 8000 Pacific Islanders have benefited from the program. Three thousand Pacific Islanders prior to telemedicine (1990-1997) and since store-and-forward telemedicine (1997-present), the PIHCP has helped an additional 5000. Records post dynamically and are stored in an archival database.
The PIHCP is the longest running telemedicine program in the world delivering humanitarian medical care. It has bridged the Developing World of the remote Pacific Islands with advanced medical and surgical care available at a major US military teaching hospital. (The opinions expressed here are those of the author and not that of the Army, Department of Defense, or the US Government.).
简介/背景：美国关联/附属太平洋岛屿（USAPI）包括三个自由联合州：马绍尔群岛、密克罗尼西亚联邦和帕劳，以及三个领土：美属萨摩亚、关岛和北马里亚纳群岛自由联邦。
太平洋岛屿医疗保健项目（PIHCP）为数百万这些偏远岛屿的土着人民提供人道主义医疗转介/咨询/护理。
在 20 世纪 90 年代中期，我们开发了一个简单的存储和转发程序，将 USAPI 与三普勒陆军医疗中心联系起来。该应用程序允许将图像附加到电子邮件咨询中。
该项目使 8000 多名太平洋岛民受益。在远程医疗之前的 3000 名太平洋岛民（1990-1997 年）和自存储和转发远程医疗（1997 年至今）以来，PIHCP 已帮助另外 5000 名太平洋岛民受益。记录动态发布并存储在档案数据库中。
PIHCP 是世界上运行时间最长的远程医疗项目，提供人道主义医疗服务。它弥合了偏远太平洋岛屿的发展中世界与美国主要军事教学医院提供的先进医疗和外科护理之间的差距。（这里表达的观点是作者的观点，而不是陆军、国防部或美国政府的观点。）。
