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JAMAICA HAS an excellent cadre of skilled professionals in emergency and general medical care. However, over the years, we continue to face significant problems with attaining an acceptable transportation system for emergency and non-emergency care.

Over and over, we hear complaints about the lack of ambulances to serve communities. Many Jamaicans would tell you that it makes no sense to call an ambulance from the public sector. More often than not, none is available and private ambulances come at a relatively high cost.

Despite the very commendable effort of the Ministry of Health to reduce waiting time at public hospitals, it is still a major issue. A staff member at my company related to me that she took her grandmother to Kingston Public Hospital from 7 a.m. on a Friday for an assessment and did not leave the facility until 9 p.m.

This poses several problems, one of which obviously has to do with productivity, as an entire day off from work was required to achieve this.

I have always been a proponent of telemedicine and its immense benefits to the healthcare system. It is a great way for rural communities to gain access to high quality health care.

Important strides have been made in health sectors worldwide to move forward with achieving a complete digital ecosystem with electronic medical records (EMR) central to this.

Jamaicans are highly suspicious of technology, especially those that require the sharing of personal information. I was recently privy to a discussion among doctors and they were of the view that there should be great concern if EMR is implemented in government health facilities as too many people would be able to access individuals' health records.

Hospitals worldwide seek to reduce the length of time patients are admitted as this not only saves the facility resources but it can also be safer for the patient to be treated and released as soon as possible.

HEALTHCARE IS driven by market forces just like any other business. While it is not the conventional, product development and sale or service offering and acquisition business, healthcare encompasses both these concepts. If one is in the business of healthcare, then one has to ensure that its market is being adequately served.

Many persons may open their mouths in shock to hear me referring to healthcare as a business, because traditionally, we have looked at it as some kind of philanthropic venture.

Electronic prescribing is much more than it appears. While the basic definition speaks to the technology framework that allows doctors and other prescribers to electronically write and transmit prescriptions to patients and pharmacies, the system as a whole can achieve much more. One general benefit of e-prescription is that it assists with eliminating prescription errors in several ways, but importantly, it can be used as part of a system of medication management.

The matter of male fertility is generally taboo in the Jamaican context because we men take our sexual prowess quite seriously.

Yet we have considerably more 'jackets' than many other nations. But this is by no means just a Jamaican issue. According to scientists at the Hebrew University of Jerusalem, sperm counts among men in the West have more than halved in the past 40 years and are currently falling by an average of 1.4 per cent a year.

Integrating telemedicine into the healthcare system is not as hard as you would imagine, especially given that the systems and other tools are readily available to do so.

But if we should begin using telemedicine as a major component of the healthcare system, inside and outside the public sector, how many Jamaicans would be able to easily access and benefit? This is a very important issue that we are technically able to resolve if the right environment is created.

Two weeks ago, my company, Advanced Integrated Systems, participated in the 16th annual Caribbean Neurosciences Symposium in Montego Bay, St James.

I was happy to be a part of this event, given its history of facilitating inventiveness and new methods of operation. It also helped that it was led by the always-forward-thinking Dr Carl Bruce and cosigned by the University of the West Indies (UWI).

The state of emergency in the parish did not deter attendance as participants hailed from all over the world and gathered at the Montego Bay Convention Centre.