Worldwide TELEMEDICINE Upgrade LATIN AMERICA.


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Latin America incorporates 20 nations with just about 1/2 billion individuals ... Telemedicine is YOUNG in Latin America with the most seasoned system working subsequent to 1994. ...
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Global TELEMEDICINE UPDATE LATIN AMERICA Rosa Ana Tang, M.D., M.P.H. UTMB Galveston, Texas Collaborators: Roberto Rodrigues, MD - PAHO, Washington, D.C. Pro Allen, MD-Telemedicine Today, Editor, Kansas Jade S. Schiffman, MD, University of Houston, Texas

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TELEMEDICINE IN LATIN AMERICA Latin America includes 20 nations with just about 1/2 billion individuals The tele-correspondences and medicinal services base, dialect, instruction, middle pay levels, government strategies, passing proportions and levels of rurality blocks simple telemedicine organization

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TELEMEDICINE IN LATIN AMERICA

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WHAT ARE THE CONSTRAINING FACTORS FOR DEPLOYMENT? Non-acknowledgment of need Unsolved fundamental needs of human services Lack of responsibility/inclusion of key suppliers and leaders Legal, moral, financial issues of practice Cost of revamping and new advances Infrastructure required Competition Lack of association

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WHAT ARE THE ISSUES AND CHALLENGES? Advancement OF DATA AND COMMUNICATIONS STANDARDS ACCESS TO RELIABLE APPLICATIONS PRODUCTS AND SERVICES CAPACITY TO PURCHASE AND MAINTAIN HARDWARE, SOFTWARE AND OTHER EQUIPMENT EDUCATION AND TRAINING OF HEALTH PROFESSIONALS AND ANCILLARY PERSONNEL CONSISTENCY AND CONTINUITY OF POLITICAL SUPPORT

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INFRASTRUCTURE ISSUES IN LATIN AMERICA ACCESS TO COMPUTER TECHNOLOGY & COMPUTER LITERACY POOR ORGANIZATIONAL DEVELOPMENT TELECOMMUNICATIONS AVAILABILITY, QUALITY AND COST MONOPOLISTIC NATIONAL TELECOM STRUCTURE GENERAL EDUCATIONAL LEVEL

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INFORMATION TECHNOLOGY MARKET GROWTH AUTOMATION OF PROVIDER AND CONSUMER OPERATIONS MILLIONS OF USERS 1,000 AUTOMATION OF FRONT-OFFICE AND REMOTE SITES 100 BACK-OFFICE AUTOMATION 10 1970 1980 1990 2000 2010 2020 SOURCE: INTERNATIONAL DATA CORPORATION

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1 N. America 6 11 W. Europe 16 Rank in Information Society Index 21 Asia/Pacific 26 31 E. Europe/M. East/Africa 36 Latin America/Caribbean 41 36 31 26 21 16 11 6 1 Rank in IT$/GDP SOURCE: International Data Corporation, 1996

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MAIN TELEPHONE LINES (1995) LINES X1,000 PERSONS Source: International Telecommunications Union

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HOSPITAL INFORMATION SYSTEMS IN LATIN AMERICA & THE CARIBBEAN TOTAL NUMBER OF HOSPITALS = 16,566 COMPUTERIZED 5,230 (83,45%) 31.57% 6,267 (37.83%) WITH IS 62.17% 6.25% 10,299 WITHOUT IS NOT COMPUTERIZED 1,037 (16.54%) HSP/HSO DIRECTORY OF LATIN AMERICA AND CARIBBEAN HOSPITALS, 1996-1997

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Latin American Hospitals There is a need to comprehend the part of wellbeing segment responsible for open doctor\'s facilities, for example, the Social Security, Ministry of Health, Military and different substances.

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LATIN AMERICA AND CARIBBEAN HOSPITALS

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Infrastructure and Telecommunication Projects in Latin America Most undertakings are more often than not out-source Lack of involvement in necessities appraisal and task advancement is fundamental boundary to arrangement Lack of complete hotspot for rules

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INFORMATION TECHNOLOGY GROWTH, 1985-1995 AND 1995-2000 PERCENT SOURCE: International Data Corporation, 1996

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Information Technology Growth Application of Technological Options Considering Bandwidth and Connectivity Alternatives

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Information Technology Expenditures, Gross Domestic Product and Population as a % for 5 districts

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Information Technology Growth Data

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Degree of Development of Core Information Function Activities in Latin American Countries

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GROWTH OF INTERNET HOSTS NUMBER OF HOSTS JAN 97 JAN 96 JAN 95

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GROWTH OF INTERNET HOSTS NUMBER OF HOSTS JAN 97 JAN 96 JAN 95

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Investment Requirements "to arrive" "to get a head begin" Initial evaluation of capital and repeating costs for the initial 5 years adds up to just about $400,000,000 US See Table

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Training of Human Resources in Health Information Systems Nearly 1/3 of South American nations don\'t have preparing programs in wellbeing data frameworks for mid-level and higher administration. In the other 2/3 of the nations, preparing is directed locally and provincially and is of low level. Once in a while S.A. nations take an interest in global instructional courses.

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Training of Human Resources in Health Information Systems

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Training of Human Resources in Health Information Systems

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SPECIFIC PROJECTS IN LATIN AMERICA ARGENTINA ARGONAUTA PROJECT :worldwide segment of a Telemedicine program created by CONAE ( Argentine Space Station) Operates over POTS for Tele-help & instruction (1998). To May 1999 more than 100 therapeutic scenes have been completed.

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SPECIFIC PROJECTS IN LATIN AMERICA CHILE Clinica y Centro Medico Punta Arenas : Tele-dermatology, endocrinology and OB-GYN counsels between Punta Arenas & Santiago. Utilizes ISDN, POTS and customary mail.

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SPECIFIC PROJECTS IN LATIN AMERICA URUGUAY :from Montevideo National Institute of Cardiac Surgery : transmits around 600 pictures through store & forward every month for both clinical counsels and training. Asociacion de Socorros Medicos : cardiology counsels created here.

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SPECIFIC PROJECTS IN LATIN AMERICA BRAZIL : Tele-radiology venture in the Military Hospital System - 1998 No information accessible as to number if connections every month PERU : numerous undertakings " in progress " on Internet however no numbers accessible. A pilot is at: Centro de Telemedicina Cayetano Heredia University for meeting & training in Tropical Diseases and Ophthalmology

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SPECIFIC PROJECTS IN LATIN AMERICA COSTA RICA : has the most established venture discovered : 1994 for instruction & clinical counsels : 15 intuitive counsels/mo utilizing ISDN, T1 Telemedicina en Costa Rica : 1997 Education and consults:ISDN,POTS

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Telemedicine in Latin America SUMMARY Telemedicine is YOUNG in Latin America with the most seasoned system working following 1994. The most widely recognized methodology of cooperation found was with store & forward ( tele-radiology & dermatology ). Web based applications are utilized. At the point when intuitive video is used , dial up ISDN , national advanced telephone system,microwave or satellite are the ones utilized.

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Pre-requirements to satisfy for sending to be effective in Latin America Develop & secure a proper wellbeing data base. Create & keep up a PC based data framework. Create & keep up in legitimate practical limit a Telecommunications foundation. Distinguish, train & reward spurred & talented clients of the innovation. Control costs & set up a fitting level of repayment for expert.

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HEALTH INFORMATION MANAGEMENT AND ORGANIZATIONAL ISSUES APPROPRIATENESS SUSTAINABILITY COST-EFFECTIVENESS IMPLEMENTATION ENVIRONMENT CONDITIONS NEEDS, EXPECTATIONS, INFRASTRUCTURE, HEALTHCARE MODELS, HEALTH ECONOMY, CULTURE, LENGUAGE PROVIDERS SOLUTIONS MARKET TECHNOLOGICAL PLATFORM ( HW/SW ) APPLICATIONS

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TELEMEDICINE IN LATIN AMERICA Evaluation is most basic

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