Lanscape of e-health issues in Mexico

Ministry of Health

Sophie Antipolis, 2007

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Objective

• Improve quality, access and health outcomes adopting information systems and telecommunications technologies in healthcare services, focus on poorest and rural areas in Mexico.

Healthcare electronic services

• Health Information for citizens and medical professionals– Education services for preventive practice– CME and training

• Medical support based on teleconsultation services for primary and specialization healthcare practice (dx and treatment)

• Administration and supply chain services for daily medical institutions operation

Overview

• Several telemedicine efforts– Guerrero, Oaxaca, Puebla, Nuevo León, Chiapas,

Tamaulipas– National Institutes of Health

• Cardiology, Nutrition, Rehabilitation and Ortopedics, Pediatrics

• Several information system development projects– Sinaloa, Puebla, INR, INER, Legacy and Commercial

Applications– OpenVista

Services

Nuevo León Puebla Guerrero

• Internal Medicine

• Dermatology

• Otorrinolaringología

• Neurology

• Cardiology

• General Chirurgical Services

• Traumatology and ortopedics

• Urology

• Gastroenterology•Medical jail services

• Internal Medicine

• Dermatology

• Otorrinolaringología

• Neurology

• Traumatology and ortopedics

• GYNO• Pediatrics• Internal Medicine

• Dermatology

• Neurology

• Traumatology and ortopedics

Medical issues

• Medical professionals had not tools to manage health care services

• There were not standard medical processes in the different healthcare services

• Medical professionals spent time doing manual reports

• Medical professionals spent time travelling to obtain medical education and support

• Lack of informatics and telecommunications culture in medical services

Technology issues

• High cost of connectivity• Limit broadband services in rural areas • Cost of hardware technology• Cost and availability of commercial software• Lack of health informatics standards• Maintenance and support are not considered• Medical equipment exchange capabilities are

unaware

Cultural and organization issues

• Decision-makers have a lack of culture in medical informatics, telemedicine applications and impacts in healthcare services

• Governamental projects do not include specific medical requirements and needs

• Some medical practitioners consider emerging technologies as a threaten

• Design specific areas for electronic services• Design and promote guidelines and standard

procedures for telemedicine• Providers profit based on ignorance

Challenges

• Response and alignment to medical programs

• Improve medical and technological collaboration

• Stablish a legal and ethics framework for electronic medical practice

• Show cost-benefit of telemedicine services

Workshop Objectives

• To identify the oportunities to integrate a Telemedicine National Network

• To identify how telemedicine could support priority health programs such as Seguro Popular and 50 Municipios

• To learn telecommunication technology trends and evaluate potential telemedicine application

• To deep knowledge in current telemedicine applications

Merci Beaucoup

www.cenetec.gob.mx