We don't have any doubt today about the importance of eHealth for health. eHealth improves the quality and generates cheaper costs for Health care. However, for various reasons, there are difficulties to implement them especially in developing countries. This research is about studying those difficulties in order to find a way to try to solve them.
The WHO identified the use of eHealth as a priórity.
Poor strategic planning and lack of implementation of international standards consume government budgets without reaching a good result.
We need skills, development of human resources in knowledge in medical informatics, standard terminology and messaging standards.
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Challenges and hurdles to implement eHealth in developing countries
1. Departamento de Informática en
Salud
Challenges and hurdles to implement
eHealth in developing countries
Dr. Mandirola Brieux Humberto Fernán
humberto.mandirola@hospitalitaliano.org.ar
2. Departamento de Informática en
Salud
Departamento de Informática en
Salud
Dra. Selene Indarte
Dr. Jakir Masud
Dr. Sushil Meher
Ing. Fernando Portilla
Dra. Paula Otero
Dr. Daniel Luna
Dr. Carlos Otero
Dr. Fernán González
Bernaldo de Quirós
3. Departamento de Informática en
Salud
Departamento de Informática en
Salud
3 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
4. Departamento de Informática en
Salud
Departamento de Informática en
Salud
4 Introduction
• eHealth for health.
• eHealth improves the quality and generates
cheaper costs in Health care.
• There are difficulties to implement .
• This research is to study those difficulties and to
try to find how to solve them.
5. Departamento de Informática en
Salud
Departamento de Informática en
Salud
5 Introduction
• The WHO identified the use of eHealth as a
priority
• But there is:
– a Poor strategic planning and
– The lack of implementation of international standards
consumes government budgets without reaching a
good result.
• Medical informatics
• Standard terminology
• Messaging standards.
6. Departamento de Informática en
Salud
Departamento de Informática en
Salud
6 Introduction
• Economic resources
• Human trained resources
• Lack of governmental policies
• Cultural aspects
7. Departamento de Informática en
Salud
Departamento de Informática en
Salud
7 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
8. Departamento de Informática en
Salud
Departamento de Informática en
Salud
8 Objective
The aim of this work is to identify the main
challenges and hurdles for eHealth development in
developing countries in Asia and South-America.
• Respondents answer about their spontaneous
perception or personal knowledge.
• Respondents were keeping confidential
9. Departamento de Informática en
Salud
Departamento de Informática en
Salud
9 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Results
• Discussion & Conclusion
10. Departamento de Informática en
Salud
Departamento de Informática en
Salud
10 Setting
Data collection was carried in:
• INFOLAC 2014 in Montevideo, Uruguay from
16th to 17th October 2014
and in
• APAMI 2014in New Delhi, India from 30th
October to 2nd November 2014
11. Departamento de Informática en
Salud
Departamento de Informática en
Salud
11 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
12. Departamento de Informática en
Salud
Departamento de Informática en
Salud
12 Methods
• Design
• Sample strategy
• Inclusion criteria
• Exclusion criteria
13. Departamento de Informática en
Salud
Departamento de Informática en
Salud
13 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
14. Departamento de Informática en
Salud
Departamento de Informática en
Salud
14 Survey
1. Economic support
2. Training
3. Cultural or educational problems
4. Standards policy
5. Polices
15. Departamento de Informática en
Salud
Departamento de Informática en
Salud
15 Survey
1. Is there any economic support gave by
Government for eHealth?
2. Does Government organize eHealth courses or
training?
3. Do you consider that there are cultural or
educational problems for the implementation of
eHealth?
4. Does your country have any standards policy in
terminology or messaging in eHealth?
5. Does your country have eHealth status policies
for long periods?
16. Departamento de Informática en
Salud
Departamento de Informática en
Salud
16 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
17. Departamento de Informática en
Salud
Departamento de Informática en
Salud
17 Results
Policies for long periods
Economic support
Standards policy
Cultural or educational
problems
Training
41%
58%
33%
42%
100%
91%
15%
33%
33%
79%
South America
Asia
18. Departamento de Informática en
Salud
Departamento de Informática en
Salud
18 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
19. Departamento de Informática en
Salud
Departamento de Informática en
Salud
19 Conclusion
• The present study suggested a huge gap in
cultural and educational issues regarding
eHealth.
• We must also take measure for long-term
eHealth projects according to our results.
• It is very important to consider interoperability
and standards in eHealth as well.
20. Departamento de Informática en
Salud
Thank you! Questions?
"Absolute truth does not exist";
and this is absolutely true.
Daniel Rabinovich, Les Luthier.
humberto.mandirola@hospitalitaliano.org.ar