Departamento de Informática en
Salud
Challenges and hurdles to implement
eHealth in developing countries
Dr. Mandirola Brieux Humberto Fernán
humberto.mandirola@hospitalitaliano.org.ar
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
Departamento de Informática en
Salud
Departamento de Informática en
Salud
3 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
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.
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.
Departamento de Informática en
Salud
Departamento de Informática en
Salud
6 Introduction
• Economic resources
• Human trained resources
• Lack of governmental policies
• Cultural aspects
Departamento de Informática en
Salud
Departamento de Informática en
Salud
7 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
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
Departamento de Informática en
Salud
Departamento de Informática en
Salud
9 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Results
• Discussion & Conclusion
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
Departamento de Informática en
Salud
Departamento de Informática en
Salud
11 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
Departamento de Informática en
Salud
Departamento de Informática en
Salud
12 Methods
• Design
• Sample strategy
• Inclusion criteria
• Exclusion criteria
Departamento de Informática en
Salud
Departamento de Informática en
Salud
13 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
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
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?
Departamento de Informática en
Salud
Departamento de Informática en
Salud
16 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
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
Departamento de Informática en
Salud
Departamento de Informática en
Salud
18 Agenda
• Introduction
• Objective
• Research
• Setting
• Methods
• Survey
• Results
• Discussion & Conclusion
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.
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

Challenges and hurdles to implement eHealth in developing countries

  • 1.
    Departamento de Informáticaen Salud Challenges and hurdles to implement eHealth in developing countries Dr. Mandirola Brieux Humberto Fernán humberto.mandirola@hospitalitaliano.org.ar
  • 2.
    Departamento de Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 3 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 4.
    Departamento de Informáticaen 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 Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 6 Introduction • Economic resources • Human trained resources • Lack of governmental policies • Cultural aspects
  • 7.
    Departamento de Informáticaen Salud Departamento de Informática en Salud 7 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 8.
    Departamento de Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 9 Agenda • Introduction • Objective • Research • Setting • Methods • Results • Discussion & Conclusion
  • 10.
    Departamento de Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 11 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 12.
    Departamento de Informáticaen Salud Departamento de Informática en Salud 12 Methods • Design • Sample strategy • Inclusion criteria • Exclusion criteria
  • 13.
    Departamento de Informáticaen Salud Departamento de Informática en Salud 13 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 14.
    Departamento de Informáticaen 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 Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 16 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 17.
    Departamento de Informáticaen 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 Informáticaen Salud Departamento de Informática en Salud 18 Agenda • Introduction • Objective • Research • Setting • Methods • Survey • Results • Discussion & Conclusion
  • 19.
    Departamento de Informáticaen 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 Informáticaen Salud Thank you! Questions? "Absolute truth does not exist"; and this is absolutely true. Daniel Rabinovich, Les Luthier. humberto.mandirola@hospitalitaliano.org.ar