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Ministry of Health Ministry of Science and Technology Ministry of Education BRAZILIAN TELEHEALTH INITIATIVE The National Telehealth Primary Care Program,

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Apresentação em tema: "Ministry of Health Ministry of Science and Technology Ministry of Education BRAZILIAN TELEHEALTH INITIATIVE The National Telehealth Primary Care Program,"— Transcrição da apresentação:

1 Ministry of Health Ministry of Science and Technology Ministry of Education BRAZILIAN TELEHEALTH INITIATIVE The National Telehealth Primary Care Program, initially rolled out across nine states and 900 municipalities The Telemedicine University Network, RUTE, currently connecting 23 University Hospitals, will connect 57 across all federal states until 2009 and 132, including Indigenous Health Care until 2011 Ana Estela Haddad Director of the Department of Manegment of Health Education Secretariat of Manegment of Health Work and Education Ministry of Health - Brazil Luiz Ary Messina Brazilian National Education and Research Network Ministry of Science and Technology

2 Ministy of Health Basic Facts about Brazil Population:190,000,000 States: Federal District Municipalities: 5,563 40% of the population in metropolitan areas

3 Ministry of Health Ministry of Science and Technology Ministry of Education Brazilian National Education and Research Network RedCLARA Rede Nacional de Ensino e Pesquisa (RNP) is a not-for-profit corporation incorporated under the laws of Brazil that interconnects over 350 education and research institutions, helping an estimated public of over a million users, and linking all the Brazilian regional academic networks.

4 Ministry of Health Ministry of Science and Technology Ministry of Education Education and Research Community Metropolitan Area Network A 1Gbps R&E-Ring in each of the 27 state capitals! 12 are already launched! Belem, State of Para Vitória, State of Espirito Santo Manaus, State of Amazonas Brasília

5 Ministry of Health Ministry of Science and Technology Ministry of Education Hospital São Paulo e Escola Paulista de Medicina - Unifesp, (São Paulo) Hospital das Clínicas - FM USP, (São Paulo) Hospital Universitário de São Paulo - USP (São Paulo) Hospital das Clínicas da Unicamp (Campinas/SP) Instituto Dante Pazzanese de Cardiologia (São Paulo) Hospital Universitário Pedro Ernesto - UERJ (Rio de Janeiro) Fundação Oswaldo Cruz, (Rio de Janeiro) Hospital Universitário Prof. P. E. de São Thiago - UFSC (Florianópolis) Hospital das Clínicas Prof. Arnóbio Marques - UFPE (Recife) Hospital Universitário Walter Cantídio - UFC (Fortaleza) Hospital da Irmandade da Santa Casa de Misericórdia, (Porto Alegre) Hospital Universitário Getúlio Vargas - UFAM (Manaus) Hospital das Clínicas – UFMG, (Belo Horizonte) Hospital Universitário - UFES (Vitória) Hospital Universitário Prof. Alberto Antunes - UFAL (Maceió) Hospital Universitário Prof. Edgar Santos - UFBA (Salvador) Hospital das Clínicas - UFMA (São Luís) Hospital Universitário Lauro Wanderley -UFPB (João Pessoa) Hospital Universitário - UFPR (Curitiba) University and Teaching Hospitals – January 2006 University and Teaching Hospitals – January 2006

6 Ministry of Health Ministry of Science and Technology Ministry of Education Telehealth - Federal University of Minas Gerais - UFMG Minas Telecardio Minas Gerais State Secretary of Health 12hours a day 500 ecg/day (UFMG, UFU, UFTM, UFJF, Montes Claros) More than 300 Municipalities Teleconsultations on line and off line also in some specialties

7 Ministy of Health Instituto de Psiquiatria da UFRJ Instituto de Puer. e Ped. Martagão Gesteira da UFRJ Instituto de Neurologia Deolindo Couto da UFRJ Instituto de Doenças do Tórax da UFRJ Instituto de Ginecologia da UFRJ Hospital Escola São Francisco de Assis da UFRJ Maternidade Escola da UFRJ Clementino Fraga Filho da UFRJ HU Antônio Pedro da UFF Gaffrée e Guinle da UNIRIO Canal Saúde (Fiocruz) HU Pedro Ernesto da UERJ Centro Pediátrico Hosannah de Oliveira da UFBA Maternidade Climério de Oliveira da UFBA HU Prof. Edgar Santos da UFBA Maternidade Escola Assis Chateaubriand da UFC Hospital Universitário Walter Cantídio da UFC Hospital de Clínicas da UFU Hospital Escola da UFTM Hospital Universitário da UFJF Hospital das Clínicas da UFMG Hospital Universitário da UFSM HU Dr. Muguel Riet Correa Júnior da FURG Hospital Escola da UFPEL Irmandade da Santa Casa de Misericórdia (ISCMPA) Hospital das Clínicas da URGS Hospital Universitário na UnB HU Maria Aparecida Pedrossian da UFMS HU João de Barros Barreto da UFPA HU Betina Ferro de Souza da UFPA Hospital Universitário da UFS Hospital Universitário da UFPI HU Ana Bezerra da UFRN Hospital de Pediatria da UFRN Maternidade Escola Januário Cicco da UFRN HU Onofre Lopes da UFRN HU Alcides Carneiro da UFCG HU Lauro Wanderley da UFPB HU Júlio Müller da UFMT Hospital Getúlio Vargas da UFAM Hospital das Clínicas da UFPE HU Profº Alberto Antunes da UFAL HU Cassiano Antônio de Moraes da UFES Hospital das Clínicas da Unicamp Hospital das Clínicas da FMUSP Hospital São Paulo da Unifesp Hospital Unimar HU de São Paulo / LSITEC da USP Instituto Dante Pazzanese Hospital de Clínicas da UFPR HU da UFSC Faculdade de Medicina da UFAC Faculdade de Medicina da UNIR Faculdade de Medicina Veterinária da UFT Faculdade de Medicina da UFRR Hospital das Clínicas da UFG Phase 1 Phase 2 Faculties Telehealth Program HU da Universidade Federal do Maranhão da UFMA Faculdade de Enfermagem da UNIFAP List of University Hospitals – Telemedicine University Network RUTE – 2009

8 Ministry of Health Ministry of Science and Technology Ministry of Education University Hospital  Connection to a 1Gbps Metropolitan R&E Ring  Create a Telehealth Unit with Videoconference Room, Teleconsult, Telediagnosis  Participate in Special Interest Groups  Demonstrate teleassistance, teleeducation and teleresearch 23 University and Teaching Hospitals on-line broadband + 10 August December ca. 100 until December 2011

9 Ministry of Health Ministry of Science and Technology Ministry of Education Rute phase III +75 institutions All accredited Teaching Hospitals (60) Federal Institutions from the Ministry of Health National Foundation for Indigenous Health

10 Ministy of Health Project RG-T1509 : eHealth Public Policies in Latin America RedCLARA Ministries of Health signed the commitment: Brasil, Colombia, Ecuador, México, Uruguay Project components 1.Regional Standards for transmission and infra- estructure 2.Strategy for the promotion, prevention and assistance through telehealth 3.Regional guide for telehealth managing 4.Strategy for a LA Telehealth University Network 5.Telehealth training and certification

11 Ministy of Health Family Health Strategy Primary Health Care in Brazil

12 Ministy of Health Actual % of population covered by health family teams – Brazil, 1998 –2005 0%0 a 25%25 a 50%50 a 75%75 a 100% FONTE: SIAB - Sistema de Informação da Atenção Básica The rate of change 2008

13 Ministy of Health Formative Second Opinion to Familiy Health Teams  Promotes on-job training.  Evidence-based Health.  Adapted to regional needs, and regulated by PHC specialists  Strategy to establish a epidemiologic surveillance.  Allows the establishment of knowledge stations

14 Ministy of Health Coverage: Nine State Clusters implementing Telehealth in 900 health units supporting about Health Family teams, covering inhabitants. eHealth National Pilot Project

15 Ministy of Health Espaço de registro, publicação, e acesso integrado à informação de boa evidência em APS e telessaúde, além de informação sobre o Programa Nacional de Telessaúde e a Rede Telessaúde Brasil.

16 Ministy of Health Deployment

17 Ministy of Health Indigenous Population: (0.2%) Indigenous Reserves: 611 (12%) Ethnical Groups: 210 Languages: 170 Communities: Municipalities: 320

18 Ministry of Health Ministry of Science and Technology Ministry of Education The Terena People concentrates its communities In the Pantanal Region, state of Mato Grosso do Sul

19 Ministy of Health

20 Which activity would have the highest impact on the Primary Health Care daily routine? Formal Training Lectures on Special Topics Access to the Virtual Library Surgery / Procedure Simulation Virtual Scientific Meetings Discussion of Clinical Cases Educational Videos Informal Training / Courses

21 Ministy of Health

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26 Lessons Learned  A long debate with civil society is a key step.  Social participation is essential  including teachers, students, local health system workers and managers.  A nationwide joint effort from federal Ministries, Agencies, Universities and civil society is required.

27 Ministry of Health Ministry of Science and Technology Ministry of Education Lessons applied in Brazil  Support the Family Health Program  Connectivity and eHealth Centers in university and educational hospitals  Implement Telehealth procedures (continuous education, second opinion and Teleconsult) into rural and underserved regions  International collaboration  National coordination

28 Ministry of Health Ministry of Science and Technology Ministry of Education Achieved Results  Comprehension of the technological opportunity  in University and Educational Hospitals  Acceptance of eHealth norms  Stimulate academy, government and enterprises  Broaden discussion on health prevention  Enable international collaboration

29 Ministy of Health “The future has already arrived. It is just not equaly distributed” Amazonia Rio de Janeiro São Paulo Amazonia


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