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A Health Information Infrastructure for the
AmericasA Vision of the Possible
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Once upon a time...
The world was a Babel TowerEvery community was an island
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Then, the global digital network arrived...
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Internet Growth
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Global Networks Density
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Internet Connectivity:Latin America and
Caribbean
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Smart Cards
• Portable medical record
• Integration of health care information
• Health system management
• Information quality and standardization
• Low cost
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Telemedicine
• Transmission of patient data
• Remote interaction
• Remote control
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Personal Telemedicine
• Simpler systems for use at home or in the workplace
• Monitoring of chronic diseases, pregnancy, post-surgery
• Permanent or temporary
• Good cost/benefit ratio
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Computerized Patient Record
• Partial or total replacement of the paper record
• Gains in quality, uptodateness, completeness, legibility, acessibility, etc.
• Network-based integration and access
• Standardization
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Distance Education
• Independence of physical location and time
• Optimization of learning
• Ideal for continuedmedical education,recertification
• Internet andvideoconferencing
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Internet Resources
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The Challenges
• Using information technology to reach health underserved populations
• Transforming health education through the information superhighway
• Ensuring and improving access to health information by all
• Building new partnerships based on telematics and computing
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HII Requirements
• A Health Information Infrastructure should be:– International– Interdisciplinary– Integrated– Accessible by all– Affordable– Oriented to people
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HII Requirements (2)
• It should provide timely data, linking different databases and aggregate information in a variety of ways in order to meet the needs of patients, providers, and policy makers.
• It should also provide multiple communication links between health care providers, patients, educators, institutions, payors, policy makers, etc.
• It should widely employ international and open standards to facilitate communication and information interchange
Canadian National Forum on Health
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Ideas
• Community health information networks• Virtual health communities• Using clinical information systems to improve
health care– Decision support systems
– Quality assessment systems
• Information technology support for public health• The changing roles of patients and health workers
in an electronic environment
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Opportunities
• Friends of the National Library of Medicine Third Annual Conference: The Emerging Health Information Infrastructure (HII98). April 27-29, 1998, Georgetown University Conference Center, Washington, D.C., USA