Telemed J E Health - Cabo Verde telemedicine program: initial results of nationwide implementation.

Tópicos

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Resumo

CKGROUND: Telemedicine and e-health have been suggested as one solution for closing the health disparity gap between the developed world and the developing world. Yet evidence is lacking from current successful programs in the developing world and, in particular, from sub-Saharan Africa. The primary objective of our study was to present the preliminary results of our efforts in building the Integrated Telemedicine and e-Health Program for Cabo Verde (ITeHP-CV), with an emphasis on initial utilization and results.MATERIALS AND METHODS: This is a prospective study of data collected while we worked to establish a fully functional, integrated national telemedicine network and virtual education network in Cabo Verde. We used the International Virtual e-Hospital Foundation strategic approach known as "initiate-build-operate-transfer" over a 26-month period (November 2011-December 2013). We describe herein the five main pillars of this process that have been implemented: (1) capacity building; (2) network development and deployment of equipment; (3) implementation of clinical telemedicine; (4) implementation of activities related to continuing medical education, delivered from within the country and from abroad; and (5) establishment and use of the electronic virtual library.RESULTS: Based on comprehensive technical and medical assessment of the country's needs, 10 fully functional telemedicine centers in all nine inhabited islands of the Republic of Cabo Verde have been established. RESULTS are presented under the five main pillars of capacity building, network deployment, implementation of clinical telemedicine, implementation of continuing medical education activities, and establishment of the electronic virtual library.CONCLUSIONS: The ITeHP-CV has been successfully launched, and the initial results are encouraging. The continuity of the program and sustainability are primary goals once the program is transferred fully to the Ministry of Health of Cabo Verde. A long-term follow-up study is required in order to ensure sustainability and continuity goals are met.

Resumo Limpo

ckground telemedicin ehealth suggest one solut close health dispar gap develop world develop world yet evid lack current success program develop world particular subsaharan africa primari object studi present preliminari result effort build integr telemedicin ehealth program cabo verd itehpcv emphasi initi util resultsmateri method prospect studi data collect work establish fulli function integr nation telemedicin network virtual educ network cabo verd use intern virtual ehospit foundat strateg approach known initiatebuildoperatetransf month period novemb decemb describ herein five main pillar process implement capac build network develop deploy equip implement clinic telemedicin implement activ relat continu medic educ deliv within countri abroad establish use electron virtual libraryresult base comprehens technic medic assess countri need fulli function telemedicin center nine inhabit island republ cabo verd establish result present five main pillar capac build network deploy implement clinic telemedicin implement continu medic educ activ establish electron virtual libraryconclus itehpcv success launch initi result encourag continu program sustain primari goal program transfer fulli ministri health cabo verd longterm followup studi requir order ensur sustain continu goal met

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