Telemed J E Health - The Maniapure Program--lessons learned from a rural experience: two decades delivering primary healthcare through telemedicine.

Tópicos

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Resumo

JECTIVE: Latin American healthcare has a common characteristic in the way countries provide assistance to the majority of their population, often represented by limitations in investment and most frequently by assigning funds to the wrong sectors of the system, which will never reach the neediest segments of the society. We want to share some lessons learned in nearly two decades serving the poorest segments of the society, despite limited funding, through the use of communication and information technologies.MATERIALS AND METHODS: The data analyzed come from the accumulated experience in a remote rural center in southern Venezuela (La Milagrosa Health Center in Maniapure, Bolivar State) and further experience in over 20 similar rural clinics replicated from that case. The methodology has been a retrospective evaluation of results with a constantly maturing and dynamic practice at three levels of care: (1) remote (basic clinic), (2) a virtual triage center, and (3) a specialty level.RESULTS: We analyzed qualitative results on access to specialty care of previously excluded communities (populations) and the significant cost reduction (social and financial) by avoiding unnecessary travel for the majority of consulting patients. In cases needing subspecialty care that require travel, the effectiveness of such activity is optimized in time and service.CONCLUSIONS: Communication and information technologies can provide significant savings to society and improve healthcare with the use of common and relatively inexpensive consumer-level devices if used in a basic, coordinated system of services with adequate training and follow-up.

Resumo Limpo

jectiv latin american healthcar common characterist way countri provid assist major popul often repres limit invest frequent assign fund wrong sector system will never reach neediest segment societi want share lesson learn near two decad serv poorest segment societi despit limit fund use communic inform technologiesmateri method data analyz come accumul experi remot rural center southern venezuela la milagrosa health center maniapur bolivar state experi similar rural clinic replic case methodolog retrospect evalu result constant matur dynam practic three level care remot basic clinic virtual triag center specialti levelresult analyz qualit result access specialti care previous exclud communiti popul signific cost reduct social financi avoid unnecessari travel major consult patient case need subspecialti care requir travel effect activ optim time serviceconclus communic inform technolog can provid signific save societi improv healthcar use common relat inexpens consumerlevel devic use basic coordin system servic adequ train followup

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