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NATIONAL TELEHEALTH MEXICAN PROGRAM

NATIONAL TELEHEALTH MEXICAN PROGRAM. Amanda GOMEZ-GONZALEZ * y *** Javier CASTELLANOS COUTIÑO ** Jose Antonio ROJO PADILLA*** Manuel GONZALEZ VIVIAN *** * Federal Commission of Telecommunication (COFETEL) **Vice Ministry of Health (SSA)

december
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NATIONAL TELEHEALTH MEXICAN PROGRAM

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  1. NATIONAL TELEHEALTH MEXICAN PROGRAM • Amanda GOMEZ-GONZALEZ * y *** • Javier CASTELLANOS COUTIÑO ** • Jose Antonio ROJO PADILLA*** • Manuel GONZALEZ VIVIAN *** • * Federal Commission of Telecommunication (COFETEL) • **Vice Ministry of Health (SSA) • ** *Social Services and Security for State Workers (ISSSTE) 3/17/2014

  2. MEXICAN ANTECEDENTS • 1978 COPLAMAR in the Mexican social security medical support program to rural clinics for radiolinks or civil band • 1986 medical teleteaching channel, it programs infantile hospital of Mexico. SEMESATEL • 1991 study on applications of the Solidaridad satellite to the medical attention, hospitals, clinical, mobile and rural by the communications and transports ministry 3/17/2014

  3. ISSSTE Is the second Social Security Institute with 9.2 millions peoples of population. The users of this Institute of Health is the State Workers and the families. Have users in all country, with 3 attentions levels This institution give at the patient the cost of translate with one familiar with transportation, hotel and foods.

  4. SITUATIONAL ANALYSIS From 1990 to 1995 the increment cost of transferees is 300% to the ISSSTE The needs of loss the transferees with out loss the medical attention is a Institutional Need The possibility of amplify the population cover with the use of TELEMEDICINE planed the pilot program.

  5. TELEMEDICINE PILOT PROGRAM IN ISSSTE • 1995 Connection among National Medical Center “20 de Noviembre” of Mexico City and Regional Hospital “Belisario Dominguez” in Tuxtla Gutierrez Chiapas. • Via Satellite SOLIDARIDAD II , using 384 kbps • with Videoconference, data and X rays • Time of test 4 months 3/17/2014

  6. PILOT TEST 1995 HOSPITAL 20 DE NOV. Mexico City Tuxtla Gtz. Chiapas

  7. RESULTS OF PILOT TEST • The cover has been amply • The quality levels of the video has been decided minimal speed of 256 KBPS. to medical videoconferences. • Translates reduction in 52% compared with the previous year • The application is not only Consults, is amply to Education and Hospital Administration • Relationship Cost/Benefit with the reduction of transfers; be the project self financed 3/17/2014

  8. PLAN OF WORK • With the before results the General Direction of ISSSTE, the Republic President and COFETEL create the NATIONAL TELEHEALTH PROGRAM in ISSSTE. • Divided the Country in micro regions North, Center and South by supply medical attention of high quality at distance. • The National plan has been divided in 3 phases 97-98 and 99. • Applied inquiry by Medical, nurses and patients to detect the level of acceptation.

  9. OBJETIVES • Optimize the specialized medical attention to remote units • Diminish the index of high transfers of patients • Open a reference channel and contra reference • Carry out programs of medical continuous education to distance

  10. NATIONAL TELEHEALTH MEXICAN PROGRAM Technical Requirements • Videoconference at 256 Kbps minimum • Signs Senses: Electro stethoscope, EKG Scanner to X rays • Additional Equip: Projector of recording opaque video (documents camera), electronic file, work station with capacity of multichannel of signals and to vary the transmission speed and storage capacity. 3/17/2014

  11. SIGNAL OF TELECONSULTE • Videoconference 256-512 Kbps • Stethoscope 112 Kbps • Data 19.2-128 Kbps • Projector of opaque 96-256 Kbps • Electrocardiograph 19.2 Kbps • Minimum multichannel speed 512Kbps 3/17/2014

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