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The Brazilian Virtual Hospital

The Brazilian Virtual Hospital. Health Information Resources and a Virtual Community on the World Wide Web. Renato M.E. Sabbatini, PhD Director for R&D, Center for Biomedical Informatics State University of Campinas President, the EduMed Institute. The State University of Campinas. UNICAMP

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The Brazilian Virtual Hospital

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  1. The Brazilian Virtual Hospital Health Information Resources and a Virtual Community on the World Wide Web

  2. Renato M.E. Sabbatini, PhDDirector for R&D, Center for Biomedical InformaticsState University of CampinasPresident, the EduMed Institute

  3. The State University of Campinas UNICAMP 19,000 students (42% grad) 2,000 faculty Research university Hi-tech R&D Campinas 850,000 inhabitants 60 miles north of São Paulo 12% of Brazil´s GIP Brazil´s Silicon Valley

  4. The Benefits of Telehealth • Expands coverage to remote and underserved populations, particularly in the rural sector • Increases the quality of health care by providing monitoring, consultation, screening and education • Decreases the costs of hospitalization, error, transportation, excessive use of specialized resources, etc.

  5. Crucial Points Concerning Internet Usage in Health Care • Increase high quality content • Increase content which is useful at the point of care • Improve the access mechanisms (keyword and concept search, semantics, content rating, authoritative sources, easy and quick navigation) • Training the end user

  6. What is the Brazilian Virtual Hospital • An architectural metaphor for providing access to medical information on the Internet; • A standardized platform for the electronic interchange of information and for interaction in a virtual community of users; • A resource for the continued education of professionals and consumers; • A testbed for the experimentation and evaluation of new communication technologies in medicine.

  7. Virtual Hospitals in the World • Virtual Hospital - University of Iowa - December 1994 • Cyberhospital - National University of Singapore - February 1995 • Brazilian Virtual Hospital - May 1996 • Argentinian Virtual Hospital - May 1997

  8. Types of Users • General public: patients, lay persons • Health care professionals and students Each type of user may access the Virtual Hospital using different entry points or interfaces, according to the adequacy of language and depth of information

  9. http://www.hospvirt.org.br

  10. Services and Departments of the Brazilian Virtual Hospital • Access Lobby • Physician´s Room • Medical Archives • Library • Virtual Medical School • Conventions Center • Students Union • Hospital Management • Clinical Engineering • Publishing House • Computing Center • Virtual Pharmacy • Basic Science Departments • Clinical and surgical departments • Research groups and labs • Special projects

  11. Basic Organizational Principles • Each department is coordinated by a respected specialist in the area, aided by a group of collaborators; • Whenever possible, a learned society of noted university center supports the specialty; • All information made available is selected according to quality, timeliness and accuracy and is peer-reviewed; • There is a uniform user interface and hierarchy of information.

  12. Basic Organizational Principles • The Brazilian Virtual Hospital is built and maintained by a “knowledge cooperative”, i.e., a network of collaborators from many location; • It is a national initiative, officially endorsed by the Brazilian Medical Association and the Interministerial Committee for Internet Coordination (Internet/BR) Health Working Group

  13. Information Resources • Electronic books, journals and newsletters (virtual library) • Information for patients • On-line courses and tutorials • Image, video and sound databases • Clinical algorithms for decision support • Clinical case descriptions (“virtual patients”) • Medical databases • Information about conferences and courses • Mailing lists, discussion forums (medical chat rooms), bulletin boards and newsgroups • Dowloadable free software • Links to Internet resources

  14. Links to Internet Resources • Home pages of medical schools, hospitals, clinics, physicians, university departments, research centers, etc. • Specialized information sites • Medical and health care societies and associations • Patient support groups, mailing lists • etc.

  15. Health & Life On-Line“Ask the Doctor”

  16. Internet-Based TeleconferenceClinical Case • Case Description • Reports and Tests • Images and Tracings

  17. Internet-Based Teleconference • “Chatroom” in Java Servlet • whiteboaard • text • images • moderator • participants

  18. The e*pub Project Group for Electronic Publications in Medicine and Biology http://www.epub.org.br

  19. The e*pub Aims • Development and deployment of periodical publications in Medicine and Health (digital library) on the Internet and other electronic media; • Research of new technologies and methodologies of electronic publishing and the evaluation of its impact on scientific communication and education

  20. E*pub Publications • Intermedic: A Journal on Internet and Medicine • Informedica/Informática Médica: A Magazine on Informatics for Physicians • Health & Life On-Line • Brain & Mind Magazine • NutriWeb Magazine

  21. External Supported Publications • Brazilian Archives of Cardiology • Newsletter of the São Paulo Cardiological Society • Journal of the São Paulo Cardiological Society • Brazilian Journal of Medical and Biological Research • Contemporary Gastroenterology • Review of Psychological Studies • OnLine Journal of Plastic and Reconstructive Surgery

  22. Other Virtual Communities • The Brazilian Virtual Veterinary Hospitalhttp://www.nib.unicamp.br/hvvb • The Virtual Dental Centerhttp://www.nib.unicamp.br/cov • The Virtual Physical Education Centerhttp://www.cev.org.br

  23. Some StatisticsComplex of Health Sites • More than 6,000 pages of information • 1.1 terabyte of data transfer per year • 160,000 unique visitors per month • 12 million file transfers per month • Ca. 150 contributors throughout the country • Ca. 100 email messages per day

  24. Current Projects • The Medical News On-Line AgencyCollaboration with DoctorPress Ltd • The Virtual Continued Medical Education Center: Collaboration with the EduMed Institute • Center for Health Information Technology • Brazilian Telemedicine Initiative and the Brazilian Association for Telehealth

  25. Distance Education Network in Health Hospital Hospital Hospital Rede Nacional de Educação a Distância em Medicina School Digital Satellite Internet Videoconference School School EDUMED .NET Target: 90 medical schools and 500 hospitals

  26. Technologies • VSAT • TCP/IP, HTTP, etc. • Tele and videoconference • On demand audio and video • Digital satellite TV (DSTV) • TV/Internet convergence (MP3, WebChoice TV, WebTV, PPV, Cablemodem) • Data bases and virtual libraries • Optical disks (CD-ROM, DVD)

  27. The Integrative Role of EduMed Real Virtual Virtual Real EduMed

  28. Medical Education Market • 94 medical schools • 38.000 undergraduate students • 8.000 new physicians per year • 220.000 physicians • 7.000 hospitals, 800 with residence • 12.000 residents • 9 to 10.000 medical professors • 50/60.000 physicians doing CME • Global expenditures of US$ 1,5 billion/year

  29. The EduMed Institute • A not-for-profit educational association founded in March 2000, in Campinas, Brazil, with several regional offices • Research and education in health information technologies and its applications in learning, education, care and social actions • Management of the EduMed Consortium and the EduMed.Net Project • Alliances with national and international organizations and the private sector

  30. Contact Information Renato M.E. Sabbatini sabbatin@nib.unicamp.br http://www.nib.unicamp.br http://www.edumed.net

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