Transcript O HOSPITAL VIRTUAL

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
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
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.
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
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.
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
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
http://www.hospvirt.org.br
Services and Departments of the
Brazilian Virtual Hospital
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Access Lobby
Physician´s Room
Medical Archives
Library
Virtual Medical School
Conventions Center
Students Union
Hospital Management
Clinical Engineering
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Publishing House
Computing Center
Virtual Pharmacy
Basic Science
Departments
• Clinical and surgical
departments
• Research groups and labs
• Special projects
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.
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
Information Resources
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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
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.
Health & Life On-Line
“Ask the Doctor”
Internet-Based Teleconference
Clinical Case
• Case Description
• Reports and Tests
• Images and Tracings
Internet-Based Teleconference
“Chatroom”
in Java
Servlet
• whiteboaard
• text
• images
• moderator
• participants
The e*pub Project
Group for Electronic Publications in
Medicine and Biology
http://www.epub.org.br
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
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
External Supported Publications
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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
Other Virtual Communities
• The Brazilian Virtual Veterinary Hospital
http://www.nib.unicamp.br/hvvb
• The Virtual Dental Center
http://www.nib.unicamp.br/cov
• The Virtual Physical Education Center
http://www.cev.org.br
Some Statistics
Complex of Health Sites
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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
Current Projects
• The Medical News On-Line Agency
Collaboration 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
Rede Nacional de
Distance Education
Educação
a Distância
em
Medicina
Network
in Health
School
Digital Satellite
Internet
Videoconference
School
School
Hospital
Hospital
Hospital
Target: 90 medical schools and
500 hospitals
Technologies
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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)
The Integrative Role of EduMed
Real
Virtual
Virtual
EduMed
Real
Medical Education Market
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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
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
Contact Information
Renato M.E. Sabbatini
[email protected]
http://www.nib.unicamp.br
http://www.edumed.net