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University of the Philippines Manila National Telehealth Center

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University of the Philippines Manila National Telehealth Center mHealth in the Philippines Alvin B. Marcelo, MD * * * * * * * * * * Goals for this Presentation ... – PowerPoint PPT presentation

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Title: University of the Philippines Manila National Telehealth Center


1
University of the Philippines Manila National
Telehealth Center
  • mHealth in the
  • Philippines
  • Alvin B. Marcelo, MD

2
Goals for this Presentation
  • Provide examples of how we use mobile phones for
    health in the Philippines
  • Present results of our research on using mHealth
    for delivering care to remote underserved areas

3
State of (ill-) health Why?
  • Philippines
  • 90 million people
  • Growing at 2 million per year
  • 7,107 islands
  • Maldistribution of doctors and nurses to urban
    areas and few/none in rural areas

4
Opportunity for mHealth
  • Philippines
  • Three wireless providers
  • 75 penetration rate (with several having more
    than one line)
  • the texting capital of the world with 2 BILLION
    text messages exchanged everyday

5
OneHEALTH Program
eMedicine (Telemedicine) eLearning for
Health eRecords (CHITS)
6
Telemedicine in the Philippines
6 years of experience and collaborations with
DOH-DTTBs with research support from DOST
SERVICE
RESEARCH
DOST, 2008
CICT 2004
DTTBs 2008-2011
7
How do we do Telemedicine?
  • We train health workers how to use the cellphone
    to effectively collaborate with doctors,
    specialists, and other health workers in their
    region.

8
TELEMEDICINE How it Works
Internal Medicine
Doctor-to- the-Barrio
Pediatrics
Radiology
NTSP Central
4th, 5th, 6th class LGUs
Dermatology
Doctor-less site
Ophtha
Others
Ethical, legal, and social framework for the
practice of telemedicine
PGH and DOH regional hospitals
9
TELEMEDICINE How it Works
We built a network of doctors. We defined
guidelines and protocols. We trained the
network. We use SMS, MMS, voice and email.
PGH and DOH regional hospitals
10
  • Stories of Telemedicine

11
Skin Diseases among Tribesmen
  • A young doctor with a cellphone saw a unique skin
    problem among the tribesmen
  • Using his cellphone camera (with patient
    consent), he referred the case to Manila
  • Dermatologist recognizes the problem as a rare
    skin disease and asks for more examinations
  • Young doctor complies and sends confirmatory
    images
  • Patients got treated appropriately and in a
    timely manner

12
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17
Results
  • Telemedicine is possible in geographically
    isolated and disadvantaged areas (GIDA)
  • Telemedicine is fraught with ethical, social, and
    legal challenges (read should only be done by
    trained health professionals and certified
    personnel). Protocols are important.
  • Telemedicine is expensive for few sites, but
    costs go down with more sites

18
NTSP National Telehealth Service Program
  • We are now in the process of finalizing a grant
    from the Government to offer the services on a
    national scale.

19
Thank you for listening
  • alvin.marcelo_at_telehealth.ph
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