The%20Brazilian%20Virtual%20Hospital

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The Brazilian Virtual Hospital

• Health Information Resources and a Virtual
  Community on the World Wide Web

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Renato M.E. Sabbatini, PhDDirector for RD,
Center for Biomedical InformaticsState
University of CampinasPresident, the EduMed
Institute
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The State University of Campinas
UNICAMP 19,000 students (42 grad) 2,000
faculty Research university Hi-tech RD
Campinas 850,000 inhabitants 60 miles north of
São Paulo 12 of Brazils GIP Brazils Silicon
Valley
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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.

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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

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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.

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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

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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

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http//www.hospvirt.org.br
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Services and Departments of the Brazilian
Virtual Hospital

• Access Lobby
• Physicians 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

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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.

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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

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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

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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.

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Health Life On-LineAsk the Doctor
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Internet-Based TeleconferenceClinical Case

• Case Description
• Reports and Tests
• Images and Tracings

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Internet-Based Teleconference

• Chatroom in Java Servlet
• whiteboaard
• text
• images
• moderator
• participants

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The epub Project

• Group for Electronic Publications in Medicine and
  Biology
• http//www.epub.org.br

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The epub 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

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Epub 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

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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

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Other Virtual Communities

• The Brazilian Virtual Veterinary
  Hospitalhttp//www.nib.unicamp.br/hvvb
• The Virtual Dental Centerhttp//www.nib.unicamp.b
  r/cov
• The Virtual Physical Education Centerhttp//www.c
  ev.org.br

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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

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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

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

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The Integrative Role of EduMed
EduMed
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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

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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

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Contact Information

• Renato M.E. Sabbatini
• sabbatin_at_nib.unicamp.br
• http//www.nib.unicamp.br
• http//www.edumed.net