COVID-19 e Telemedicina: ferramenta de medição do nível de maturidade das instituições de saúde para implementar serviços de telemedicina / COVID-19 y Telemedicina: herramienta de medición del nivel de madurez de las instituciones de salud para implementar servicios de telemedicina / COVID-19 and Telemedicine: tool for assessing the maturity level of health institutions to implement telemedicine services / COVID-19 et Télémédecine: outil de mesure du niveau de maturité des établissements de santé pour la mise en œuvre des services de télémédecine

A elaboração desta ferramenta faz parte do apoio às operações de resposta à pandemia. Baseia-se nos modelos implementados por diferentes instituições de saúde em vários países do mundo, com diferentes graus de complexidade. Instituições e especialistas em telemedicina e no uso de tecnologia da informação na área da saúde pública da Região das Américas e da Espanha colaboraram em seu desenvolvimento. A ferramenta foi desenvolvida com o entendimento de que existe uma intenção institucional de implementar serviços de telemedicina imediatamente. Porém, também será útil para instituições que já contam com programas de telemedicina e desejam fazer uma autoavaliação para redefinir as suas prioridades diante da pandemia. A ferramenta traz uma série de perguntas organizadas nas seis categorias.

La elaboración de esta herramienta forma parte del apoyo a las operaciones de respuesta a la pandemia. Se basa en los modelos que distintas instituciones de salud con diferente grado de complejidad han implementado en varios países del mundo. En su desarrollo han colaborado instituciones y expertos de la Región de las Américas y de España especializados en telemedicina y en el uso de tecnologías de la información en la esfera de la salud pública. La herramienta se ha desarrollado en el entendido de que existe la intención institucional de implementar de forma inmediata servicios de telemedicina. Pero también resultará útil a las instituciones que ya cuenten con programas de telemedicina en funcionamiento y que deseen autoevaluarse para redefinir prioridades frente a la pandemia. La herramienta consta de una serie de preguntas organizadas en las seis categorías.

This tool forms part of the support for pandemic response operations. Its design is based on the models that have been implemented by different health institutions with different levels of complexity in several countries. The tool was developed collaboratively with institutions and experts specialized in telemedicine and in the use of information technology (IT) in public health, from the Region of the Americas and. The tool has been developed with the understanding that there is an institutional commitment to immediately implement telemedicine services. However, it will also be useful to institutions that already have telemedicine programs up and running, which want to perform a self-assessment to redefine their priorities in light of the pandemic. The tool comprises a series of questions, organized into the six categories.

La mise au point de cet outil s'inscrit dans le cadre du soutien aux opérations d'intervention en cas de pandémie. Il repose sur les modèles que différents établissements de santé avec des degrés de complexité variables ont mis en œuvre dans plusieurs pays à travers le monde. Des institutions et des experts de la Région des Amériques et d'Espagne spécialisés dans la télémédecine et l'utilisation des technologies de l'information dans le domaine de la santé publique ont collaboré au développement du présent outil (voir annexe). L'existence d'une intention institutionnelle de mettre immédiatement en œuvre des services de télémédecine est un préalable au développement de cet outil. Néanmoins, ce dernier sera également utile pour les institutions qui ont déjà mis en place des programmes de télémédecine et qui souhaitent réaliser une auto-évaluation de manière à redéfinir leurs priorités face à la pandémie. L'outil comprend une série de questions organisées selon les six catégories.

La telemedicina: marco conceptual y desarrollo normativo a nivel mundial: informe temático n° 11/2015-2016 / Telemedicine: conceptual framework and normative development at the global level: thematic report: n° 11/2015-2016

El presente documento, elaborado por el Área de Servicios de Investigación del Departamento de Investigación y Documentación Parlamentaria desarrolla el tema de la telemedicina a partir de la conceptualización del término, el campo de aplicación, las ventajas e inconvenientes de esta práctica y la normatividad nacional e internacional. Dicho documento constituye la versión actualizada del Informe Temático 88/2014-2015: La telemedicina: Marco conceptual, aplicaciones y desarrollo normativo nacional e internacional que fue elaborado por el Área de Servicios de Investigación en el mes de noviembre del año 2014 y enviado a la misma comisión hoy solicitante

Patient-assisted teledermatology practice: What is it: When, where, and how it is applied.

Recent teledermatology practice has been focused on different models made possible by robust advances in information technology leading to consistent interaction between the patient and health care professionals. Patient-assisted teledermatology practice also called patient-enabled teledermatology or home based teledermatology is one such novel model. There is a lack of scientifi c literature and substantive reviews on patient-assisted teledermatology practice. The present article reviews several studies and surveys on patientassisted teledermatology practice and outlines its advantages and barriers to clinical utility and analyses the potentiality of this concept. Incorporating patient-assisted teledermatology practice as a novel model in the revised classifi cation of teledermatology practice is proposed. In patient-assisted teledermatology, the patient can upload his/her clinical images as a fi rst contact with the dermatologist or an initial face-to-face examination can be followed by teledermatology consultations. The latter method is well suited to chronic diseases such as psoriasis, vitiligo, and leg ulcers, which may need frequent follow-up entailing signifi cant costs and time, particularly in the elderly. Teledermatology may also be used by the treating dermatologist to seek expert opinion for diffi cult cases. Studies have demonstrated the importance and usability of the concept of patient-assisted teledermatology practice. Various teledermatology care models are available and the appropriate model should be chosen depending on whether the clinical situation is that of easily diagnosed cases (“spotters”), chronic cases or doubtful cases and difficult-to-manage cases.