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Diagnóstico rápido y participativo en la evaluación de proyectos de telemedicina rural:caso de EHAS en Colombia y Perú

Source: OAI

ABSTRACT El método DRP (Diagnóstico Rural Participativo o Diagnóstico Rápido y Participativo) es un enfoque de investigación social y participación que se emplea en acciones de desarrollo desde los años ochenta. Se basa en una serie principios y técnicas suficientemente probadas que aseguran el rigor y la calidad del proceso. Las técnicas que emplea son talleres que permiten extraer información y propuestas de intervención consensuadas entre los grupos implicados. En 2004 se comenzó a introducir este tipo de estudios en las evaluaciones de los proyectos EHAS y han demostrado ser útiles y adaptables a proyectos de telemedicina rural. Este artículo presenta las bases de los métodos DRP y cómo se han aplicado a varios proyectos EHAS en Colombia y Perú.

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    ABSTRACT: The Biomedical Engineering and Telemedicine Group of the Technical University of Madrid and the nongovernmental organization engineering without frontiers are leading the "Hispano-American Health Link" program, to develop low-cost telecommunication systems and information services specially designed for rural primary healthcare personnel from isolated areas in developing countries. The EHAS program has five lines of action: 1) research on the communication and information needs of rural health personnel in developing countries; 2) R&D on voice and data communication systems designed according to conditions of rural areas; 3) R&D on information services systems suited to the needs of health personnel; 4) deployment of those services and systems through pilot projects; and 5) evaluation of the impact of these telemedicine systems on health services. We examine the results of each line of work, with emphasis on the pilot scheme deployed in 39 rural sites of the Alto Amazonas province, in the center of the Peruvian Amazon region.
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    ABSTRACT: This article presents three studies dealing with information and communication needs in rural primary health care from Peru and Nicaragua. Results show that primary health-care systems in rural areas of developing countries are very inefficient. Among the main reasons we found factors related to communication infrastructure, information sharing, and continuous training of health professionals. We conclude that telemedicine systems can improve this situation, but the lack of infrastructures, low income levels, and other conditions, impose strong limits to the introduction of new technologies. The main conclusion is that differences in needs and conditions between developing countries and industrialized ones force to use different solutions and approaches. This article presents some proposals on technology requirements and how to deal with the use of telemedicine in rural areas of developing countries. These proposals can be useful to all kind of actors (national public administrations, multilateral institutions, industry, academy, civil society, etc.) in order to promote really relevant and sustainable proposals in telemedicine for rural regions of developing countries.
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    [Show abstract] [Hide abstract]
    ABSTRACT: This article presents three studies dealing with information and communication needs in rural primary health care from Peru and Nicaragua. Results show that primary health-care systems in rural areas of developing countries are very inefficient. Among the main reasons we found factors related to communication infrastructure, information sharing, and continuous training of health professionals. We conclude that telemedicine systems can improve this situation, but the lack of infrastructures, low income levels, and other conditions, impose strong limits to the introduction of new technologies. The main conclusion is that differences in needs and conditions between developing countries and industrialized ones force to use different solutions and approaches. This article presents some proposals on technology requirements and how to deal with the use of telemedicine in rural areas of developing countries. These proposals can be useful to all kind of actors (national public administrations, multilateral institutions, industry, academy, civil society, etc.) in order to promote really relevant and sustainable proposals in telemedicine for rural regions of developing countries.
    IEEE Transactions on Information Technology in Biomedicine 01/2005; 9:66-72. · 1.98 Impact Factor

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May 27, 2014