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University of the Philippines Manila National Telehealth Center

University of the Philippines Manila National Telehealth Center. mHealth in the Philippines Alvin B. Marcelo, MD. Goals for this Presentation. Provide examples of how we use mobile phones for health in the Philippines

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University of the Philippines Manila National Telehealth Center

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  1. University of the Philippines ManilaNational 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. TELEMEDICINEHow it Works Internal Medicine Doctor-to- the-Barrio Pediatrics Radiology NTSP Central 4th, 5th, 6th class LGUs Dermatology Doctor-less site Ophtha *** Ethical, legal, and social framework for the practice of telemedicine Others PGH and DOH regional hospitals

  9. TELEMEDICINEHow 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. 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

  13. 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.

  14. alvin.marcelo@telehealth.ph Thank you for listening

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