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National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
Digital Health Building Capacity, improving collaborative Research and remote Assistance to achieve UHC regarding the SDG
Cyberinfrastructure – RNP Today
• Operating since 1992
• All 27 states connected
• 900/5570 municipalities connected
• 1522 connected Campi
• Amazonia included
• 3,5 million users
• 27.500 research groups connected
• 180.000 scientists
• 3.881 post-graduation programs
• 5 ministries: S&T, Education, Culture, Health and Defense
Since Oct 5th : 1Gbps
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
Cyberinfrastructure for R&E
Telehealth Networks and Resources
Program Telehealth Brazil Networks, 22 implanted Nuclei and 5 under development, 2.367 out of 5.570/municipalities, Ministry of Healthwww.telessaudebrasil.org.br
The Open Health University UNASUS, 1 million health professionals registered in courses, Ministry of Health http://www.unasus.gov.br/
The Telemedicine University Network RUTE, connects 136 University and Teaching Hospitals in all states and 60 SIGs Special Interest Groups,Ministry of Science, Technology, Innovation and Communication www.rute.rnp.br
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National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
The Brazilian National Telehealth Public Policy
11 R&E Telemedicine Units /year12 years network operation
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
http://rute.rnp.br/eventos
In 201851 active SIGs 582 sessions 139 Web, 443 Video4 new SIGs created2724 distinct participants9757 registred participants
In 10 years operation3897 sessions5309 hs of videocollaborationOn the average 2.5 scientificsessions everyday
Special Interest Group Sessions March 2019
2008
Special Interest Groups Evolution
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
2008 2010
Special Interest Groups Evolution
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
Imagem referente à pesquisa: BRITO, T. D. L. V.; BAPTISTA. R. S.; LOPES, P. R. L.; HADDAD, A. E.; MESSINA, L. A.; PISA, I. T.. The CollaborativeCoordination of Special Interest Groups on The Telemedicine University Network (RUTE) in Brazil. In: MEDINFO 2015: 15th World Congress on Health and Biomedical Informatics. S.P. 2015.
201820102008
Special Interest Groups Evolution
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
National Multi-professional Residency Program in videconference: ca.45 VC rooms and 617 preceptors every week
Preceptors update Set – Dec 2015
12 weeks7000 participantsin 3 months
Cost avoidanceca. 4 million US$
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
12hours/day2000 ecg/day1700 Teleconsult/month(UFMG, UFU, UFTM, UFJF, Montes Claros, UFSJ)
80% of the telepatients need no transfer toReference Centers
10% municipal health budget savings
800 Municipalities1000 Points
Clinical Hospital - Federal University of Minas Gerais - UFMGMinas Gerais Health State Department
More than 3 million TeleECGNational Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
Telehealth in the State of Minas Gerais
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
SIG on Food Security
Health Technical Schools Network RETSUS
40 ETSUS
21 TechnicalSchools10
FormationCenters
9 Public Health
Schools
First International RETS SIG in preparation“Patient Security” Brazil and Mozambique
From the National Cancer Institute INCA, Rio, 19/01/2018
Transmitted in 4K and HD to all over Brazil
The Latin American EndoscopyJapan and Latin America
Shuji Shimizu, MD, PhDChairman and ProfessorInternational Medical Department (iMed)Director, Telemedicine Development Center of Asia (TEMDEC)Director, Dept. of Endoscopic Diagnostics & TherapeuticsKyushu University Hospital
6 Ministries of Health in 209:Brasil, Colombia, Equador, México, Uruguai, El Salvador,
16-19/10/2013 - Ouro Preto, MG
finalists to the InnovationPremium in Health LA
http://site.medicina.ufmg.br/proyectobid/
Project components1. Regional Standards for transmission and infra-
estructure2. Strategy for the promotion, prevention and assistance
through telehealth3. Regional guide for telehealth managing4. Strategy for a LA Telehealth University Network5. Telehealth training and certification6. Innovation in Telehealth7. Best Practices in Telehealth
Project RG-T1509 : Regional Protocols for TelehealthPublic Policies in Latin America (2009)
18 Ministries of Health in 2013:Brasil, Colombia, Equador, México, Uruguai, El Salvador, Chile, Peru, Argentina, Guatemala, Costa Rica, Venezuela, Paraguai, Rep.Dominicana, Haiti, Bolivia, Panamá, Guiana
16-19/10/2013 - Ouro Preto, MG
finalists to the InnovationPremium in Health LA
http://site.medicina.ufmg.br/proyectobid/
Project components1. Regional Standards for transmission and infra-
estructure2. Strategy for the promotion, prevention and assistance
through telehealth3. Regional guide for telehealth managing4. Strategy for a LA Telehealth University Network5. Telehealth training and certification6. Innovation in Telehealth7. Best Practices in Telehealth
Project RG-T1509 : Regional Protocols for TelehealthPublic Policies in Latin America (2009)
6th Meeting of the BRICS Health Ministers, New Delhi. (2016)
• http://pib.nic.in/newsite/PrintRelease.aspx?relid=155596
Telemedicine is inserted
in the BRICS
Agenda of the Ministers
of HealthM.Natenzon, L.A.Messina, vice-Ministro da Saúde da Rússia, Oleg Salagay,Victor Klassen, Saroj Mihsra
Digital Health Building Capacity to achieve UHC Universal Health Coverage 12/04/18
Telehealth Strategy to the Portuguese speaking countries
Resolution by the 9 Ministers of Healthon Oct 26th 2017
Created the Permanent Working Group Telemedicine of the portuguese speaking countries
(Portugal, Brazil, Mozambique, Angola, Cape Verde, Guiné Bissau, Guiné Equatorial, East Timor, São Tomé and Príncipe)
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
Digital Health Building Capacity to achieve UHC regarding the SDG
Collaborative Networks
National Research and Education NetworksPromoting the innovator use of advanced networks in Brazil
• Resolução CFM nº 1.643/2002(http://www.saudeparavoce.com.br/telemedicina/resolCFM1.643-2002.htm)
• RESOLUÇÃO CFM nº 2.227/2018 Defines and disciplines telemedicine as a way of providing medical services mediated by technologies.
https://grupomidia.com/healthcaremanagement/entrevistas/chao-lung-wen-analisa-o-cenario-da-telemedicina-no-brasil/?fbclid=IwAR3W5fiAlUYLGi0dLaSTyQXMY7qX2g9tX-T51Vgq4cZbY9hM2NceEa0jFnc
After 2 years preparation time, in 15 days it was revoked !
Just some considerations from Prof.Dr.Chao Lun Wen, Telemedicine Discipline at USP• The problem of medical culture is mainly due to the lack of inclusion policy of Telemedicine in
medical training.• Technically and conceptually, Resolution 2.227 is much more robust and characterizes, more
clearly and precisely each of type of medical service performed by Telemedicine.• The repeal is a setback, and even puts Brazilian doctors in a more vulnerable situation due to the
lack of regulation in several technological aspects in the services provided by Telemedicine.• Telemedicine may be the inducer of a new health ecosystem, where it uses technology to increase
efficiency, reduce waste and accelerate decision-making and resolution processes.• It is an evolution from medicine to a new social reality. Anyone looking at the past will find it totally
strange how people or doctors could question the application of Telemedicine just as we would today find strange people questioning the use of Waze or Google Maps and wanting us to return to using the Guide Map.
