1. Lanscape of e-health issues in Mexico Ministry of Health Sophie Antipolis, 2007 27 25 34 4 20 14 30 22

3. Objective Improve quality, access and health outcomes adopting information systems and telecommunications technologies in healthcare services, focus on poorest and rural areas in Mexico.

4. Healthcare electronic services Health Information for citizens and medical professionals –Education services for preventive practice –CME and training Medical support based on teleconsultation services for primary and specialization healthcare practice (dx and treatment) Administration and supply chain services for daily medical institutions operation

6. Overview Several telemedicine efforts –Guerrero, Oaxaca, Puebla, Nuevo León, Chiapas, Tamaulipas –National Institutes of Health Cardiology, Nutrition, Rehabilitation and Ortopedics, Pediatrics Several information system development projects –Sinaloa, Puebla, INR, INER, Legacy and Commercial Applications –OpenVista

7. Services Nuevo LeónPueblaGuerrero Internal Medicine Dermatology Otorrinolaringología Neurology Cardiology General Chirurgical Services Traumatology and ortopedics Urology Gastroenterology Medical jail services Internal Medicine Dermatology Otorrinolaringología Neurology Traumatology and ortopedics GYNO Pediatrics Internal Medicine Dermatology Neurology Traumatology and ortopedics

9. Medical issues Medical professionals had not tools to manage health care services There were not standard medical processes in the different healthcare services Medical professionals spent time doing manual reports Medical professionals spent time travelling to obtain medical education and support Lack of informatics and telecommunications culture in medical services

11. Technology issues High cost of connectivity Limit broadband services in rural areas Cost of hardware technology Cost and availability of commercial software Lack of health informatics standards Maintenance and support are not considered Medical equipment exchange capabilities are unaware

12. Cultural and organization issues Decision-makers have a lack of culture in medical informatics, telemedicine applications and impacts in healthcare services Governamental projects do not include specific medical requirements and needs Some medical practitioners consider emerging technologies as a threaten Design specific areas for electronic services Design and promote guidelines and standard procedures for telemedicine Providers profit based on ignorance

14. Challenges Response and alignment to medical programs Improve medical and technological collaboration Stablish a legal and ethics framework for electronic medical practice Show cost-benefit of telemedicine services

17. Workshop Objectives To identify the oportunities to integrate a Telemedicine National Network To identify how telemedicine could support priority health programs such as Seguro Popular and 50 Municipios To learn telecommunication technology trends and evaluate potential telemedicine application To deep knowledge in current telemedicine applications

19. Merci Beaucoup www.cenetec.gob.mx