[PAGSAMA] Telemedicine in the Philippines

TELEMEDICINE Delivery of health and health-related services and information from a distance with ICT use IN THE PHILIPPINES: SOLUTION: MAXIMIZE ICT USE (INFORMATION AND COMMUNICATIONS TECHNOLOGY) 60% of Filipinos die without seeing a doctor 92,000,000 Filipinos today 106.400,000 Due to poor health care delivery: inaccessible and expensive health care services Maldistribution of health human resources, mobile subcribers 33.600.000 especially doctors and nurses internet users NATIONAL TELEHEALTH SERVICE PROGRAM COVERAGE O A collaborative project of UP Manila and the DOH to develop and institutionalize Telehealth and Telemedicine in the country O Prioritizes geographically-isolated and disadvantages areas (GIDA) O Currently practised in the 198 towns of the DTTB Program, including the five priority sites determined by the DOH in 2012 Objectives O To improve access of GIDA to specialty care O To facilitate timely transfer of patients to better equipped and strategically located health facilities Legend: 9 Telehealth Centers | • Priority sites in 2012 • Regions with disadvantaged municipalities with 198 total number of DTTBS CAR Physicians- 51 Municipalities- 50/75 Baguio General Hospital and Medical Center 7 clinical specialists ROMBLON Physicians- 20 Municipalities- 14/17 Philippine General Hospital 22 clinical specialists MASBATE Eastern Visayas Regional Medical Center 7 clinical specialists Physicians- 21 Municipalities- 18/20 Cities- 1/1 REGIONS WITH DITBS EASTERN VISAYAS (north to south) Cagayan Valley (Batanes) llocos Region Cordillera Administrative Region Central Luzon CALABARZON MIMAROPA Physicians- 152 Municipalities- 110/136 Cities- 5/7 Bicol Bicol Region TAWI-TAWI Eastern Visayas Western Visayas Central Visayas Northern Mindanao Caraga Physicians- 9 Municipalities- 8/11 Region Northern Mindanao Peninsula Zamboanga Davao Region ARMM South Central Mindanao Notes: Batanes islands not shown on the map DTTB - Doctors to the Barrios CASE REFERRALS MADE $ AT Internal Medicine 715 Pediatrics OB-GYN Gen. Medical Queries Radiology Dermatology 165 Surgery 530 329 227 210 148 Medico-Legal 72 Ophthalmology 62 ORL Neurology ECG Family Med 66 10 10 CURRENT STATUS OF TELEHEALTH POLICIES The proposed 'National Telehealth Act' O First filed in the Philippine Congress in June 2012; will be lobbied for again this year O As this is pending, parallel efforts are being undertaken to bridge gaps in policy and regulation of telehealth in the country House Bill 6336 Executive order o Working draft is with the Office of the Executive Secretary E.O. Administrative order O Now for final approval by DOH Secretary Enrique Ona A.O. The National Health Insurance Act of 2013 O signed by the President last June 19, 2013; amends the National Health Insurance Act of 1995 O of particular importance to telehealth is Section 10 (ammends Section 16 of the 1995 Act): "(w) To endeavor to support the use of technology in the delivery of health care services especially in farflung areas such as, but not limited to, telemedicine, electronic health record, and the establishment of a comprehensive health database" Republic Act 10606 ARIFALTD PAGSAMA: PANGKALUSUGANG SAMAHAN NG MGA MAG-AARAL Acknowledgements: Dr. Portia Fernandez-Marcelo, Dr.Gene Nisperos, Ms. Aliyah Evangelista, and Ms. Abby Santos of the NTHC Sources: http-//www.philstar.com/business/2013/02/02/903770/internet-penetration-rises-35, http:/business.inquirer.net/111607/telcas-report-record-number-of-customers, Asia Digital Marketing Association's Digital Marketing Yearbook 2012, NTSP coverage statistics and Case referral statistics from NTHC, HB 6336 from congress.gov.ph, & RA 1060 from gov.ph 1998 CENTER