tokyo, japan, 4-5 february 2013 potentiel use of e-health services in algeria pr gamaz bensaou...
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Tokyo, Japan, 4-5 February 2013
Potentiel use of e-health services in Algeria
Pr Gamaz Bensaou Malika, Medical Oncologist, Pierre & Marie Curie Centre Algiers
Mail: [email protected] Gachi Bey Fatiha, Pediatric Oncologist
Pierre & Marie Curie Centre AlgiersMail: [email protected]
ITU Workshop on “E-health services in low-resource settings:
Requirements and ITU role”
(Tokyo, Japan, 4-5 February 2013)
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GDP: $ 5-10,000 per capita (2010)GDP: $ 5-10,000 per capita (2010)Emerging countries Emerging countries NOT NOT Low Income Countries
125 Saint Pierre and Miquelon
$7,000
126 Algeria $6,900
127 Bosnia and Herzegovina
$6,500
128 Armenia $6,300
129 Namibia $6,300
130 El Salvador $6,200
131 Turkmenistan $6,200
132 Albania $6,000
133 China $6,000
134 Niue $5,800
135 Egypt $5,400
136 Guatemala $5,300
137 Kiribati $5,300
138 Bhutan $5,200
139 Jordan $5,100
140 Swaziland $5,100
141 Nauru $5,000
142 Syria $5,000
106 Dominica $9,900
107 Azerbaijan $9,500
108 Cuba $9,500
109 Cook Islands $9,100
110 Macedonia $9,100
111 Suriname $8,900
112 Angola $8,800
113 Anguilla $8,800
114 Colombia $8,800
115 Peru $8,500
116 Belize $8,400
117 Thailand $8,400
118 Dominican Republic $8,200
119 Palau $8,100
120 American Samoa $8,000
121 Tunisia $7,900
122 Ecuador $7,500
123 Jamaica $7,500
124 Ukraine $7,400
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Algeria
Population: 37,8 Million at January 1st , 2013
Area = 2 381 740 Km²
North-south distance = 2200 km
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Number of doctors / 1000H = 1,207 (2009)
Health spendings /capita = 178 $ (2010)
Health spendings % GDP = 5,8 % (2009)
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Introduction
Algeria is a country, characterized by a large area, from which more than 70% is desert.
The instauration of a public healthcare policy with high quality all around the country, requires the use of important technology means .
Thus, hospital information management, opening up to disadvantaged areas through reliable and high quality means of telecommunication
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Year 2006 Number Number of beds
Hospital structure 231 35 869
Teatching hospital 13 14 150
Specialized hospital
32 7 578
Public maternity 399 3 534
Private maternity 77
Polyclinics 520
Health centre 1 248
Care rooms 4 684
Social medical centre 592
Pharmacy (public & private)%
7 7066 68986,78
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INFRASTRUCTURE
Infrastructure like "Private Network"Connecting two platforms:
- Ministry of Health- ANDS: National Agency of Health
documentation Connection of all institutions sector on the 2 platforms (fiber optic)
By CDTA: centre for development of advanced technologies
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Ministry of Health - Communication Platform - Date of service: September 2006.ANDS: National Agency of Health Documentation- Platform "Hosting, Content and Services"- Decentralization in Regional Platforms- Date of service : January 2, 1999.
CDTA: Centre for Development of Advanced Technologies
- Established IN 1982 - Member of ITU
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Platform « HOSTING, CONTENT AND SERVICES"
HOSTING
Information Web Sites- Specialized Institutions- Hospitals- Health Directions- Scientific Societies- Associations of Patients- Platforms Projects (National and International)
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Content:
- Web site information / Institutions - Information in the News - Multidisciplinary Databases - Database Archival and Documentary - Medical databases (National and International) - Databases Partners - Directories, Programs and Events Calendars - Statistics and Results of National Investigations - National Health Programs
Platform « HOSTING, CONTENT AND SERVICES"
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Services :
* Access Mail (@ sante.dz)
* Navigation Web / Internet
* Forums (moderation and animation) * Video Conference (Point to Point and Multipoint)
Platform « HOSTING, CONTENT AND SERVICES"
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2007
First project:"telemedicine service to remote regions in Algeria" which end up with the realization of a mini-telemedicine pilot network, linking :-Birtraria hospital located in Algiers,-Ouargla hospital (800km -south of Algiers-) -and Hadjira health centre (900km southeast of Algiers).
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Second project:This project is part of the partnership agreement between:* the Ministry of Health, Population and Hospital Reform * and the Post Office and Information technology and communication.
It is managed by the National Agency of technology parks (ANPT) and the National Agency for Healthcare Documentation (ANDS).
2011
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• 5 Teatching hospitals and 12 public hospitals South have been selected for this project include improving the medical care of residents of the southern regions of the country, access to health care at a distance, in addition to the training and transfer of data.
• A prototype of the project Telemedicine Network Algeria (DZ-RT), connecting:
- the University Hospital Centre (CHU) Lamine Debaghine Bab El Oued (Algiers),
- and public hospital establishments (EPH) wilaya of Bechar Laghouat.
2011
Videoconferences
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Radiology Lamine Debaghine Hospital
Algiers - Berlin - Athens - Tunis - Clermont Ferrand
ConsultationMulticast•Second Opinion•Training
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ConsultationMulticast, TrainingAlgiers – Berlin-Tunis - Cyprus
Training
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Zemirli hospital – National library -Endoscopic surgery
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DebateOperating RoomConference room
Hôpital Zemirli
El hammaLibrary
Monitor
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Second Opinion imaging+ Communication 4D imaging
Radiology department - CHU Bab-El-Oued Algiers Faculty of Medicine CasablancaCHU Berlin
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Pierre & Marie Curie Centre experiences
Medical oncology: 3 Web-conferences April 2011: Pr Thatcher from UK May 2011 : Pr Mark Vincent from Ontario May 2011: Dr Sunil Verna from Canada Dr Daiana Lonesco from Canada
Pediatric oncology: - St jude hospital - Internet use, website: cure4kids.org - Pediatric neuro-oncology with Canada and
Moroco: discussion of cases
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Ongoing Ongoing experience experience
with Morocco with Morocco (3 centres)(3 centres)
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V I D E O - C O N F E R E N C E Other Experiences:
* Ophthalmologist department CHU Mustapha Hospital and Biskra (1999)
* Internal Medicine CHU Mustapha and Ghardaïa Hospital* Distance Learning - Algeria, Ghardaia, Constantine and Oran* winning CHU Bab-El-Oued -A.P.H.Marseilleseveral experiences between Bab-El-Oued Hospital and Latimone Marseille (APHM)Organisation of twin meetings.* CHU Beni Messous ENT and paediatric Surgery
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Conclusions and Recommendations
E-health in Algeria is at the start,Development of Video Conference (Point to Point and Multipoint) Development of internet serviceNeed to initiate an exchange of experiences and research results the field of telemedicine