Examinando por Autor "Pozo Guerrero, Francisco del"
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Ítem A home telecare management system(2009-07-02T08:58:56Z) Martínez Fernández, A; Rodríguez Fernández, María José; Arredondo Waldmeyer, María Teresa; Pozo Guerrero, Francisco del; Gómez, E.J; Dopico, A.The actual tendency to discharge chronic patients from hospitals, as well as the increasing request for improving quality of life of elderly and disabled people at home, was the original motivation of the development of the Home Telecare Management System (HTCMS), here described. The HTCMS allows, at the Home Telecare Service Center, the remote monitoring of biological signals and data and the management of different types of alarm calls generated at home.Ítem A study of a rural telemedicine system in the Amazon region of Peru(2009-07-02T10:57:53Z) Martínez Fernández, A; Villarroel Ortega, Valentín; Seoane Pascual, Joaquín; Pozo Guerrero, Francisco delÍtem An economic analysis of the EHAS telemedicine system in Alto Amazonas(2009-07-08T09:12:33Z) Martínez Fernández, A; Villarroel Ortega, Valentín; Puig Junoy, Jaume; Seoane Pascual, Joaquín; Pozo Guerrero, Francisco delTelemedicine systems providing voice communication and email by radio were installed at seven health centres (HCs) and 32 health posts (HPs) in the Alto Amazonas province of Peru during 2001. A cost analysis was performed to estimate the net effect on direct resource consumption from the perspective of society. Prior to the availability of the EHAS telemedicine system, there was a mean of 11.1 urgent patient referrals per year from the HPs and 14.0 referrals per year from the HCs. After the implementation of telemedicine, patient referrals fell to 2.5 per year from the HPs (P=0.03) and to 8.4 per year from the HCs (P=0.17). The net economic effect of the telemedicine programme over a four-year period was clearly positive, amounting to annual net savings of US$320,126 (using a 5% discounting rate). A one-way sensitivity analysis using a range of values for the discounting rate, and the number of urgent referrals, confirms that the programme was efficient (i.e. it made net financial savings) in all cases. From the restricted budgetary perspective of the health network, the results also demonstrate that the additional operational costs (telephone and maintenance) introduced by the telemedicine system were lower than the direct cost-savings produced for the health-care network.Ítem Analysis of Information and Communication needs in Rural Primary Healthcare in Developing Countries(2009-07-02T09:14:57Z) Martínez Fernández, A; Villarroel Ortega, Valentín; Seoane Pascual, Joaquín; Pozo Guerrero, Francisco delThis article presents three studies dealing with information and communication needs in rural primary health care from Peru and Nicaragua. Results show that primary health-care systems in rural areas of developing countries are very inefficient. Among the main reasons we found factors related to communication infrastructure, information sharing, and continuous training of health professionals.We conclude that telemedicine systems can improve this situation, but the lack of infrastructures, low income levels, and other conditions, impose strong limits to the introduction of new technologies. The main conclusion is that differences in needs and conditions between developing countries and industrialized ones force to use different solutions and approaches. This article presents some proposals on technology requirements and how to deal with the use of telemedicine in rural areas of developing countries. These proposals can be useful to all kind of actors (national public administrations, multilateral institutions, industry, academy, civil society, etc.) in order to promote really relevant and sustainable proposals in telemedicine for rural regions of developing countries.Ítem Diagnóstico rápido y participativo en la evaluación de proyectos de telemedicina rural:caso de EHAS en Colombia y Perú(2009-07-08T10:43:01Z) Villarroel Ortega, Valentín; Duque, Doris; Shoemaker, Richard; Pozú, Jamine; Camino, María; Martínez Fernández, A; Pozo Guerrero, Francisco delEl método DRP (Diagnóstico Rural Participativo o Diagnóstico Rápido y Participativo) es un enfoque de investigación social y participación que se emplea en acciones de desarrollo desde los años ochenta. Se basa en una serie principios y técnicas suficientemente probadas que aseguran el rigor y la calidad del proceso. Las técnicas que emplea son talleres que permiten extraer información y propuestas de intervención consensuadas entre los grupos implicados. En 2004 se comenzó a introducir este tipo de estudios en las evaluaciones de los proyectos EHAS y han demostrado ser útiles y adaptables a proyectos de telemedicina rural. Este artículo presenta las bases de los métodos DRP y cómo se han aplicado a varios proyectos EHAS en Colombia y Perú.Ítem Rural Telemedicine for Primary Healthcare in Developing Countries(2009-07-02T09:24:03Z) Martínez Fernández, A; Villarroel Ortega, Valentín; Seoane Pascual, Joaquín; Pozo Guerrero, Francisco delÍtem Sistemas de telemedicina rural para países en desarrollo(2009-07-08T09:56:46Z) Martínez Fernández, A; Villarroel Ortega, Valentín; Seoane Pascual, Joaquín; Sánchez Sala, Arnau; Pozo Guerrero, Francisco del