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ESTA PÁGINA CONTIENE MUCHA INFORMACIÓN -ESPERE A QUE CARGUE   -GRACIAS!!!

LINKS, DIRECCIONES INTEERSANTES, PROGRAMAS, OTROS PAÍSES

LIST DE ACCESO

Comprehensive Medical Lists

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The World-Wide Web Virtual Library:Biosciences-Medicine

Interested in Medical Schools and Residency Programs

MEDICAL SCHOOL LIST Medical School List.

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LISTING RESIDENCY  listing of Residency Programs worldwide!

HOSPITALES EN ESTADOS UNIDOS USA Hospitals
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The University of Virginia Office of Telemedicine has already done clinical consultations in the following specialties:

PROYECTOS:

ITALIA: Telemedicina e informatica nel mondo medico e sanitario: alcuni esempi di applicazione clinica, amministrativo-informativa e nell'emergenza

Gli esempi che seguono sono solo indicazioni di alcune situazioni reali e prossimi sviluppi dell'uso della telematica in campo medico e sanitario

Applicazioni cliniche

Teleconsulto

Funziona in varie branche della medicina. In telepatologia un anatomo-patologo che sta effettuando l'analisi al microscopio di un vetrino può coinvolgere nell'osservazione uno o più colleghi a distanza, collegati tramite computer. Questi possono non solo vedere il vetrino esattamente come lo vede il collega che ha richiesto il teleconsulto ma anche manipolare il microscopio per adattare in modo personale l'osservazione.

Il teleconsulto funziona anche in campo neurologico. Piccoli centri ospedalieri non dotati di neurochirurgo, di fronte a casi di pazienti con trauma cranico da valutare possono consultare uno specialista per via telematica. Il neurochirurgo a distanza non solo può vedere il paziente ma può soprattutto valutare gli esiti degli easmi specialistici già effettuati (tomografia e risonanza magnetica) ed esprimere un parere esperto circa la necessità di sottoporre il paziente ad intervento neurochirurgico in urgenza. Questo sussidio ha permesso ad es. di far risparmiare ad un ospedale laziale lo spostamento di un considerevole numero di pazienti in un anno ad un altro ospedale dotato di reparto di neurochirurgia, con un risparmio consistente di risorse economiche.

Telecardiologia

E' forse il settore della telemedicina più sviluppato grazie alla facilità della metodologia e alla disponibilità di apparati di buona affidabilità. In Italia sono attualmente due i Centri di Ascolto di Telecardiologia. E funzionano così: il centro, dove operano cardiologi specializzati nell'uso del computer, riceve chiamate da cardiopatici, medici di famiglia ecc. dotati di un piccolo apparecchio simile a un cellulare che appoggiato in prossimità del cuore registra l’attività cardiaca (elettrocardiogramma). Appoggiando l'apparecchio al telefono in diretta con il Centro di Ascolto il computer registra il tracciato. Una stampante lo stampa e i meno di un paio di minuti il cardiologo prepara un referto.

Applicazione amministrativo-informativa

Il Centro Unico di Prenotazione

Oggi è ancora un miraggio in molte realtà sanitarie pubbliche. Di fatto rappresenta la possibilità di prenotare un esame direttamente dal computer del medico di famiglia collegato alla rete degli ospedali non solo regionali ma anche nazionali.

Oggi la prenotazione "elettronica" è possibile solo presso gli ospedali. Si possono prenotare esami in reparti diversi, ma occorre ancora recarsi nello specifico luogo dove avverrà l'esame. Ad esempio, su larga scala, non è ancora possibile la prenotazione da un centro ospedaliero all'altro.

Le carte sanitarie

Ne esistono già varie ma l'obiettivo vero è ancora lontano. Un giorno ogni cittadino avrà una sua card (con un chip, una banda magnetica o altro) molto simile a un bancomat, contenente tutte le informazioni sulla sua storia medica. Ogni esame che sosterrà verrà registrato, le sue cartelle cliniche saranno contenute nella card o almeno rimarrà traccia del loro collocamento e reperimento. E il possessore potrà decidere di concedere l'accesso ai dati in pieno rispetto della privacy delle informaizoni personali.

In Europa la nazione più avanzata è la Germania: circa due anni fa ha avviato un progetto per la distribuzione della carta sanitaria a microprocessore a tutti i cittadini tedeschi.

Applicazioni nell'emergenza

Sono una realtà in molte regioni italiane. Istituiti per legge sono centri dotati di supporti telematici che organizzano e gestiscono una rete di risorse di emergenza (ambulanze, ospedali, elicotteri, ecc.) a cui il cittadino si rivolge nei casi di emergenza sanitaria. Chiamando il numero si ottengono diversi ausilii: arrivo dell'ambulanza dal servizio di Pubblica Assistenza più vicino, trasporto di un malato grave in ospedale sulla base della consultazione in diretta delle specialità mediche presenti nei diversi centri ospedalieri ma anche della disponibilità dei posti letto.

La base è provinciale ma in alcune regioni, come in Liguria, esiste una rete di connessione tra le provincie a copertura, in contemporanea, di tutto il territorio regionale.

La frontiera della telemedicina in Italia: il caso centro di ascolto di telemedicina di Genova

Fondato a Genova nel 1995 il Centro di Ascolto Nazionale di Telemedicina di Genova è oggi l'unico in Italia a poter far fronte - 24 ore su 24 per 365 all'anno - alle chiamate di utenti possessori di apparecchi cosidetti "transtelefonici portatili", ovvero piccoli elettrocardiografi che registrano e trasmettono l'attività cardica o spirometri per la realizzazione del test spirometrico.

Il paziente, l'operatore sanitario o il medico che hanno in dotazione l'apparecchio registrano il tracciato elettrocardiografico o spirometrico e lo inviano al Centro tramite un normale telefono.

Il cardiologo di turno presso il Centro valuta la condizione di rischio del paziente, osserva il tracciato sullo schermo di un personal computer, emette un referto e fornisce una consulenza completa medico-specialistica.

Lo staff del Centro è costituito da 20 cardiologi, assistiti da ingegneri elettronici ad indirizzo informatico.

Fino ad oggi sono stati esaminati per via telematica oltre 11.000 pazienti e refertati oltre 13.000 elettrocardiogrammi.

Dati che rendono il Centro di Ascolto di Genova leader in Europa.

Circa la provenienza delle chiamate di telemedicina cardiologica, la maggior parte risulta provenire soprattutto da piccoli centri abitati (58%) dove non risulta facile reperire uno specialista e dalla periferia delle città (24%).

Secondo i rilevamenti effettuati il 64% degli elettrocardiogrammi sono risultati negativi. Ciò ha permesso pertanto di evitare il trasferimento del paziente in struttura pubblica andando a sovraccaricare l’attività ospedaliera.

Circa il 34% dei casi è invece risultato di competenza cardiologica ma l’intervento del medico di famiglia, che ha effettuato l’esame in studio o a domicilio, ha permesso di risparmiare tempo e quindi, in molti casi, di salvare la vita del paziente.

Infatti il 6,5% dei casi di questo 34% sono risultati infarti in atto o gravi cardiopatie.

EJEMPLO DE PROGRAMAS -SIMPOSIO DEL AMIA 1999

http://medicine.ucsd.edu/f99

1999 AMIA Symposium Schedule

(Note: There are up to 12 simultaneous sessions at times during the meeting; you may need to scroll your browser window left and right to see all sessions. For printing, Landscape mode is recommended.)

The 1999  American Medical Informatics Association Symposium begins on Saturday, November 6, 1999 and concludes on Wednesday afternoon, November 10.

There are several ways to explore the Symposium schedule:

Symposium Schedule by Day, Date and Time

Theme Colors:

 Representing Knowledge Acquiring and Presenting Data Managing Change Integrating Information

Saturday, November 6, 1999 - Tutorials

8:30 - noon T1: XML: Technical Overview and Applications in Healthcare - Part 1 T2: Design, Selection, and Implementation of Information Systems for Clinical Care: Selecting a Partner T3: Getting the Right Electronic Medical Record System for the Ambulatory Practice T4: Introduction to Practical Database Design T5: Evaluating the Impact of Health Care Information Systems T6: Digital Libraries and Other New Technologies for Information Retrieval T7: On-line Curricula and Institutional Strategies T8: Smartcards in Healthcare: Principles and Practices T9: Abstraction and Modeling Using Unified Modeling Language T10: Software Implementation of Clinical Terminologies: The Use of Component Technology T11: Medical Concept Representation: From Classification to Understanding
1:00 - 4:30 p.m. T12: XML: Technical Overview and Applications in Healthcare - Part 2 T13: Practical Considerations for Choosing Terminologies in Health Care Applications T14: Implementing an EMR at a Medical Clinic: What it's Really Like or..."But I'm Typing as Fast as I Can" T15: Using Clinical Computing to Implement Continuous Quality Improvement T16: Information Design in Healthcare T17: Challenges in Creating the Virtual Patient T18: Working with IT Consultants T19: Clinical Data Modeling and the HL7 RIM T20: How to Really Get Anonymity and Privacy in Data T21: Information Management Using FrontPage 2000 T22: Human Factors Experience: An Essential Evaluation Method

Saturday, November 6, 1999 - Evening Workshops
 

7:30 - 10:00 p.m.* W1: Workshop: Development and Testing of a Nursing Terminology Model W2: Workshop: Intelligent Data Analysis in Medicine and Pharmacolgy (IDAMAP'99)
*NOTE: begins at 5:00 pm		 W3: Workshop: Software Oversight Committees: A Look at Who, How, Why, What, Where, and When W4: Workshop: Tracking Outcome Measures and Quality Improvement Across and Enterprise: Web-Based Solutions W5: Workshop: Case-based Reasoning, Machine Learning, Data Mining: Successful Medical Applications on Artificial Intelligence W6: Workshop: Implementing Mobile Data Communications in Healthcare W7: Workshop: How to Develop Web-Based Health Risk Assessment Tools W15: Workshop: Building Enterprise Information Systems Teams: Complementary Skills and Knowledge Sets

*NOTE: Workshop W2 begins at 5:00 pm; all other workshops begin at 7:30 pm.Sunday, November 7, 1999 - Tutorials
 

8:00 - noon a.m. T23: Introduction to Clinical Information Systems T24: Practical Issues in Knowledge Engineering for the Electronic Medical Record: From Vocabulry Term to Encounter Form to Report T25: Data Mining Techniques and Application in Medicine T26: Recording, Storing and Retrieving Clinical Information Using SNOMED-RT T27: Managing Informatics Changes T28: Damage Control for Y2K: Readiness Assessment and Contingency Planning T29: Designing and Implementing Internet Video Systems for Use in Healthcare T30: An Introduction to XML and its Impact in Healthcare Informatics T31: Transforming Health Care Through the Use of Computerized Decision Support Systems T32: Ethical and Social Challenges for Health Computing: Focus on Bioinformatics T33: Creating An Academic Health Care Informatics Program
12:30 - 4:00 p.m. T34: Introduction to Clinical Information Systems T35: Managing Information Security in Healthcare T36: Next Generation Internet (NGI) - Health Care in the Fast Lane T37: Vocabulary Strategies and Use in the Health level Seven (HL7) Standard T38: Electronic Patient Records for Office-based Practitioners T39: Working with IT Consultants T40: Strategies for Integrating Information T41: HL7 Patient Record Architecture T42: Patient-Related Ethical Dilemmas T43: Implementing Rule-based Alerts and Reminders T44: Teaching Teachers to Teach Health Informatics T45: A Standardized Approach for Converting Legacy Databases

Sunday, November 7, 1999 - Opening Session and Plenary
 

5:00 p.m. AMIA is extremely proud to welcome Peter G.W. Keen as the keynote speaker for this year’s Plenary Session. Keen, recognized as a leading consultant and writer in information technology (IT), has served on the faculties of Harvard, MIT, and Stanford, with visiting positions at universities abroad. He has also worked as adviser to senior managers at such companies as British Airways, British Telecom, Citibank, Glaxo, IBM, MCI, and the World Bank. A prolific writer, Keen has strongly influenced the business-technology dialogue. His latest books include The Business Internet (1998), The Process Edge: Creating Value Where It Counts (1997), Every Manager’s Guide to Multimedia (1997), and On-Line Profits: A Manager’s Guide to Electronic Commerce (1997). His Every Manager’s Guide to Information Technology (1995), now in its second edition, provides business managers with a succinct overview of the key IT concepts and terms. Shaping The Future: Business Design Through Information Technology (1991), addressed to senior executives, has been translated into many European and Asian languages. Don’t miss your chance to hear the latest from this international IT expert! 

Sunday, November 7, 1999 - Evening Workshops
 

8:00 - 10:30 p.m. W8: Workshop: Converging the Clinical Care Model W9: Workshop: Consumers, Health Informatics and the Media W10: Workshop: Designing and Defeating Internet KnowBots W11: Workshop: The ABC's of Data Mining: A Primer for Healthcare Professionals W12: Workshop: Arden Syntax: New Version, New Directions for Clinical Decision Support W13: Workshop: Implementing Residency-Based Instruction in Medical Informatics W16: Workshop: Designing presentations, using technology, and giving the show W17: Workshop: Progress towards HL7 clinical Templates: Real World Projects Validating and Prototyping the Conceptual approaches for Clinical templates, Including a Discussion of Lessions Learned and Implications for future Work W18: Workshop: The CEN/TC251 Four Part Standard on the Electronic Health Care Record

Monday, November 8, 1998 - Scientific Sessions
 

8:30 - 10:00 a.m. S1: Cornerstone IV: INTEGRATING INFORMATION S2: Panel: Breaking Down the Data Entry Barrier: Enabling Technologies for the EMR User Interface S3: Panel: Europe's CEN/TC251 Health Care Standards S4: Innovations in Knowledge Acquisition S5: Clinical Information Systems S6: Panel: The Cancer Informatics Infrastructure (CII): Concepts and Vision S7: Clinical Coding Standards S8: Education via the Internet S9: Representing Knowledge to Support Clinical Decisions S10: Panel: Connecting Patients and Physicians via the Web: Pusing Aside the Frosted Glass Window S11: Panel: The 1999 Nursing Vocabulary Summit Confernce: Process and Outcomes S12: Reengineering and Reorienting for the Future
10:30 - 12:00n S13: Cornerstone I: REPRESENTING KNOWLEDGE S14: Clinical Database Design and Access Issues S15: Panel: LOINC & HL7 for Clinical Observations, Public Health, and Claims Attachments S16: Quality of Consumer Health Data on the Web S17: XML and Knowledge Representation S18: Issues in Information Systems Architecture S19: Database Design and Software Engineering for Clinical Systems S20: Panel: People and Organizational Issues: Towards an Agenda of Key Issues for the Turn of the Century S21: Human Factors and Care Guidelines S22: Progress in Knowledge-Based Systems I S23: Panel: Electronic Imaging in the Healthcare Enterprise S24: Theater-Style Demonstrations: Virtual Patients and Web-enabled Curricula
2:00 - 3:45 p.m. S25: Panel: The Impact of Business Issues on Terminology Adoption: Clinical Software Developer' Perspective S26: Panel: Primary Care and the National Strategy for Information Technology in Health Care S27: Panel: Reliability Issues for Clinical Systems: How Reliable is Reliable Enough S28: Data Integration Issues for Electronic Medical Records S29: Panel: Is the Web really free? Intellectual property protection and implications for the distribution of educational content among medical schools S30: Innovations in Natural Language Processing S31: Standards for Medical Terminology S32: Panel: Evaluation of Integrated Advanced Information Management Systems S33: Measuring the Impact of Electronic Patient Records S34: Progress in Knowledge-based Systems II S35: Panel: Informatics Competencies and Curricula for Registered Nurses S36: Theatre-Style Demonstrations: Automating Problem Lists and Protocol-Directed Therapy

3:45 - 5:45 p.m

Poster Session I : Monday, 3:45 to 5:45 p.m.

Tuesday, November 9, 1999 - Scientific Sessions
 

8:30 - 10:00 a.m. S37: Cornerstone II: ACQUIRING AND PRESENTING DATA S38: Panel: The Cancer Informatics Infrastructure (CII): Technology S39: 'Internetable' Health Care S40: Panel: Implementing Computerized Patient Record Systems: How to Succeed, How to Fail, and How to Know What Happened - A Focus on Organizational Issues S41: Integrating Multi-source and Multi-media Data S42: Decision Science Applications for Clinical Care S43: Drug Terminologies S44: Panel: Teaching People and Organizational Issues in Medical Informatics Curricula S45: Overcoming Barriers to Clinical Systems Implementation S46: Information Security for Health Data S47: Panel: Towards an Open Infrastructure for Clinical Trial Development and Interpretation S48: Theater-Style Demonstrations: Consumer Health Information Innovations
10:30 - 12:00n S49: Cornerstone III: MANAGING CHANGE S50: Representing and Interpreting Electronic Medical Records S51: Panel: Is a Notification System a Key Element in Health Care Information Management? What Services Should It Provide? S52: Panel: Consumer Participation In Informatics Research and Development: Ethical, Social, Methodological and Political Challenges S53: Panel: Usability Studies in Primary Care Informatics: Searching for Useful Answers to "Everyday Problems" S54: Consumer Health Informatics I S55: Panel: Clinical Decision Support and Knowledge Representation: Practical Experiences and Life Lessons S56: Technologies for Health Professions Education S57: Panel: Intelligent Data Analysis in Medicine and Pharmacology S58: Panel: Report from the Trenches - Challenges and Accomplishments in Building Clinical Data Warehouses S59: Panel: Implications of HIPAA for Teaching, Research and Telemedicine S60: Theater-Style Demonstrations: The Regenstrief Medical Record System 1999; and Open-Source Medical Information Manager
2:00 - 3:45 p.m. S61: Panel: Report of the 1999 Annual Spring Congress- Health Informatics Education S62: Information Systems Evaluation S63: Challenges of Implementing New Systems S64: Care Guidelines and Protocols S65: Technology to Support and Analyze Medical Decisions S66: Consumer Health Informatics II S67: Panel: Report of Experiences Using the Beta Version of SNOMED-RT S68: Panel: Triangulating on Informatics Teaching, Learning, and Objectives S69: Panel: Clinical Alerting Systems for Health Care Decision Support S70: Panel: What is Wrong with EMR? S71: Panel: Informatics in the Real World: Applied Informatics Models in the Non-Academic Setting S72: Integrating Data and Systems

3:45 - 5:45 p.m.

Poster Session II : Tuesday, 3:45 to 5:45 p.m.

Tuesday, November 9, 1999 - Workshop
 

4:30 - 7:00 p.m.

 W14: Workshop: International Nursing Concepts Representations: Standards and Classifications

Wednesday, November 10, 1999 - Scientific Sessions

8:30 - 10:00 a.m. S73: Panel: Enhancing the Internet for Health Applications S74: Evaluations of Clinical Systems S75: Knowledge-Based Systems Evaluations S76: Information System Architectures S77: Panel: Making It Happen: Organizational Changes Required to Implement an Electronic Medical Record in a Large Medical Center S78: Education and Information Access Issues S79: Standard Medical Vocabularies S80: Technologies for Learning and Teaching S81: Panel: Sharing Knowledge for Clinical Practice Guidelines: Are We There Yet? S82: Telemedicine and Imaging S83: Panel: Using the Web to Integrate, Structure and Deliver Information at the Point of Care S84: Workflow and Decision Analysis
10:30 - 12:00n S85: Applications of Natural Language Processing S86: Issues in Medical Informatics S87: Structures for Knowledge and Language Representation S88: Experiences in Implementing Electronic Patient Records S89: Panel: Grant Program: Description and Application Procedures S90: Building and Evaluating Clinical Systems S91: Coding and Analyzing Clinical Records S92: Telemedicine and Telehealth S93: Decision Support and Decision Analysis S94: Point of Care Systems S95: Panel: Policies to Promote Educational And Health Information Quality on the Web

S96: Theater Demonstrations: Integration Clinical Information

1:30 pm
to 
3:30 pm

Closing Session

  • American College of Medical Informatics 1999 Debate
  • Presentation of the AMIA 1999 Best of Show Awards

 

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