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哥伦比亚远程医疗发展分析:冲突后潜在机遇

Analysis of Colombia's Telemedicine Development, the Postconflict Potential Opportunity.

机构信息

Telemedicine Research Group TIGUM, Nueva Granada Military University, Bogotá, Colombia.

Department of Industrial Technology, Research Group in New Technologies GINT, University of Santiago de Chile, Santiago, Chile.

出版信息

Telemed J E Health. 2020 Jan;26(1):24-33. doi: 10.1089/tmj.2018.0317. Epub 2019 Feb 28.

Abstract

The goal of this study was to evaluate the development of telemedicine in Colombia. Searched for laws in the Colombian legal system; the statistics of services and health operators was extracted from the unique system of habilitation; we looked for reports from the Ministry of Information and Communication Technologies (ICT), the demographic statistics was obtained from the National Administrative Department of Statistics. Data analysis techniques were applied to identify possible relationships between them. In Colombia, since the proclamation of the legality of telemedicine in 2007, there are five laws, five resolutions, and three government plans. A total of 3,245 services have been implemented in telemedicine, distributed throughout the territory by 51,490 operators, the ICT penetration rate is 21.17% by fixed internet and 39.3% by mobile internet; the Colombian population is 49,882,091 people, 25,228,444 women and 24,605,796 men, who are distributed 76.97% in the urban sector and 23.02% in the rural sector, and the coverage of health services is 94.8%. The development of health services in the telemedicine modality has been driven by Colombian regulations since 2007 and the plans for the growth of ICT infrastructure since 2009; however, these services have not yet reached 100% of the territory, especially areas with difficult access. The Colombian peace agreement creates the National Rural Health Plan (PNSR), which is presented as the obligation to carry out health coverage in all the territories, especially those in the rural areas, for the implementation of the strategy related to the implementation of services in telemedicine.

摘要

本研究旨在评估哥伦比亚远程医疗的发展情况。在哥伦比亚法律体系中搜索了相关法律;从唯一的授权系统中提取了服务和卫生运营商的统计数据;从信息和通信技术部(ICT)寻找了报告,人口统计数据来自国家行政统计部门。应用数据分析技术来识别它们之间可能存在的关系。自 2007 年宣布远程医疗合法化以来,哥伦比亚有五部法律、五项决议和三项政府计划。总共实施了 3245 项远程医疗服务,由 51490 名运营商在全国范围内分布,ICT 普及率为固定互联网的 21.17%和移动互联网的 39.3%;哥伦比亚人口为 49882091 人,其中女性为 25228444 人,男性为 24605796 人,分布在城市部门的 76.97%和农村部门的 23.02%,卫生服务覆盖率为 94.8%。自 2007 年以来,哥伦比亚的法规以及自 2009 年以来的 ICT 基础设施增长计划推动了远程医疗模式下的卫生服务发展;然而,这些服务尚未覆盖到 100%的领土,特别是难以到达的地区。哥伦比亚和平协议创建了国家农村卫生计划(PNSR),该计划规定了在所有领土,特别是农村地区,开展卫生覆盖的义务,以执行与实施远程医疗服务相关的战略。

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