Innovation Fellow at Women's College Hospital in Toronto, Ont.
Research coordinator at Women's College Hospital and a doctoral student in the Institute of Health Policy, Management and Evaluation at the University of Toronto.
Can Fam Physician. 2020 Feb;66(2):104-111.
To contrast how Brazil's and Canada's different jurisdictional and judicial realities have led to different types of telemedicine and how further scale and improvement can be achieved.
A subgroup of the Besrour Centre of the College of Family Physicians of Canada and Canadian telemedicine experts developed connections with colleagues in Porto Alegre, Brazil, and collaborated to undertake a between-country comparison of their respective telemedicine programs.
Following a literature review, the authors collectively reflected on their experiences in an attempt to explore the past and current state of telemedicine in Canada and Brazil.
Both Brazil and Canada share expansive geographies, creating substantial barriers to health for rural patients. Telemedicine is an important part of a universal health system. Both countries have achieved telemedicine programs that have scaled up across large regions and are showing important effects on health care costs and outcomes. However, each system is unique in design and implementation and faces unique challenges for further scale and improvement. Addressing regional differences, the normalization of telemedicine, and potential alignment of telemedicine and artificial intelligence technologies for health care are seen as promising approaches to scaling up and improving telemedicine in both countries.
对比巴西和加拿大在管辖权和司法现实方面的差异如何导致了不同类型的远程医疗，以及如何进一步扩大规模和提高质量。
加拿大家庭医生学院 Besrour 中心的一个小组和加拿大远程医疗专家与巴西阿雷格里港的同事建立了联系，并合作对各自的远程医疗项目进行了国家间比较。
在文献回顾之后，作者共同反思了他们的经验，试图探讨加拿大和巴西远程医疗的过去和现状。
巴西和加拿大的国土面积都很广阔，这对农村患者的健康造成了很大的障碍。远程医疗是全民医疗体系的重要组成部分。这两个国家都实现了远程医疗项目，这些项目已经在大区域内扩大，并对医疗保健成本和结果产生了重要影响。然而，每个系统在设计和实施上都是独特的，并且在进一步扩大规模和提高质量方面都面临着独特的挑战。解决区域差异、远程医疗的规范化以及远程医疗和人工智能技术在医疗保健方面的潜在协同作用，被视为在这两个国家扩大和改进远程医疗的有前途的方法。
