By Dr. Kenneth Hartigan-Go
CONGRESS has recently allocated P100 million for the deployment of a National Telehealth System. It is about time we do this because the technology is available and its application in health care can improve the health status, indicators and track the outcomes. It addresses the various health inequities that we currently observe.
Telehealth may be as simple as two health professionals discussing a case over the telephone as a referral or mentoring call, or as complex as using satellite technology and video-conferencing equipment to conduct a real-time consultation between medical specialists in two different locations.
Telemedicine is a general term for the use of communications and information technologies for the delivery of clinical care.
Telehealth addresses the lack of human health resources in remote areas. It can bring limited clinical expertise to areas where the expertise absent and is badly needed to save lives. Furthermore, the system can save cost of travel and unnecessary expenditures in poverty stricken areas or in facilities with inadequate expertise.
It also can be used to improve PHIC (Philhealth) services. Imagine a patient due for check out from the hospital, his relatives need not have to absent from work, and to get a certificate from the employer of the patient to prove that Philhealth remittances are paid over the last 3 months to be considered eligible for health coverage. A computerized system will make the process of payment, checking payment by PHIC and hospital convenient and easy for the patient.
Telehealth can also be used for long distance health professional education, cutting down the dependence on pharmaceutical industry to use corporate funds for continuing education of doctors and hence cut the cost of medicines. There will be less expenditures for travel and various fees.
In addition, telehealth can also improve the coordination of blood banking to save lives. At the moment, the system for blood banking is dangerously inefficient because there is no centralized inventory and information system.
Moreover, telehealth can also track the number of health professionals and monitor where they are so that there is better utilization of resources and expertise when needed and to project investment for the future. In aid of better disease tracking and creating an up to date epidemiological database for evidence informed policy making and implementation, telehealth can generate the statistics from the community in real time.
This deployment is a result of the successful pilot of the UP Manila National TeleHealth Center (UPM-NThC) system led by Dr. Alvin Marcelo, which is currently in service between UPM-NThC and its provincial sites in Batanes, Pasay, Marikina, Quezon Province and Capiz, among others. The current UP Manila telehealth system is able to provide basic electronic health record registry via the Community Health Information System (CHITS), audiovisual education to local health workers and professionals through E-learning and video conferencing, and tele-referral and tele-mentoring to Doctors-to-the-Barrios (DTTB) using SMS technology through the Buddyworks Program.
Unless we want to remain in the backwaters of healthcare in this new millenium, this P100 million for telehealth is a good way to improve healthcare and affect the lives of Filipinos in our far flung communities.
*Kenneth Hartigan-Go, MD is the Executive Director of the Zuellig Foundation. He was a former professor of pharmacology and toxicology of the UP College of Medicine and was also a former deputy director for the DOH-Bureau of Food and Drugs. He is also a regent of the Philippine College of Physicians. He is also with the Congressional Commission on Science and Technology and Engineering Expert Panel on Health.

8 Feedbacks on "Why we need a National Telehealth System"
Ryan Herrera
This is good news for the medical transcription industry! Electronic health care records can be processed by Filipino MTs (medical transcriptionists).
LLuis B Tanayo jr
I chance upon this file and got interested with it hoping it could help me boost the efficiency of my small outpatient charity project outfit.I wish to be provided the mechanics on how I can access the help/advise/opinion of our colleagues through this system on problematic cases if the set up is now functional or operational.
I am a practicing EENT specialist based in Cagayan de Oro City and have turned (upon reaching my senior year at 60) all my DISCIPLINED private patients to the Charity EENT Outpatient Service that I simultaneously created along while still in active practice.
Unfunded and working solo as a hobby I have converted the limited EENT scope to all forms of medical problems except OB & Pediatrics now thru my WW II VETERANS AND SENIOR CITIZEN OUTPATIENT CHARITY SERVICE.
I have signified my intention to open the same kind of medical service to the Roxas Emergency Hospital,Roxas, Isabela provided this will be met with equal devotion and transparency and devoid of politics.Hoping I could stimulate our colleagues there along this line of thinking.
I have initiated two years ago a medical mission in Cambodia through the invitation of a missionary religious group based there upon the recommendation of one of my patients in my Charity. Still working on the progressive and sustained program at which Chulalongkorn University(Thailand) hopefully may accept to back me up through Net interactive consultation for difficult cases relative to what adjuvant medical facility available in the area as I was flooded with a lot of liver cirrhosis at the time. With the rift ongoing now on these two countries on their borders I feel pessimistic this will materialize.
There are big problems in this kind of service specially on funding much more that our credibility as a nation has been just recently stamped as corrupt thus limiting our access to any form of assistance intended for Asia under Obama.Much more from overseas Charity organizations.
I hope our colleagues with realize the value and wisdom initiated by the UP group in an attempt to deliver the Art of the profession in a global manner.
With my best appreciation to bold initiative and more power.
Respectfully,
Luis B. Tamayo jr. md
LLuis B Tanayo jr
Relative to my previous letter above may i please be provided with email contact addresses to whoever may be able to help me along this concern in case the Roxas Emergency Hospital, Roxas Isabela is receptive to this novel idea in the enhancement of our medical services. Likewise, guide me on what agencies of our government to approach.Hopefully, this might redirect my small fragment of service to our country that I have long scorned because of too much politics in every department, corruption and wanton neglect to the basic services.
I had a chance to work as a medical observer at the Quirino Memorial Hospital, Quezon City in 1969 from my stint as a missionary doctor in Sagada(Mountain Province) and I was immersed into an unspeakable and rotten problem of funding support as promised by Quezon City to the said Hospital I had to solicit the help of Dr. Balbin the then Region II head to help facilitate and update funds for the hospital to function efficiently. Trickles came by but then I was siphoned back to my alma mater for specialty training.
If the government still is so inept and divert Health funds somewhere do we have the credibility as an organization PMA) to approach the NGO and other charitable organizations?
Thank you very much for any immediate and kind attention to which this writer is much indebted.
Very respectfully,
Luis B. Tamayo jr.
bone md
Telehealth and telemedicine is apt for an archipelagic country like the Philippines. Probably another efficient way of maximizing the dwindling (or lack of) physicians in the rural areas
LLuis B Tanayo jr
To the Editor/moderator/concerned office:
May I please be provided the e-mail addresses of Drs. Kenneth Hartigan-Go. Alvin Marcelo and all the contact laudable head doctors in each of the affiliated satellite project - Batanes, Marikina, Q.C.Pasay Capiz and others. In line of the epidemiological database this form of connectivity still crude as it may is imperative for local experiences sharing and other forms of research in the future perhaps initiated by any medical school/institution under the umbrella and guidelines of whatever office/ agency the whole national project will polarize.
Another medical service depressed are for our good Officers is the Calamines Islands particularly Busuanga.
The government health facility there is definitely in dire need of at least a decent medical service. For serious cases one has to charter a boat ride for two painful hours to reach Cuillon facility
that a cardiac event may usually succumb mid-way.
Again thank you very much.
Very respectfully,
Luis B. Tamayo jr.
LLuis B Tanayo jr
erratum:
Another medical service depressed are for our good Officers is the Calamines Islands particularly Busuanga. > should read are>area; Officers to consider is the….
Dr. Darius
The budget allocation is long overdue, but certainly a welcome development.
I just hope that not a single centavo of the P100M goes to the pocket of a well-positioned doctor or DOH official…
And considering the manner by which this government has consistently shown its impunity in the face of corruption, it looks like, despite this development, indigent Pinoy patients are in for continued suffering and deaths from supposedly curable diseases… I hope I’m wrong…
Rolly
I’m not likely to comment like this but here it goes, “how can the government go for this telehealth system when it can’t implement the national id system which will likely be the backbone of this telehealth system.”
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