Evaluation of the the incorporation of an Ecographic Teleconsultation System into the Public Health System
AbstractThe aim of the present study is to evaluate the feasibility of implementing an Ecographic Teleconsultation System using as a tool a previously developed PACS (Picture Archiving and Communication System). In the Reference Hospitals of the Provincial Health System of Tucuman (SIPROSA), there are considerable waiting lists in the ultrasound services, even though a significant percentage of these studies could be performed in First Level Care Centers (Polyclinics) and cases which are considered doubtful to be consulted with specialists of the Referral Hospital. The study of Technical and Institutional feasibility and the Political and Legal Context for the application of Telemedicine was carried out using a combination of quantitative and qualitative methods: inspect of equipment, analysis of documentation, meetings, and interviews with competent personnel, survey, and tests in the hospital environment. The results obtained from the Technology Assessment show that the incorporation of an Ecographic Teleconsultation System in SIPROSA is feasible from a technical, organizational and legal-political point of view. Although there are still limitations in its implementation, the benefits that arise are greater: ultrasound services would be more effective in solving the majority of cases in which doubts arise in the Polyclinics, avoiding the transfer of the patient and reducing the relative cost that this implies.