New

Technologies on
Public Health
DR. JUDITH J. SUGAY
FACULTY, FEU-IN
 • Public health deals with primary health care as
preventing and promoting health, improving
health seeking behavior, and strengthening
health systems.
• Focus: promotion of health in Public Health
through Kalusugan Pangkalahatan or Universal
Introduction Health Care directed towards ensuring the
achievement of the health systems goals for
better health outcomes, sustained health
financing and responsive health system, and
integrating electronic health innovations in the
field of nursing.
 After completing this module, the students
will be able to:
• Define key terms on technology
Learning • Apply innovations in health care
setting
Outcome • Perform safe and efficient nursing
activities for individuals and family in
the community
Health
Technology
• The application of organized
knowledge and skills in the form of
devices, medicines, vaccines,
procedures and systems developed to
solve a health problem and improve
quality of lives.
 The systematic evaluation of
properties , effects and/or impacts of
Health health technologies and interventions.
Technology
Assessment It covers both the direct, intended
(WHO) consequences of technologies and
interventions and their indirect,
unintended consequences.
 a) HTAs in most responding countries appeared to focus primarily on safety
HTA: and clinical effectiveness, followed by economic and budgetary
considerations. Little consideration was given to issues of ethics, equity and
Findings feasibility;
b) Governance and linkage between HTA units/networks with policy
authorities
Findings
• Impediments to strengthening capacity
includes lack of qualified human resources
appeared to be the main barrier for
producing and using HTA
• Most countries did not have academic or
training programs to build HTA capacity.
• the result of this survey would aid in the
identification of areas that need
intervention.
eHealth in the Philippines

• The application of eHealth ([Link])is mandated by the Department of Health

(DOH)
• eHealth serves an information gateway for eHealth initiatives on the Philippines
which creates space for lifelong learning of health practitioners to improve the
quality of life of the people.
• eHealth refers to the use of information and communication technology (ICT) in
support of health and health-related fields, including health care services, health
surveillance, health literature, and health education, knowledge and research
(WHO, 2019).
eHealth Vision

• “ By 2020 eHealth will enable widespread access to health care services,

health information, and securely share and exchange patients’ information in
support to a safer, quality health care, more equitable and responsive health
system for all the Filipino people by transforming the way information is used
to plan, manage, deliver and monitor health services. “
eHealth Vision

• The strategic vision describes the Philippines Health System that has been
enabled by eHealth. It shows how eHealth will be used to address health
system’s priority goals and challenges to deliver health outcomes.
• The overall goal is to achieve health system goals of financial risk protection,
better health outcomes, and responsive health system for the Filipino people.
 1. eHealth must serve the needs of the client or
person.
2. Collaboration and partnerships with key health
care stakeholders are critical in realizing the
eHealth Strategy country’s eHealth vision.
3. Users’ must be involved at all phases of
development and implementation to gain
a. Key Strategic Guiding commitment for implementation.
Principles
 4. A strategic approach in terms of phases
enables more focus, and judiciously and
efficiently make use of resources to achieve
the eHealth vision.
5. eHealth activities must be aligned or
harmonized, without controlling health care
eHealth Strategy providers to implement local eHealth
solutions.
6. The presence of entities that have already
a. Key Strategic Guiding started eHealth must be recognized so as not
Principles to constraint their continuing advancement
and gain their support.
 7. Human resource can be made available by
building capability to implement the eHealth
agenda in the country and promote
transparency and public accountability.
8. Implementation of eHealth must comply to
relevant laws and regulations.

eHealth Strategy 9. Investments must be made on areas that

deliver the greatest benefits to health
consumers, health care providers, and
healthcare managers; and ensure no
a. Key Strategic Guiding
duplication in terms of time, effort and
Principles
resources.
 1. Governance
2. Legislation, Policy, and compliance
3. Standards and interoperability

eHealth Strategy 4.
5.
Strategy and Investments
Infrastructure
6. Human resource
b. Components:
the building blocks to 7. eHealth Solutions
achieve the vision
Governance

• Directs and coordinates eHealth activities at all levels like hospitals and health
care providers.
• Critical areas:
• management of the eHealth agenda,
• stakeholders’ engagement,
• clinical safety,
• management and operation,
• monitoring and evaluation, and
• policy oversight
Legislation, Policy, and Compliance

• Directs and coordinates eHealth activities at all levels like hospitals and health
care providers.
• Critical areas:
• management of the eHealth agenda,
• stakeholders’ engagement,
• clinical safety,
• management and operation,
• monitoring and evaluation, and
• policy oversight
Standards and Interoperability
• Promotes and enables exchange of health information across geographical and health sector
boundaries through use of common standards on data structure, terminologies, and messaging.
• Example: the implementation of software certification or accreditation where eHealth solutions
must comply to be certified as able to exchange health information.
• Develops, operates and sustains the national eHealth vision.
• These components support the development of a strategy and plans to serve as guide in the
implementation of the eHealth agenda.
Infrastructure

• Establishes and supports health information exchange.

• Examples:
• sharing of health information across geographical and health sector boundaries, and
• implementation of innovative ways to deliver health services and information.

• Infrastructures:
• physical technology and software platforms, services and applications to support health
information exchange.
Human Resource

• Workforce or manpower to develop, operate or implement the national

eHealth environment.
• Examples:
Health workers who will be using eHealth in their line of works, health care providers,
information and communication technology workers, and others.
eHealth Solutions

• Required services and applications to enable widespread access to health

care services, health information, health reports, health care activities, and
securely share and exchange patient’s information in support to health system
goals.

• Examples: electronic health/medical/personal records, electronic referrals,

medications management, distance learning and electronic resources,
telemedicine, mobile health, adverse event monitoring, disease surveillance,
among others.
Key Terms on Medical Innovation
mHealth
• Mobile wireless technology that has the potential to improve the quality and coverage of care,
increase access to health information, as well as promote positive behaviors to prevent the
onset of diseases.

Telemedicine
• Telemedicine, a term coined in the 1970s, which literally means “healing at a distance” (1),
• the use of ICT to improve patient outcomes by increasing access to care and medical
information.

Electronic Medical Record

• The digital version of a patient's paper chart.
• Contains patient's medical history, diagnoses, medications, treatment plans, and laboratory
results.
References

• Department of Health (2013). Philippines ehealth Strategic Framework and Plan.

Retrieved
[Link]
orkPlan_February02_2014_Release02.pdf
• Websites:
• [Link]
• [Link]
 Thank you!

jsugay@[Link]