By Organización Panamericana de la Salud

El objetivo de esta publicaci?n es sentar las bases metodol?gicas para evaluar l. a. viabilidad y el impacto de l. a. telemedicina. El enfoque no es s?lo cient?fico y t?cnico, sino que tambi?n considera aspectos administrativos, legales, ?ticos, econ?micos, e incluso pol?ticos. El ?nfasis recae en mejorar l. a. calidad de los angeles atenci?n de los angeles salud. A diferencia de los que algunos creen, los angeles telemedicina no decrease el own para nuevos especialistas. Tampoco lessen l. a. necesidad de equipamiento en los servicios que solicitan consultas; lo que s? facilita son los diagn?sticos acertados y los tratamientos eficaces. Hay ventajas para los pacientes, el own de salud y los angeles comunidad, pero s?lo si los proyectos de telemedicina se planifican cuidadosamente y se eval?an sistem?ticamente. Creemos que ?sta publicaci?n cubre un tema arduo con rigurosidad y esperamos que su consulta mejora l. a. calidad de l. a. atenci?n en los pa?ses de Am?rica Latina y el Caribe, ansiosos de entrar en una faceta nueva en l. a. provisi?n de los servicios de salud.

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Additional info for Bases metodológicas para evaluar la viabilidad y el impacto de proyectos de telemedicina

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En otras palabras, los investigadores se encuentran normalmente frente a la disyuntiva de tener que redactar informes para las gerencias del sistema de salud, pero no cuentan con medios ni tiempo suficiente para emprender estudios cuantitativos minuciosos. Por anadidura, a menudo son precisamente los resultados y los costos intangibles los que inclinan la balanza hacia una de las tecnologfas, habida cuenta de que ambas producen los mismos o muy parecidos beneficios tangibles. En esta situacion, se parte del hecho indudable de que uno se enfrenta a una evaluacion parcialmente objetiva y no cuantificable en su totalidad, en la cual los resultados se obtienen durante el proceso de atencion y el impacto en la poblacion es esencialmente indirecto.

Los costos indirectos son aquellos que no pueden relacionarse directamente con el uso del nuevo sistema, tecnologia o proyecto. En el campo de la atencion de salud, los costos indirectos mas importantes 31 Metodos y tecnicas aplicables a la evaluation econdmica de tecnologias medicas son los asociados con el valor de las perdidas de productividad que se originan cuando el paciente deja de producir como consecuencia de la enfermedad que padece. Costos directos son aquellos en que necesariamente se ha de incurrir para prestar un servicio, producir un bien o usar una tecnologia.

Objetivos especificos Los objetivos especfficos representan el proposito del estudio concrete y deben reflejar el estado de conocimiento alcanzado una vez 47 Planificacion y desarrollo de estudios de evaluation cumplidas todas las actividades y obtenidos los resultados de la evaluacion. c. Especificacion de las hipotesis de investigation Las hipotesis de investigacion han de contemplarse como las claves de referenda que gufen los estudios de principio a fin. Estas hipotesis se derivaran de los objetivos especificos del estudio de evaluacion.

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