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| Autore principale: | |
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| Natura: | Artículo científico |
| Lingua: | en |
| Pubblicazione: |
Medical Education Cooperation with Cuba
2008
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| Soggetti: | |
| Accesso online: | https://www.redalyc.org/articulo.oa?id=437542064010 |
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Sommario:
- A Case Analysis of INFOMED: The Cuban National Health Care Telecommunications Network and Portal Ann C. Séror Medicina The Internet and telecommunications technologies contribute to national health care system infrastructures and extend global health care ser-vices markets. The Cuban national health care system offers a model to show how a national information portal can contribute to system in-tegration, including research, education, and service delivery as well as international trade in products and services. The objectives of this paper are (1) to present the context of the Cuban national health care system since the revolution in 1959, and (2) to identify virtual institutional infra-structures of the system associated with the Cuban National Health Care Telecommunications Network and Portal (INFOMED). Qualitative case research methods were used to identify the integrated virtual infrastruc-ture of INFOMED and to show how it reflects socialist ideology. Virtual institutional infrastructures include electronic medical and information services and the structure of national networks linking such services. Analysis of INFOMED infrastructures shows integration of health care in-formation, research, and education as well as the interface between Cu-ban national information networks and the global Internet. System con-trol mechanisms include horizontal integration and coordination through virtual institutions linked through INFOMED, and vertical control through the Ministry of Public Health and the government hierarchy. Telecommu-nications technology serves as a foundation for a dual market structure differentiating information and research from products and services of-fered on international health care markets. Transferability of this model is contingent upon system ideology and interpretation of values such as individual intellectual property and confidentiality of individual health in-formation. Future research should focus on examination of these issues and their consequences for national health care systems. 2008 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542064010 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.1 Vol.10