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Convegno di studio suPrivacy e Telemedicina
“Tra diritto del paziente alla riservatezza ed
utilità della condivisione del dato sanitario”
La rilevanza della formazione in tema di privacy
e sicurezza per gli operatori della medicina
e della chirurgia telematica
Prof. Antonio Vittorino Gaddi Vice Presidente nazionale SIT
Roma, 21 ottobre 2014
Sala Conferenze di Piazza Monte Citorio, 123/a
ACTION PLAN 2012-2020 (definizione “non definizionediscutibile)
What is eHealth?
eHealth means using digital tools and services for health. eHealth covers the interaction between patients and health-service providers, institution-to-institution transmission of data, or peer-to-peer communication between patients and/or health professionals. Examples include health information networks, electronic health records, telemedicine services, wearable and portable personal health systems and many other information and communication technology (ICT)-based tools assisting disease prevention, diagnosis, treatment and follow up. Prof. Antonio V Gaddi 2014
e-Health
Il termine e-Health si riferisce all'utilizzo delle moderne tecnologie di informazione e
di comunicazione al fine di incontrare le necessità dei pazienti, del personale sanitario, dei cittadini e del governo.
(Fonte: dichiarazione dei Ministri della Salute, Brussels 22 Maggio 2003)
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
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Authors:GiovanniRinaldi, AntonioGaddi, FabioCapello(University ofBologna,Bologna, Italy;and CERN,Geneva,Switzerland)
BookDescription: This book aims topresent somefundamentalpillars that mustbe taken intoaccount for thedesign andconstruction of amedical recordsystem. Thework does notclaim to beexhaustive, as thespirit of the bookis to propose toreason out onsome issues thathave to beconsidered as the
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Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Un problema di complessità che va dalla semantica alle ontologie
Prof. Antonio V Gaddi 2014
Questioni aperte
educare chi, perché, su cosa, come, quando
informare chi, perché, su cosa, come e quando
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Username:Password: forgot username or password
E-Health - GP Health Courses Online Why e-healthlearning? Our education modules are designed to update your clinical
knowledge and skills whilst making your online experience interactive and stimulating.
Each module is case-based around a particular disease state. The cases provided are augmented with GP-patient dramatised role-plays as well as informative medical specialist videos providing recent research and practice tips to assist you in patient management. View sample module Test drive the learning experience at e-healthhearning. Preview a sample module, view dramatised roles plays.
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Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Il teorema della continuità educativa e della coerenza (dinamica) delle informazioni
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Position paper: prefazione
Prof. Antonio V Gaddi 2014
Core e tori…Core e tori…Ridurre il messaggio all’essenziale. Picasso* ci provò così…
*A. Torsoli, MEDIC 7:171, 1999, L. Cortesia del Prof L Vettore
12 Dicembre 1945
Prof. Antonio V Gaddi 2014
17 Gennaio 1946
30 Dicembre 194527 Dicembre 1945
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. A
nton
io V G
add i 2014
Prof. A
nton
io V G
add i 2014
WHAT WE CAN DO …
•FIRST MEDICAL EXAMIN.
•PRE-OPERATIVE PT.MANAGEMENT
•SURGERY THROUGH VR-SYSTEMS
•2D VISION
•LOST OF TOUCH
•COMMAND-ACTION DELAY
•POST-OPERATIVE PT.MANAGEMENT
TELEPRESENCE, 3D and AUGMENTED REALITY R&D
NEW TERRITORIAL ORGANIZATION
PATIENT-DOCTOR COMPLIANCE
SURGEON COMPLIANCE
SURGICAL TRAINING
DEDICATED RESEARCH (<300 ms) and NEW HOSPITAL NETWORKS
TELEMEDICINE EVOLUTION …
ISSUES …
NEW TERRITORIAL ORGANIZATION
SURGICAL TRAINING ISSUES
Prof. Antonio V Gaddi 2014
Cortesia di Francesco Gabbrielli
AUGMENTED REALITY =
CHIRURGIA EVOLUTA
NUOVA STRATEGIA FORMATIVA
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Formazione nei sistemi a “rete”
• Lavorare in Rete richiede un approccio “culturale” differente
• E’ necessaria una formazione specifica ed un processo di accompagnamento al cambiamento per gli operatori ed organizzativa per coloro che governano il processo
• Formazione per condividere strumenti ed informazioni
• Formazione su strumenti di governance della rete e dei processi
Prof. Antonio V Gaddi 2014
Cortesia di Massimo Galletto
Prof. Antonio V Gaddi 2014
Ospedale
Distretto
Ausl
Comune/Ufficio di Piano
ASP/Terzo Settore
Regione
Provincia
Dimissioni Protette
Liste Attesa
Gestione Economica
Assegni CuraADI
Anagrafe Sanitaria Cruscotto Direzionale
UVM
SSO
Servizi Domiciliari
Gestionale (SOSIA)
Gateway FRNA
OsservatorioSportello Sociale
RC/SST
Osservatorio Prov.le
Sportello Lavoro (SILER)
SISAM
SIADI
SMAC
Liste Attesa
01/10/2011SofTech srl V 1.7
Sistema Garsia
SDO
Servizi Residenziali
Servizi Residenziali
FAR
IASS
Dati FRNA
Cure Intermedie
Dimissioni Protette
Centrale Operativa
Ricovero
La rete socio-sanitaria dell’aera metropolitana di Bologna:
il progetto Garsia
Prof. Antonio V Gaddi 2014
L’area metropolitana di Bologna
• Bacino di popolazione intorno al milione di abitanti
• 11 ospedali• 54 comuni • 6 distretti socio-sanitari• 15 strutture intermedie (LD, RE, RI)• 116 strutture residenziali e semi-residenziali oer
anziani, circa 200 per disabili• Servizi domiciliari: 200 Infermieri, circa 400
operatori assistenzial • 6500 operatori che utilizzano il sistema
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
Prof. Antonio V Gaddi 2014
CONCLUSIONI
Educare alla Privacy, noSe mai informare sulla disciplina inerente la privacy, gli utenti obbligatoriamente interessati, e già in ottica Europea
Educare e Formare alla eHealth i cittadini, poco, solo come pretesto per attrarre l’attenzione sulla Health (in senso lato). Proporre programmi mirati e ad alta probabilità di successo (formativo e come outcomes) (come era definito sulla prima versione del PNP)
Informare, educare e formare alla eHealth i professionisti dell’area sanitaria, giovani, attraverso le Scuole Mediche, in modo intensivo e con aggiornamenti continuiAiutare i Medici “adulti” alla autoformazione sulla eH, nonché attraverso corsi ad hoc delle Università e attraverso la ECM (programma nazionale ECM per MMG)
Prof. A
nton
io V G
add i 2014
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