convegno di studio su privacy e telemedicinasanitaelettronica.it/privacy/gaddi.pdf · e-health il...

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

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Un problema di complessità che va dalla semantica alle ontologie


Questioni aperte

educare chi, perché, su cosa, come, quando

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Il teorema della continuità educativa e della coerenza (dinamica) delle informazioni


Position paper: prefazione


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


17 Gennaio 1946

30 Dicembre 194527 Dicembre 1945


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


Cortesia di Francesco Gabbrielli

AUGMENTED REALITY =

CHIRURGIA EVOLUTA

NUOVA STRATEGIA FORMATIVA


http://www.google.it/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=YKB9l3OQCYRmIM&tbnid=9IIl3swTkOCMrM:&ved=0CAUQjRw&url=http://www.europeanurology.com/article/S0302-2838(13)00748-3/fulltext/current-perspectives-in-the-use-of-molecular-imaging-to-target-surgical-treatments-for-genitourinary-cancers&ei=dVqRU9CJCOqK0AXir4CgCg&psig=AFQjCNHp4BY-Kt9vmX0_BlKjePgqnulOWw&ust=1402120932668366

https://www.google.it/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&docid=YKB9l3OQCYRmIM&tbnid=9IIl3swTkOCMrM:&ved=0CAUQjRw&url=https://team.inria.fr/shacra/media/image-gallery/&ei=k1qRU_PeK6jM0AXdqoDoDw&psig=AFQjCNHp4BY-Kt9vmX0_BlKjePgqnulOWw&ust=1402120932668366

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


Cortesia di Massimo Galletto

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


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


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

convegno di studio su privacy e telemedicinasanitaelettronica.it/privacy/gaddi.pdf · e-health il...

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