So what are the tools that we can use to improve those various aspects?
One is governance and I think the two eHealth resolutions that were passed
first in 2005 release of laying the ground of and understanding how eHealth should be
part of the tool set for developing health systems.
And more recently, a few months ago, there was another resolution passed on
standardization and interoperability showing what are the limits
of what is that's been done over the last ten years, and why it's important to
converge on standards, interoperability, and actually evaluation.
There are tools that are starting to emerge and
can be used to help strategic planning at a national level.
I will just mention the WHO-ITU National eHealth Strategy Toolkit,
which was released a few months ago and has been used by several
countries to try to develop their national eHealth strategy.
If you have a strategy,
it's easier then to make sure the whole system will converge.
Evaluation as I mentioned, we are poor at doing this, we need to have some tools.
What we are working on at this stage is databases of indicators that
could be reused by the different projects,
make sure that that is what is learned in these projects can be compared to others.
And also I build registries of the evaluation studies just like has been done
in clinical trials.
And finally as I mentioned earlier, we need to think sustainable and for
me the keywords are centers of excellence, the ability to have centers
where there is enough expertise that locally adapted but
international level of research can be done.
South-South collaboration, which is key to make sure that the solutions are actually
relevant, and reverse innovation,
which means this idea that you need to innovate close to where your problems are,
rather than innovate in the labs in the north and then try to plight in the south.
Innovate in the south, and then you learn bad things that can actually be used
more globally even in the north.
So this is, in a nutshell, some of the key opportunities, challenges and
tools that we're working on when we talk about telemedicine eHealth and
in-house for global health, thank you very much.
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