This book is the final result of a team effort involving a large number of international experts, coordinated and led by Dr. Marcelo Sosa-Iudicissa, in Brussels, Dr. Nora Oliveri, in Buenos Aires, Dr. Carlos A. Gamboa, in Washington, and Ms. Jean Roberts, in England. They have attracted and assembled together the contributions of 80 specialists from over 20 countries in North America, Europe and Latin America. This makes the present book a unique publication, presenting a true global vision of the opportunities opened up by the advent of the Internet for doctors, health professionals, planners and managers, as well as for patients and the public at large, wanting to know more and better about their own health maintenance and protection. It also presents a range of informatics and telematics applications available nowadays to medicine, examples on how people with a health concern are using the Internet in both industrialised and developing countries. This change, bringing empowerment through knowledge, is showing us the trend towards a New Health Paradigm in the In-formation Society. This book is aimed at medical practitioners, administrators, teachers and students who wish an authoritative state-of-the-art as well as how-to for commencing or enhancing wish done on the Internet. A self-contained CD-Rom is included with the book, providing readers with a flying start in accessing key information sounds.

Title page -- Preface: Prof. Dr. Herbert Burkert -- Preface: Prof. Dr. Heyo Eckel -- Table of Contents -- Executive Summary -- Zusammenfassung -- Resume -- Resumen -- Sammanfattning -- The Editors, Key Authors, and Experts -- 1. Digital Signatures and Encryption as Key Elements of Security in Health Telematics -- 2. Methodologies Used in the Legal Studies -- 3. Liability Reference Model -- 4. Strategic Reference Model -- 5. Specific Issues in Health Care -- 6. Outlook -- 7. Materials -- Index of Subjects and Names

This thesis describes a telemedicine approach to a computer-aided healthcare system. NEMESIS is the Spanish acronym of New Electrocardiographic Medical Station with Information Systems. The application is a comprehensive tool set, structured around a main navigation bar, which leads to every sub-application. Those sub-applications are window based, user-friendly tools, comprising specific health tools for physicians, telemedicine/telematics tools and general-purpose tools. The whole application is built in a highly structured and modular way, which allows adding or excluding modules quickly. Portability is guaranteed and achieved by Java programming language, bringing independent platform software. All modules comply with international standards; namely, medical modules comply with European CEN TC 251 approved standards, since telematic modules observe the ITU standards. The present application release offers a specific medical module (for cardiology), videoconference, electronic mail, remote control, electronic healthcare patient record retrieval and knowledge database access. The prototype application is running at the Cardiology Service of the Hospital Clínico Universitario of Valencia, waiting for physicians to evaluate the usability, utility and functionality of the software. Esta tesis describe una aplicación de telemedicina desarrollada en la Universidad de Valencia. NÉMESIS es el acrónimo de Nueva Estación Médica con Servicios de Información Secundarios. La aplicación, producto de un tesis doctoral, aprovecha la reciente ubicuidad de redes telmática de fácil acceso y bajo coste para ofrecer herramientas de telemedicina. Parte de una barra de herramientas que aglutina y da acceso a los demás módulos de cardiología o telemedicina existentes. La aplicación se ha desarrollado en Java, tanto por su orientación a redes como por su portabilidad, cuidando además de respetar una estricta modularidad para garantizar la versatilidad de la aplicación. Todos los módulos cumplen los estándares existentes, tanto en informática médica (CEN TC 251) como en comunicaciones (ITU). En la presente tesis se han desarrollado los módulos de cardiografía, adquisición, videoconferencia, correo electrónico, control remoto, acceso a bases de datos hospitalarias de pacientes y acceso a bases de datos de conocimiento. Un prototipo de este programa será probado en el Servicio de Cardiología del Hospital Clínico Universitario de Valencia, para recger información de su utilidad, usabilidad y fiabilidad.

Of Findings10. Other Data Use Interventions: Multicomponent Interventions; Summary of Findings; Recommendations for Improved Monitoring and Evaluation; Discussion; Conclusion; References; Annexes; Annex 1. Search Terms; Annex 2. Theory of Change Definitions; Annex 3. Included Documents Organized by Primary Intervention Type; Annex 4. IDEA Workshop Meeting Agenda and List of Participants; Annex 5. IDEA Evidence Synthesis Table