E Health

Belly, Audrey Rose Caragan, Mac Cristian October 09,2020
Ibanez, Alice Joy Rafael, Hajime BSN3F
Medenilla, Gemalyn Rebolledo, Marion
Ogundeji, Ayomide Tolero, Kenji
Prendol, Ryna Kryzzea Veloria, Mikko
Tabios, Shaira
Tiyad, Emily
Valledo, Denielle
1.) What is e-health in the Philippines?
According to e-health.ph:
“eHealth Philippines is an internet linked community where people can interact
with each other on specific health issues, topics, and at the same time have
access to the research databases, journal articles, advisories, and other health
related information”
eHealth Philippines (ehealth.ph) serves an information gateway for eHealth

initiatives on the Philippines which creates space for lifelong learning of health
practitioners to improve the quality of life of the people. The website takes on a
community-based approach in generating and publishing information that will
help its readers to appreciate, learn from, and contribute on the growing
eHealth activities in the country as we course through in achieving All for Health
Towards Health for All.
The website aims to improve the flow of health information in the country and to
develop an accessible, timely, and relevant information resources for the health
community. Also, ehealth.ph wants to sustain content and infrastructure
development and to develop capacity building tools that match absorptive
capacity of information users. Lastly, the website aims to build a network and a
community of health practitioners where they can share their experiences and
expertise.
2. Compare the e-health practice in Estonia in Philippines?
EHEALTH IN THE PHILIPPINES EHEALTH IN ESTONIA

 Data is not organized  Organized and can be easily
 Not every hospital has e-health accessible by others if needed
 Time consuming when requesting  Every transaction in the hospital is
for health records. digital thus making work easy
 Budget for improving e-health is  Patient has their own portal for
not enough their e-health record
 Not everyone has access to their  Each person that has visited
health record doctor has online e-health record.
 some have e-health and mostly  E-health record is nation wide
are have paper documents . system and integrating data from
 E-health record is centralize and it Estonia's different health care
depends on the institution if they provider to create common
ale to afford using E-health record. record which can access online .
 Manual prescription.  Prescriptions are in digital.
 Paying at accounting office  Using of electronic billing
manually . healthcare.
 Patient should make request  Patients have access in their
manually in order to access their record through patient's portal any
recoders. time using their ID.
 Manual interview to the patient or  In accidents, emergency team
SO. can have access to patient
medical records to lessen the
interview when getting to hospital
and proper intervention.
3. What practices/application in Estonia that can be adapted here in
Philippines?
Estonian e-health is among the world’s most ambitious and a clear

example of why this small EU country is widely hailed as one of the most
advanced digital nations. They are already data generated by hospitals and
doctors has been digitized, and citizens can enjoy easy access to their own
medical records, prescription, and the most suitable health professional. The
practices or applications that we can adapt here in the Philippines are the
following:
Drug interaction and counter indication decision support software. This

software is connected to our e-prescription database, so whenever a doctor
tries to prescribe something that might interact with one of the medicines a
patient is taking, they get a warning from the system. It helps to avoid
unnecessary side effects or adverse events related to the medications.
The E- prescription system where the patients no longer need to spend

valuable time seeing a doctor for a repeat prescription: they can just call their
doctor and then head straight to the pharmacy to fill their digital prescription.
E- ambulance system, which is hooked up to our e-health system and

provides emergency care providers pre-filled forms of health data about the
patients they are heading off to save. This yet again saves time but also helps
our professionals be more effective on the spot.
We can also adapt their e-health strategies because all the technological
and organizational components related to health data or the provision of
remote services are through e-channels. It is called the eHealth system and it
includes the state information library Health Information System (TIS) and other IT
devices and applications processing health information (including the
information systems of health care providers, the equipment in possession of
people, smart devices, etc.). With this it can help us to be more effective in
caring for our patients.
4. What are the hindrances in implementing e-health system here in Philippines?
 Philippines is not likely to adapt to new changes, not everyone will follow
and are not willing to change their IT infrastructure.
 Not a lot of people are willing to adapt to change as well. Therefore,
there won't be as many people who will register for an e-health - also
because registration is not made mandatory for them. This will then
become a costly experiment for both the government and the citizens.
 The major obstacle includes the recognition of licenses and liability issue.
 The costs can be prohibited if the provider has other priorities in terms of
equipment upgrading. On the other hand, the use of store-forward
technology requires less investment costs compared to real-time
telemedicine practice which is not yet integrated in everyday use of
hospitals or healthcare providers.
 Cross-border telemedicine can impose risks and imbalances on the local

healthcare system
 Because of the large percentage of poverty in the country, a lot of

people are unable to access it, especially in their homes - therefore
restricting the ability to provide a more efficient way of monitoring the
patient's health.
 Philippines' emerging data privacy and cybersecurity regulatory

framework still needs to be updates and strengthened because there are
a lot of threats for cyberattacks in the country.
 There are still limited IT capabilities, or not a lot of people in the country
are computer literate – therefore, there is still a lack of knowledge and
skills of the people in order to properly implement the e-health system.
 Filipinos have this mentality wherein they avoid going to the hospitals
because they believe that as long as they haven't felt the severity of their
condition or disease, they won't go for checkups. Also, they think that by
knowing what conditions they have will only make it worse. Making
implementing e-health in the country useless because it won't be properly
utilized.
 The country also lacks national e-health policies or laws which makes it
very risky as to what guidelines or standards are to follow and what needs
to be avoided.
 The overall problem when implementing the e-health is the geographic
landscape. Because of the geographical landscape of the Philippines,
internet connectivity and signal is a huge problem making it difficult to
create and access electronic health systems.
Reference:
Gutierrez,G.,(2019).Philippines Developing e-Health Infrastructure. Retrieved from

https://www.dataguidance.com/opinion/philippines-developing-ehealth-
infrastructure
Leochico, C.,Espiritu,A., & et al., (2020). Challenges to the Emergence of

Telerehabilitation in a Developing Country: A systematic Review. Retrieved from
https://www.frontiersin.org/articles/10.3389/fneur.2020.01007/full?fbclid=IwAR2Y6
-wNqAIcUd-KbUu9pC5Xe9y3NkNb0I32fZKVNg6bpWkFRypXulSb0kg
https://e-estonia.com/solutions/healthcare/e-health-
record/?fbclid=IwAR1qqucKZfCf-j-
jbMmuau7S70UwQk5omMlsdBtKmsv1CopNH0Z-
LkPCetk#:~:text=One%20of%20the%20key%20innovations,issuing%20and%20han
dling%20medical%20prescriptions.&text=Today%2C%2099%25%20of%20all%20pre
scriptions,the%20country%20are%20issued%20electronically

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Belly, Audrey Rose Caragan, Mac Cristian October 09,2020

Ibanez, Alice Joy Rafael, Hajime BSN3F

Medenilla, Gemalyn Rebolledo, Marion

Ogundeji, Ayomide Tolero, Kenji

Prendol, Ryna Kryzzea Veloria, Mikko

1.) What is e-health in the Philippines?

eHealth Philippines (ehealth.ph) serves an information gateway for eHealth

EHEALTH IN THE PHILIPPINES EHEALTH IN ESTONIA

Estonian e-health is among the world’s most ambitious and a clear

Drug interaction and counter indication decision support software. This

The E- prescription system where the patients no longer need to spend

E- ambulance system, which is hooked up to our e-health system and

4. What are the hindrances in implementing e-health system here in Philippines?

 Cross-border telemedicine can impose risks and imbalances on the local

 Because of the large percentage of poverty in the country, a lot of

 Philippines' emerging data privacy and cybersecurity regulatory

Gutierrez,G.,(2019).Philippines Developing e-Health Infrastructure. Retrieved from

Leochico, C.,Espiritu,A., & et al., (2020). Challenges to the Emergence of

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