title: Improving Access to Pediatric Cardiology in Cape Verde via a Collaborative International Telemedicine Service.
abstract: This paper addresses the role of international telemedicine services in supporting the evacuation procedures from Cape Verde to Portugal, enabling better quality and cost reductions in the management of the global health system. The Cape Verde, as other African countries, health system lacks many medical specialists, like pediatric cardiologists, neurosurgery, etc. In this study, tele-cardiology shows good results as diagnostic support to the evacuation decision. Telemedicine services show benefits while monitoring patients in post-evacuation, helping to address the lack of responsive care in some specialties whose actual use will help save resources both in provision and in management of the evacuation procedures. Additionally, with tele-cardiology collaborative service many evacuations can be avoided whereas many cases will be treated and followed locally in Cape Verde with remote technical support from Portugal. This international telemedicine service enabled more efficient evacuations, by reducing expenses in travel and housing, and therefore contributed to the health system's improvement. This study provides some evidence of how important telemedicine really is to cope with both the geography and the shortage of physicians.
authors.affiliation: WHO Collaborating Center for Health Workforce Policy and Planning. Instituto de Higiene e Medicina Tropical - Universidade Nova de Lisboa, Portugal.
authors.forename: Luís Velez
authors.initials: LV
authors.lastname: Lapão
authors.affiliation: Ministry of Health, Cape Verde.
authors.forename: Artur
authors.initials: A
authors.lastname: Correia
mesh_terms: D000293:Adolescent; D002309:Cardiology / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006331:Heart Diseases / Q000453:epidemiology* / Q000534:rehabilitation*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007391:International Cooperation; D008297:Male; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D019035:Rural Health Services / Q000706:statistics & numerical data; D017216:Telemedicine / Q000706:statistics & numerical data*; D013813:Therapy, Computer-Assisted / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014584:User-Computer Interface