Pictures .. “Health control” discusses the controls for regulating “remote” treatment services

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Ashraf Ismail, Chair of the General Authority for Health Accreditation and Control, stressed the importance of establishing a sound regulatory and legal framework for “telemedicine” practices, which has become a fait accompli through information technology and the Covid-19 crisis was imposed, which demonstrated. the urgent need to maintain the safety of the patient and the doctor equally. He pointed out that the initiative adopted by the Health Accreditation and Control Authority to study the concept “Telemedicine Act” from its various angles stems from the authority’s role in regulating and controlling the Egyptian health sector in a way that guarantees the rights of beneficiaries to obtain a safe and quality health service.

This came during his speech at the end of a series of workshops organized by the Health Accreditation and Control Authority throughout the month to discuss “the future of telemedicine in Egypt”, in collaboration with the Ministry of Health and Population, the Supreme Council of the University Hospitals, and with the participation and support of the World Health Organization in Egypt. With the aim of setting out the regulatory framework for the different activities related to “telemedicine” services, with the participation of all parties involved in the health sector, through 4 scientific workshops that intensively discuss the different dimensions related to the subject on the clinical, technical, financial and legal levels.

Dr. Ashraf Ismail indicated that the scientific methodology followed by the government in organizing the discussions, with the active participation of various parties in the discussion of the “telemedicine” bill, provides a panoramic picture of all the details that the law must include, taking into account the interweaving of relationships, and the privacy of the application.In various medical cases, and the required licenses, which in turn are reflected in the issuance of rules and standards for the registration and approval of telecommunications health services, and expanding its application in the comprehensive health insurance system.
The head of the Health Accreditation and Supervision Authority thanked all the participants, led by the Egyptian Medical Syndicate, who laid the first building block by arranging the “Telemedicine” conference last February, which shared the different views and experiences already for the uses existed, revised. of telemedicine, and he also thanked the work team of the Technical Office The authority due to the leading scientific effort to document the outputs of the workshops.

Dr. Naima Al-Qasir, representative of the World Health Organization in Egypt, during her speech at the closing workshop, emphasized the importance of the participation of the private sector and civil society in the discussion of the draft law to develop an integrated vision, and emphasized full support for the efforts of the General Authority for Accreditation and Health Control to establish controls and standards for “telemedicine”.

Dr. explain. Islam Abu Yousef, Vice President of the Health Accreditation and Monitoring Authority, said that the transformation of digital health with its various components is a reality that will inevitably increase, requiring access to specific definitions that everyone has agreed upon and a clear scope for local and cross-border services, in addition to considering the development of a digital health management system in line with developments. The rapid technological development, and the reforms taking place in the Egyptian health sector, point to the great reflection of this on Egypt’s position at the forefront of the global medical tourism map, and the emphasis on confidence in the outcomes of the Egyptian health system.

As explained by Dr. Hossam Abu Sati, Executive Director of the General Authority for Accreditation and Health Control, said the use of “telemedicine” in the comprehensive health insurance system could be an effective solution to many of the obstacles facing the system’s application, especially with governorships with a large area, where the distances between population centers can increase to More than 80 kilometers, such as South Sinai and Luxor, but this must be done in accordance with standards and controls that first issue a comprehensive and integrated law requires.

Reviewed by Dr. Ahmed Safwat, a member of the Board of Directors of the Health Accreditation and Control Authority, the main results of data analysis and participation in a series of workshops he directed, which led to the last workshop dealing with the legal and legislative aspect of the future of “telemedicine” in addition to the presentation of an initial draft of the bill, emphasizing that the construction of a law Smart must comply with a correct and integrated business model subject to continuous evaluation, based on understanding the needs and social problems, setting achievable goals, as well as studying the implementation risks, which we aimed to achieve through the participation of the various stakeholders in the workshops.

He added: The correct working model for “telemedicine” should be integrated in terms of clinical, financial, technical and legal terms, as well as taking into account the privacy of Egyptian society away from the application of ready-made templates for other countries.

In turn, dr. Hazem Mustafa, Assistant Secretary to the Supreme Council of University Hospitals and Director of the Remote Diagnosis Project, in the organized effort made by the Health Accreditation and Control Authority to draw up the correct rules for safe health services in collaboration with various authorities, and note that the “Presidential Initiative for Remote Diagnosis and Treatment” is a groundbreaking experience and a model In addition, it can benefit as it includes 300 units equipped with special equipment for remote diagnosis at the level of the Republic, which enables the patient set up to follow up his condition with a doctor in the unit, who in turn communicates with a consultant or a professor at the university hospital to explain the pathological condition, view the x-rays and analyzes for the patient, and explain that the possibility of detection On the remote patient with special devices is the essential difference between the Presidential Telediagnosis Initiative and any other teldiagnosis that exists in Egypt.

In a related context, dr. Muhammad al-Wahsh, Vice-Chairman of the Health Committee of the People’s Assembly, to the misuse of social media and the danger of many consultations and medical prescriptions being spread on it, which can cause serious complications that can lead to the patient’s life because every medical matter has its own privacy, as well as the importance of ensuring the identity of the doctor and what Whether he is qualified in the first place to practice telemedicine or not, and emphasizes that the “Telemedicine” Act must set limits for everything with service related. , which is what we expect from the results that the Health Accreditation and Control Authority is working hard to achieve as a locomotive for health care in Egypt.

Ahmed. Ayman Salem, Secretary General of the Medical Syndicate, said that the Telemedicine Act must take into account all the circumstances surrounding the application of the telemedicine service, especially the technical dimension and the clear framework within which the technological platforms used in the service and the rehabilitation is used. of doctors operate.

It is noteworthy that most of the participants’ participation at the clinical level was aimed at not limiting the scope of the medical specialties in which telemedicine can be used, or at limiting the use of various emergencies and non-emergencies , while controls and restrictions on the method of providing each type of service and a commitment to ensure Efficiency for patient safety and service delivery.

The participants also focused on the fact that “telemedicine” should not be rendered as an independent service away from the original medicine and the usual treatment methods, and it should not create a parallel system to the current ordinary medicine, but it was considered as a complementary service intended to reach patients in remote locations or suffering from a lack of specialties Specifically or supporting the younger doctor in collaboration with the larger doctor and so on.

In terms of the financial aspect, the participants discussed how to use “telemedicine” in the comprehensive health insurance system with the same controls that prevent abuse and the legal and procedural framework as a whole.
On the technical side, participants ‘opinions focused on maintaining patient confidentiality, discussing service delivery tools and data storage and processing mechanisms in a secure framework that ensures patients’ privacy.
As far as the legal aspect is concerned, the experiences of countries and the outputs of previous workshops have been reviewed and a concept has been drawn up that contains the opinions of the participants towards licensing telemedicine service providers and about the efficiency, effectiveness and integrity of service delivery. to ensure.

A group of active institutions in the Egyptian health sector participated in the workshops held in Cairo, including: the Egyptian Medicines Authority, the General Authority for Unified Procurement, the Health Care Authority, the Comprehensive Health Insurance Authority, the International Finance Corporation (IFC), the General Syndicate of Physicians, and the Chamber of Health Service Providers from the sector The private sector, the Ministry of Communications and Information Technology, companies from the private sector, the Health Committee of the People’s Assembly.

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