Luís Velez Lapão

Telemedicine to deliver diabetes care in low- and middle-income countries: a systematic review and meta-analysis

Diabetes mellitus is one of the most prevalent chronic and preventable conditions affecting over 415 million people globally, and accounted for over 5 million deaths in 2015. Because the symptoms of diabetes affect both the micro- and macrovascular systems, the disease is associated with significant morbidity, mortality and a poor quality of life. By 2030, […]
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Harnessing Telemedicine for the Provision of Health Care: Bibliometric and Scientometric Analysis

ABSTRACT Background: In recent decades, advances in information technology have given new momentum to telemedicine research. These advances in telemedicine range from individual to population levels, allowing the exchange of patient information for diagnosis and management of health problems, primary care prevention, and education of physicians via distance learning. Objective: This scientometric investigation aims to examine collaborative […]
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How to develop a sustainable telemedicine service? A Pediatric Telecardiology Service 20 years on – an exploratory study

Background: Telemedicine services are promoting more access to healthcare. Portugal was an early adopter of telemedicine to overcome both its geological barriers and the shortage of healthcare professionals. The Pediatric Cardiology Service (PCS) at Coimbra University Hospital Centre (CHUC) has been using telemedicine to increase access and coverage since 1998. Their Pediatric Telecardiology Service has […]
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The contribution of eHealth and mHealth to improving the performance of the health workforce: a review

eHealth and mHealth are technologies that allow services to be extended closer to patients, in pursuit of the objectives of Health 2020: a European policy framework and strategy for the 21st century and of the Global Strategy on Human Resources for Health: workforce 2030. As Europe faces increased demand for health services due to ageing populations, rising patient mobility, and a diminishing supply of health workers caused by retirement rates that surpass recruitment rates, this paper illustrates how eHealth and mHealth can improve the delivery of services by the health workforce in response to increasing demands.
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Ebola impact on african health systems entails a quest for more international and local resilience: the case of african portuguese speaking countries

Ebola epidemics have shown to have significant impacts on many aspects of healthcare systems. African countries have been facing many difficulties while addressing Ebola epidemics, moreover due to both lack of resources and fragmented involvement of national and international entities. The participation of multiple organizations has created serious problems of coordination of aid and the operation of that aid on the ground. This paper aims at addressing the impact of Ebola epidemics on African health systems, with a special focus on the definition of impact mitigation guidelines and the role of resilience. The example of Portuguese speaking countries is presented.
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Lean na Gestão da Saúde: Uma Oportunidade para Fomentar a Centralidade do Doente, o Respeito pelos Profissionais e a Qualidade nos Serviços de Saúde

Os casos de Flinders Medical Center (Austrália), Royal Bolton (UK), ThedaCare e Virginia Mason (USA) são exemplos de hospitais que conseguiram melhorar o seu desempenho através da utilização de metodologias Lean. Todavia, nem sempre o processo é tão fácil como aparenta. Não é que a aplicação do Lean seja difícil mas exige condições especiais.
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