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E-Health in Brazil: Less Care for the Poor?
Abstract
It is argued in this chapter that e-health has the potential to improve the provision of health care and the quality of patient treatment, but it also contains many threats, especially in developing countries where information technologies are generally implemented without any discussion with society. With regard to health information, Brazil is behind some African countries in terms of data recording according to international reports used to publish health care indicators. Most of the hospitals do not have basic information systems for data collection and storage, despite the fact that the country has historically registered very bad health indicators. Moreover, many e-government initiatives, including e-health applications and development are based on the traditional top-down model or market-driven approach to information technology, oriented towards corporate actor interests and health care administration rather than basic population health care needs. This system tends to neglect basic priorities for people lacking education, clean water, food and primary health care.
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