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The minister of health and wellness is forging ahead with legislation for a National Health Insurance Plan (NHIP). The Caribbean Policy Research Institute (CAPRI) recently hosted a public forum to engage citizens on the matter.

The event highlighted some important considerations that are needed to flesh out this vision, including citizen partnership and acceptance, private sector buy-in and partnership, and a requirement for the involvement of technology at all levels of the system.

JAMAICA HAS an excellent cadre of skilled professionals in emergency and general medical care. However, over the years, we continue to face significant problems with attaining an acceptable transportation system for emergency and non-emergency care.

Over and over, we hear complaints about the lack of ambulances to serve communities. Many Jamaicans would tell you that it makes no sense to call an ambulance from the public sector. More often than not, none is available and private ambulances come at a relatively high cost.

Despite the very commendable effort of the Ministry of Health to reduce waiting time at public hospitals, it is still a major issue. A staff member at my company related to me that she took her grandmother to Kingston Public Hospital from 7 a.m. on a Friday for an assessment and did not leave the facility until 9 p.m.

This poses several problems, one of which obviously has to do with productivity, as an entire day off from work was required to achieve this.

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Scholarship Requirements

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WITH THE direction in which health and technology are going, it would be prudent for the issue of ownership and access to medical records to be worked out once and for all. With pertinent restrictions of course, access to medical records needs to be less prohibitive to the patient.

The number of preventable deaths each year is staggering.

According to the World Health Organization (WHO), 7.8 million people die of hypertension, 5.4 million die from smoking tobacco, 3.8 million from malnutrition, 3 million from STDs, 2.5 million from overweight and obesity, 2.8 million from poor diet, 2 million from physical inactivity and 1.9 million from alcohol.

Interoperability is what makes an electronic system, well a system. Connectivity is critical in any healthcare environment.

Health technology increases the rate of connectivity and access generally, but within that there also needs to be further connectivity. Interoperability is a fundamental part of this ecosystem.

There are myriad things that we have yet to explore to uncover the benefits of technology in health.

One of them is how we can achieve an interconnected and efficient multiagency disaster and crisis preparation and response mechanism.

Health is integral to any disaster response, and so the first step would be to achieve an interconnected health system. By this I mean a system by which both private- and public-sector health interests can have a symbiotic relationship when it comes to patient care.

Jamaica has long been engaged in strategies to manage population health. From the establishment of the Extended Programme on Immunisation in 1977 to the 1978 Alma Ata declaration which focused on the need to shore up the primary healthcare system.

Efforts have consistently continued along these lines and, admittedly, we have made much progress over the last few decades.

Although we have seen an improvement in general life expectancy, which was 76 years as at 2016, we seem to be going backwards with the increasing incidence of non-communicable diseases.

Earlier this year, I wrote an article about computer vision and how it can positively impact healthcare.

This kind of artificial intelligence (AI) is already a feature of health technology and is used to aid in diagnosis and treatment. AI research in health has been happening for years with spinal stimulation and brain computer interface.