Telemedicine support to patients with chronic diseases for better long-term control at home
DOI:
https://doi.org/10.6016/ZdravVestn.1553Keywords:
home telemedicine, diabetes mellitus type 2, chronic heart failure, patient empowermentAbstract
Authors in many scientific publications suggest that the telemonitoring of health parameters is a useful tool for supporting patients with long-term conditions staying at home and their self-management of the disease. Those patients are likely to benefit from timely and adequate response to deteriorated conditions detected by the telemedicine system. Almost all of the studies state that telemedicine provided as telemonitoring can be an effective add-on tool in the hands of patients and medical experts for the self-management of patients with, for example, heart failure or diabetes. In this paper the principles of patient telemonitoring are presented as applied within a telemedicine service provided by the Centre for Telehealth (CEZAR) at the General Hospital Slovenj Gradec (Slovenia). The centre supports patients with diabetes mellitus type 2 and/or with chronic congestive heart failure. The service was set-up in 2014 as part of a European project called UNITED4HEALTH. Since then over 550 patients from the Carinthia and Saleška regions (Slovenia) have been receiving telemedicine support for more than two years. The clinical outcomes of the telemedicine service published elsewhere prove that the selected telemedicine service model is adequate and the implemented technological solution is acceptable for all service users: the patients and the clinicians.
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Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on telemedicine for the beneft of patients, healthcare systems and society COM(2008)689. Final [cited 2016.4.30] Available from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=COM: 2008: 0689:FIN:EN:PDF.
Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions - eHealth Action Plan 2012–2020 - Innovative healthcare for the 21st century. COM (2012) 736 fnal[cited 2016.4.30]. Available from: http://ec.europa.eu/health/ehealth/docs/com_2012_736_en.pdf.
EU Commission, DG Connect. Report: Telehealth in Practice - Care Delivery Models from 14 Regions in Europe. Available from: https://ec.europa.eu/digital-single-market/en/news/report-telehealth-practice-care-delivery-models-14-regions-europe.
Domingo M, Lupón J, González B, Crespo E, López R, Ramos A, et al. Non-invasive Remote Telemonitoring for Ambulatory Patients With Heart Failure: Effect on Number of Hospitalizations, Days in Hospital, and Quality of Life. CARME (CAtalan Remote Management Evaluation) Study. Rev Esp Cardiol. 2011; 64(4): 277–85.
Bradbury K, Watts S, Arden-Close E, Yardley L, Lewith G. Developing digital interventions: a methodological guide. Evid Based Complement Alternat Med. 2014; 2014: 5613206.
Nakamura N, Koga T, Iseki H. A meta-analysis of remote patient monitoring for chronic heart failure patients. J Telemed Telecare. 2014; 20(1): 11–17.
Klersy C, De Silvestri A, Gabutti G, Regoli F, Auricchio A. Remote Patient Monitoring in Heart Failure. JACC. 2009; 54(18): 1683–1694.
Balorda Z, Rudel D, Epšek-Lenart M, Pušnik S, Lavre J. Reducing Hb1Ac marker by providing telemedicine support to patients with diabetes type2 at home. Global Telemedicine and eHealth Updates: Knowledge Resources. 2016; 9: 201–204.
Mushcab H, Kernohan WG, Wallace J, Martin S. Web-Based Remote Monitoring Systems for Self-Managing Type 2 Diabetes: A Systematic Review. Diabetes Technol Ter. 2015; 17(7): 498–509.
Pušnik S, Rudel D, Balorda Z, Slemenik-Pušnik C, Epšek-Lenart M, Lavre J, et al. Uvajanje storitev telemedicinskega spremljanja bolnikov s sladkorno boleznijo in bolnikov s srčnim popuščanjem na Koroškem. Boljše informacije za več zdravja. In: Zbornik kongresa MI’2014; Zreče; 2014. p.1–6.
UNITED4HEALTH - UNIversal Solutions in Telemedicine Deployment for European HEALTH care. EU project CIP-ICT PSP-2012–3 325215. Available from: http://united4health.eu/.
Renewing Health. EU project CIP-ICT PSP-2009.1.1. Available from: http://www.renewinghealth.eu/en/.
Health Insight Solution GmbH. Available from: http://www.health-insight.de.
MKS Electronic Systems Ltd. (MKS Elektronski sistemi d.o.o., Ljubljana). Available from: http://www.mks.si/eng/.
Giordano A, Scalvini S, Zanelli E, Corrà U, Longobardi GL, Ricci VA, et al. Multicentre randomised trial on home-based tele management to prevent hospital readmission of patients with chronic heart failure. International Journal of Cardiology. 2009; 131(2): 192–199.
Maeng DD, Starr AE, Tomcavage JF, Sciandra J, Salek D, Grifth D, et al. Can telemonitoring reduce hospitalization and cost of care? A health plan’s experience in managing patients with heart failure. Popul Health Manag. 2014; 17(6): 340–344.
Khelifa A, Barreiros M, Duplaga M, Evgeniev I, Hulbaek L, Mochi G, et al. A Pan European Rapid Benchmark on the Stage of Development of Telemedicine in EU Member Countries. Global Telemedicine and eHealth Updates: Knowledge Resources. 2016; 9: 230–233.
Rudel D, Slemenik-Pušnik C, Epšek-Lenart M, Pušnik S, Lavre J. Patient Inclusion in a Diabetic and CHF Telemedicine Services – Te UNITED4HEALTH Slovenia Experience. Global telemedicine and eHealth updates: knowledge resources. 2014; 7: 58–61.
Rudel D, Slemenik-Pušnik C, Epšek-Lenart M. From a green feld to a telemedicine service supporting 400 patients in one year – the Slovenian experience. Global telemedicine and eHealth updates: knowledge resources. 2015; 15: 400–403.
Rudel D, Slemenik-Pušnik C, Balorda Z, Pušnik S, Lavre J, Kladnik M. Reducing hospitalisation providing telemedicine support to CHF patients at home in Slovenia. Global Telemedicine and eHealth Updates: Knowledge Resources. 2016; 9: 205–208.
Kladnik M, Rakuša M. Obravnava bolnika v ambulanti za srčno popuščanje. Utrip. 2016; 24(4): 34.
Slemenik-Pušnik C, Epšek-Lenart M, Rudel D. Telemedicina – nov pristop pri vodenju kroničnega bolnika. In: Križman I, ed. In: Kongres in 28. strokovni sestanek internistov: zbornik predavanj; 2016; Ljubljana, Slovenija. V Ljubljani: Slovensko zdravniško društvo - Združenje internistov; 2016. p. 82–86.
Slemenik-Pušnik C, Rudel D, Pušnik S, Balorda Z. Use of telemedicine to support CHF patients at home. Sodobna kardiologija 2016, In: Fras Z, Jug B. editors. Zbornik prispevkov; 2016; Ljubljana, Slovenija. Združenj kardiologov Slovenije; 2016. p. 33–34.
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