Open channels such as telephone or email for patients to communicate with the health system and vice versa is a first step, but now it is time for improving the quality of care and the health of the population using information technologies, mainly by way of telemedicine and social networks.
20 percent of citizens of the Basque Country "and relate to the healthcare system by telephone. The challenge now is to develop the e-mail and social networks. "According to Paul Arbeloa, Osatek manager," active patients need to become expert patients "that will be the main focus of information technology and communications technology (ICT ) applied to the relationship between patients and health systems, as explained during the Eighth Meeting of the Telemedicine Forum, organized by the English Society of Health Informatics (SEIS) in San Sebastian.
Maybe with the help of ICT can get, finally, the much-cherished goal to focus on patient care. At least that's what he is after the Continua Health Alliance, a non-profit union of companies seeking to "create an ecosystem of interoperability that surrounds the patient, at home, integrating health and wellness, chronic diseases and aging independently," explained Francisco Cañas as technical director Engineering Division, AT4 Wireless.
The main function of the alliance is at the moment, to certify the interoperability of products through the ISO 11,073 and work with regulators in Europe and the United States that "regulation is not an obstacle to accessibility to technology" . However, it is time to get down to work with projects real, and that is what is intended with a common work Iavante Foundation, of Andalusia, which "will create an ecosystem of interoperability of telemedicine systems based on an integration engine platform supported by the Ensemble, InterSystems. Centered the patient is also the project Sagun-Cronic, launched by the Department of Health Sagunto in Valencia.
Initially"We stratified the population, based on the model of Kaiser Permanente. Thus we have selected 5 percent of patients requiring chronic serious health care soon, "says department manager, Homeless Moral.
then starts up 15 percent of patients at high risk, and "a last phase, of those who, in many cases, have not even had contact with the health system." In principle, the project will focus on patients with hypertension, COPD, diabetes and heart failure.
electronic medical record
The program consists of five strategic lines: "Stratification of the population, patient responsibility for their own health, continuity of care, interventions to the needs of the population and use of ICT", which is made possible by the existence of a unified electronic medical record based on Abucasis. This makes it possible "to improve continuity of care and, above all, caring for patients at the time and always in the right place, either in the hospital, primary care and even at home."
In fact, monitoring and control of chronic patients at home is one of the great advantages of telemedicine, as "quality of life improves," said Gina Gonzalez, Cardiology Service, Hospital del Mar, Barcelona , which is about to start, along with the IMIM and Telefónica, the pilot of the Ichor project , in which foresees a reduction of up to 20 percent of non-fatal clinical events in patients with heart failure.
Via: diariomedico.com
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