Telemedicine support to patients with chronic diseases for better long-term control at home

Abstract

Ključne besede:telemedicina na domu; sladkorna bolezen tipa 2; kronično srčno popuščanje; opolnomočenje bolnika Key words:home telemedicine; diabetes mellitus type 2; chronic heart failure; patient empowerment Citirajte kot/Cite as: Zdrav Vestn. 2016; 85:676-85. prispelo: 20. 5. 2016 sprejeto: 6. 11. 2016 Telemedicine support to patients with chronic diseases for better long-term control at home AbstractAuthors 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. IzvlečekAvtorji številnih znanstvenih objav navajajo, da je spremljanje parametrov zdravja na daljavo uporabno orodje pri podpori kroničnim bolnikom, ki sami, ob ustrezni medicinski podpori, skrbijo za svojo bolezen. Tem bolnikom pravočasen odziv in ukrepanje ob poslabšanju bolezni, ki ga omogoča telemedicinska storitev, izboljša izid zdravljenja. Rezultati vseh tovrstnih raziskav nakazujejo, da je lahko telemedicinska storitev v obliki spremljanja parametrov zdravja na daljavo (telemonitoring) učinkovito dodatno orodje v rokah bolnika in zdravstvenih oz. medicinskih strokovnjakov pri samooskrbi sladkorne bolezni in/ali srčnih bolezni. V članku predstavljamo princip telemedicinskega spremljanja, kot se uporablja v telemedicinski storitvi, ki jo ponuja Center za zdravje na daljavo (CE-ZAR), ki deluje v okviru Splošne bolnišnice Slovenj Gradec. Center nudi storitve bolnikom s sladkorno boleznijo tipa 2 in/oz. bolnikom s kroničnim srčnim popuščanjem. Storitev smo vzpostavili v letu 2014 v okviru evropskega projekta UNITED4HEALTH -Združeni za zdravje. Od začetka dela je center nudil storitve že 550 bolnikom koroške in saleške regije. Nekateri od njih prejemajo storitev že dve leti. Klinični rezultati telemedicinskega spremljanja, objavljeni drugje, potrjujejo, da ...

Izkušnje kronično obolelih pacientov s telemedicinsko obravnavo v ambulantah družinske medicine

“…Ovire so pogojene tudi s sistemsko razširjenostjo uporabe telemedicinske obravnave in telemedicinske opreme v zdravstvu (Joo & Liu, 2021). Pri tem Slovenija močno zaostaja v primerjavi z najrazvitejšimi članicami EU (European Commission, 2018;Oliveira Hashiguchi, 2020), saj pri nas obstaja le nekaj pilotnih storitev telemedicinske obravnave in z njimi povezanih raziskav (Cimperman et al, 2013;Beštek & Brodnik, 2015;Rudel, Slemenik-Pušnik, Epšek-Lenart, Balorda, & Lavre, 2016;Cimperman, Brenčič, & Trkman, 2016;Janković et al, 2020;Kaufman, Rudel, & Rudel, 2020). Prvi celovit opis obstoječih rešitev v Sloveniji sta pripravila Rant & Rudel (2021), ki sta prepoznala problematiko nizke nacionalne razširjenosti teh storitev in njihove vključenosti v nacionalni sistem zdravstvene ali socialne oskrbe.…”

“…Obstoječe telemedicinske storitve v Sloveniji so osredotočene na terciarno (npr. CEZAR; Rudel et al, 2016), sekundarno (npr. T-MED Gluco v diabetoloških ambulantah; Kaufman et al, 2020) in primarno raven zdravstvenega varstva (npr.…”

“…Barriers to the use of telemedicine are also related to the systemic use of telemedicine and telemedicine devices in health care (Joo & Liu, 2021). In this respect, Slovenia lags far behind the most advanced EU member states (European Commission, 2018;Oliveira Hashiguchi, 2020), as only few telemedicine pilot services have been implemented and researched here (Cimperman et al, 2013;Beštek & Brodnik, 2015;Rudel, Slemenik-Pušnik, Epšek-Lenart, Balorda, & Lavre, 2016;Cimperman, Brenčič, & Trkman, 2016;Janković et al, 2020;Kaufman, Rudel, & Rudel, 2020). The first comprehensive description of existing telemedicine solutions in Slovenia was provided by Rant & Rudel (2021), who identified the problem of low national utilisation of such services and their integration into the national health and social care system.…”

“…Existing telemedicine services in Slovenia focus on tertiary (e.g. CEZAR; Rudel et al, 2016), secondary (e.g. T-MED Gluco in diabetes clinics; Kaufman et al, 2020) and primary care (e.g.…”

“…T-MED Gluco in diabetes clinics; Kaufman et al, 2020) and primary care (e.g. SOSTOP and E-Health Telekom; Rudel et al, 2016), which includes primary care outpatient clinics (Pečelin & Sočan, 2016). Research has shown positive impacts of telemedicine in terms of improved patient clinical outcomes (Aberer et al, 2021), financial benefits (Snoswell et al, 2020) and positive psychological impact on the user (Gellis et al, 2012;van den Berg et al, 2012).…”