Remote Health Care for China – Case COPD
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Remote Health Care for China – Case COPD Xirui Wang, Timo O. Korhonen, Shuo Liu, Iiro Jantunen Department of Communications and Networking, Aalto University School of Science and Technology, Espoo, Finland [email protected] Juha Lipiäinen Case COPD INTRODUCTION Chronic Obstructive Pulmonary Disease (COPD) is especially common in elderly. Remote health care enables elderly easier access of medical information and helps in d l lf l ll elderly problems arise in (i) physical and psychological capabilities (ii) low computer literacy and confidence, and (iii) ethic concerns, e.g., privacy, autonomy, integrity, dignity, and reliability. THE CASE and COSTS and ALERT CALLS Chinese Labor Insurance Regulations was Medixine Oy, Helsinki, Finland [email protected] daily life services. In COPD, alert calls can reduce treatment cost and improve patients’ life quality. For service providers, remote health care can facilitate expanded, cost effective service palette and support new business models. COPD in CHINA THE CASE and RESULTS We discuss in this paper COPD alert call (Fig. 1) that is intended to check medication condition and warn bad weather that increases COPD patient clinic visits. Effect of COPD alert calls is depicted in (Fig.2) with 445 patients and 1,785 passive alert calls [2]. Chinese Labor Insurance Regulations was issued by Government Administration Council by year 1951; the retirement age for male is 60, and 50 for female. Early retirement age brings a significant pressure onto the society, especially to healthcare. Most people over 60 have a low productivity and their life dependents on their pensions provided by the government. Usually, they suffer various high- cost illnesses, especially with chronic diseases COPD is caused by breathing in noxious particles or such as cigarette smoke and second-hand gases, smoke, air pollution, and other occupational pollutants. COPD is the 4th leading cause of death among all other diseases. In China, COPD ranks number one among the burdens of diseases, is the 2nd leading cause of death. There are 25 million people in China having COPD. The results of our usability study for the service used in [2] are presented in the following manner: (i) identified usability problem is highlighted, (ii) implications from the problem are explained (iii) design improvements are suggested. A. Lack of accelerators: The introduction of service provider, alert call service and the illness lasts more than 30 second for every call which appear long lasting and require long- term medical treatments that most can be reimbursed by healthcare insurance . Note, the less of elderly entering of hospital; the more money society will save. Thus, the utilization of alert calls will just not prevent the illnesses to attack, but also decreases the number of hospital visits and their duration (medication, diagnosis, million people in China having COPD. is frustrating for experienced user. Remedy: A fst forward button or a short-cut key. B. Question repetition: After 15 seconds, automatic question repetition is triggered that is not controlled. Indication: Too little control function to the users. Remedy: Dedicated function for repeating questions dialogs. C. Error prevention and user control: If the choice made by the user is incorrect (for injection, surgery, and hospitalization). Thus patients and society are saving both money and time. Also, quality of living is improved. References [1] http://www.uninursety.com/user/ courses_n/copd.php#ch_two [2] http://download.medixine.com/copd / ll il tj ALERT CALLS In active alert calls, users initiate a predefined calling sequence using pendant or tailored bracelet service access button. Alert is then sent to a 24/7 operational monitoring the choice made by the user is incorrect (for instance, if you type a wrong number), there is no way to modify the answer except by hanging up the phone . Remedy: Undo or revocation functions should be implemented. D. Language: In Chinese version of the call, directions are pronouncieted very slowly. This makes then difficult to understand. This is clearly a culture related problem. There have maybe been a misunderstand because for /cornwall_pilot.jpg Table 1. COPD around the world in all ages [1] then sent to a 24/7 operational monitoring center or neighbors next door or relatives in the city to avoid delays. Note that elderly falls account for one-third of all non-fatal injuries and hospital admissions in USA. In passive alert calls, the system initiates the call for safety confirmations (patient is safe on a regular time interval) and reminders (taking medication, or setting appointment with doctor) maybe been a misunderstand because for English language speaking slower improves understanding but not necessary for Chinese. with doctor). USABILITY and ELDERLY Usability is studied by usability testing with actual users, usability inspection by experts (as cognitive walkthrough and heuristic evaluation used here), and usability inquiry Figure 2. Cornwall experiment and COPD admissions Figure 1. Flowchart of a typical alert call service UBI-SERV Project www.ubi-serv.org This research was supported by the Academy of Finland under grant no 129446. (asking users questions about the service verbally or in a written form). Especially for
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Transcript of Remote Health Care for China – Case COPD
Remote Health Care for China –Case COPD
Xirui Wang, Timo O. Korhonen, Shuo Liu, Iiro Jantunen
Department of Communications and Networking, Aalto University School of Science and Technology,
Espoo, Finland
Juha LipiäinenCase COPDINTRODUCTIONChronic Obstructive Pulmonary Disease (COPD) is especially common in elderly. Remote health care enables elderly easier access of medical information and helps in d l l f l ll
elderly problems arise in (i) physical and psychological capabilities (ii) low computer literacy and confidence, and (iii) ethic concerns, e.g., privacy, autonomy, integrity, dignity, and reliability.
THE CASE and
COSTS andALERT CALLSChinese Labor Insurance Regulations was
Medixine Oy, Helsinki, Finland
daily life services. In COPD, alert calls can reduce treatment cost and improve patients’ life quality. For service providers, remote health care can facilitate expanded, cost effective service palette and support new business models.
COPD in CHINA
THE CASE and RESULTSWe discuss in this paper COPD alert call (Fig. 1) that is intended to check medication condition and warn bad weather that increases COPD patient clinic visits. Effect of COPD alert calls is depicted in (Fig.2) with 445 patients and 1,785 passive alert calls [2].
Chinese Labor Insurance Regulations was issued by Government Administration Council by year 1951; the retirement age for male is 60, and 50 for female. Early retirement age brings a significant pressure onto the society, especially to healthcare. Most people over 60 have a low productivity and their life dependents on their pensions provided by the government. Usually, they suffer various high-cost illnesses, especially with chronic diseases
COPD is caused by breathing in noxious particles or such as cigarette smoke and second-hand gases, smoke, air pollution, and other occupational pollutants. COPD is the 4th leading cause of death among all other diseases. In China, COPD ranks number one among the burdens of diseases, is the 2nd leading cause of death. There are 25 million people in China having COPD.
p
The results of our usability study for the service used in [2] are presented in the following manner: (i) identified usability problem is highlighted, (ii) implications from the problem are explained (iii) design improvements are suggested.A. Lack of accelerators: The introduction of service provider, alert call service and the illness lasts more than 30 second for every call
p ywhich appear long lasting and require long-term medical treatments that most can be reimbursed by healthcare insurance .
Note, the less of elderly entering of hospital; the more money society will save. Thus, the utilization of alert calls will just not prevent the illnesses to attack, but also decreases the number of hospital visits and their duration (medication, diagnosis, million people in China having COPD. y
is frustrating for experienced user. Remedy: A fst forward button or a short-cut key.
B. Question repetition: After 15 seconds, automatic question repetition is triggered that is not controlled. Indication: Too little control function to the users. Remedy: Dedicated function for repeating questions dialogs.
C. Error prevention and user control: If the choice made by the user is incorrect (for
ginjection, surgery, and hospitalization). Thus patients and society are saving both money and time. Also, quality of living is improved.
References
[1] http://www.uninursety.com/user/courses_n/copd.php#ch_two
[2] http://download.medixine.com/copd/ ll il t j
ALERT CALLSIn active alert calls, users initiate a predefined calling sequence using pendant or tailored bracelet service access button. Alert is then sent to a 24/7 operational monitoring
the choice made by the user is incorrect (for instance, if you type a wrong number), there is no way to modify the answer except by hanging up the phone . Remedy: Undo or revocation functions should be implemented.
D. Language: In Chinese version of the call, directions are pronouncieted very slowly. This makes then difficult to understand. This is clearly a culture related problem. There have maybe been a misunderstand because for
/cornwall_pilot.jpg
Table 1. COPD around the world in all ages [1]
then sent to a 24/7 operational monitoring center or neighbors next door or relatives in the city to avoid delays. Note that elderly falls account for one-third of all non-fatal injuries and hospital admissions in USA.
In passive alert calls, the system initiates the call for safety confirmations (patient is safe on a regular time interval) and reminders (taking medication, or setting appointment with doctor)
maybe been a misunderstand because for English language speaking slower improves understanding but not necessary for Chinese.
with doctor).
USABILITY and ELDERLYUsability is studied by usability testing with actual users, usability inspection by experts (as cognitive walkthrough and heuristic evaluation used here), and usability inquiry Figure 2. Cornwall experiment and COPD admissions
Figure 1. Flowchart of a typical alert call service
UBI-SERV Projectwww.ubi-serv.org
This research was supported by the Academy of Finland under grant no 129446.
(asking users questions about the service verbally or in a written form). Especially for
