Continuity of Patient Care
Chronic diseases:A Challenge for eHealth
http://www.euro/who/int
Chronic diseases: A challenge for eHealthRelevance of Chronic Conditions
Mortality• 60% worldwide• 66% in Canada
Health Budget• 78% in USA• 70% in Australia
Chronic diseases: A challenge for eHealthRelevance of Chronic Conditions
http://www.calgaryhealthregion.ca/cdmhttp://nurseweb.ucsf.edu/iha
http://www.health.gov.au
Spain:- 18 million people report a Chronic disease
UK:- 60% of adults report a Chronic health problem- 80% of GP Consultations- 60% of Hospital bed days
Chronic diseases: A challenge for eHealthRelevance of Chronic Conditions: Europe
http://www.natpact.nhs.ukhttp://www.ine.es
Chronic diseases: A challenge for eHealthCDM: Worldwide experiences: Florida State
Afifi AA et al. Preventive Medicine 2007
Patients paticipating in DM:
Lower rate of:- Inpatient hospital stays- Inpatient days- Emergency room visits- Outpatient visits
http://www.floridahealthy.org
Chronic diseases: A challenge for eHealthCDM: Worldwide experiences: Castlefields
0
10
20
30
40
50
60
92/93
93/94
94/95
95/96
96/97
97/98
98/99
99/00
00/01
'01/02
Non-fatal MisIHD Deaths
Castlefields Health Centre Cardiac events
http://www.natpact.nhs.uk/cms/328.phpLyon D et al. J Integ Care 2006;14:7-12
Chronic diseases: A challenge for eHealthCDM: Situation in Andalusia, Spain
Chronic Diseases in Andalusia
Cause of Death: - Cardiovascular diseases 38%- Cancer 24%
471,000 diabetic patientsMental disorders: 42% peopleOlder people with CD: >75%
Chronic diseases: A challenge for eHealthThird Health Plan of Andalusia 2003-2008
http://www.juntadeandalucia.es/salud
Chronic diseases: A challenge for eHealthAndalusian Public Healthcare System: Quick facts
1,500 Primary care centres41 Public Hospitals
90,000 Healthcare professionals8,700 M € Health Budget
http://www.juntadeandalucia.es/servicioandaluzdesalud
Chronic diseases: A challenge for eHealthPerson centred care in chronic conditions
Chronic diseases: A challenge for eHealthRole of eHealth in CDM progarms
http://www.bmj.com
Telemonitoring or structured telephone support programmes for patients with chronic hearth failure: systematic review and meta-analysisRobyn A. Clark, Sally C. Inglis, Finlay A. McAlister, John G.F. Cleland, Simon Stewart
RESEARCH
BMJ, doi:10.1136/bmj.39156.536968.55 (published 10 April 2007)
Chronic diseases: A challenge for eHealtheHealth in Andalusia: “Diraya” Platform
Health Care Information and Management Integrated System Health Care Information and Management Integrated System
Chronic diseases: A challenge for eHealtheHealth in Andalusia: “Salud Responde”
Telephone appointment
Internet appointment
Centralised appointment
Second Medical Opinion
Living wills
Smart cards
Virtual Office (InterS@S)
HealthRespondsInformation and Services Centre Information
Waiting lists
Electronic prescription
Chronic diseases: A challenge for eHealtheHealth in Andalusia: “Salud Andalucía 24h”
EducationInformationentertainement
Healthcare InformationHealth Advices
Information on Quality in Health Centres
Tobeinformed .is healthTelephone enquiriesSecond medical opinionIiving willsHealth cardWaiting listsTelephone appointmentHealthcare informationHealth advicesDischarge telephone surveyAIDS, Tobacco, bird flu...
SMS servicesExpectations bank
Transparency
e-Administration
Individual assessment andinformation on Health
24 hrhealth andalusia
Collection of Expectationsto promote participationand information
WebTV/DTVMobile
Living willsSmart card
HealthResponds
Chronic diseases: A challenge for eHealthElectronic prescription
62.763
48.753
0
10000
20000
30000
40000
50000
60000
70000
SEP-05 SEP-06
-22.32%
GP consultations before and after electronic prescription
Chronic diseases: A challenge for eHealthHealth Wave Plan: Telephone follow-up
People at risk
Weather forecast
Daily alert level
Emergency Coordination Centre
Heath Wave Response Plan
Hospital Emergency Room
People at risk: 5,821Total Calls: 42,964
HealthResponds
Family nurse
Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients
Vaccines AppointmentsWarningsAdvices
Users: 6,720Total SMS: 112,192
Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients
People studied: 13,892With retinopathy: 4,306
Chronic diseases: A challenge for eHealthImproving the management of Chronic diseases
Proactive Healthcare System
EffectiveSelf-managementSupport
Chronic diseases: A challenge for eHealthICT applications in Chronic diseases
http://www.opimec.es
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