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THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE

THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE. Feipei Lai National Taiwan University flai@ntu.edu.tw 3/22/2010. OUTLINE. Why do we need telehealthcare service? Previous experiences Infrastructure for Continuous Care Service Case Study Conclusion.

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THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE

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  1. THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE Feipei Lai National Taiwan University flai@ntu.edu.tw 3/22/2010

  2. OUTLINE • Why do we need telehealthcare service? • Previous experiences • Infrastructure for Continuous Care Service • Case Study • Conclusion

  3. Why do we need telehealthcare service? • Top 5 high cost diseases: • Dialysis, Dentistry, Cold/Flu, High blood pressure, Diabetes • 4 billion US dollar annually • 1/3 of Taiwan National Health Insurance Expenditure • Average hospital visit (2008) : 15 times/year (population: 23 M)

  4. Between January 2004 and December 2004, chronic heart failure patients who were followed up by specialist nurse-led telephone visiting regularly were enrolled. Clinical and financial data half a year before enrollment were collected as control. A total of 247 patients (168 males, 79 females; mean age, 60 ± 17 years) were enrolled. J Formos Med Assoc 2007;106(4):313–319

  5. J Formos Med Assoc 2007;106(4):313–319

  6. J Formos Med Assoc 2007;106(4):313–319

  7. EFFECTIVENESS The previous study confirmed that home-based intervention with nursing specialists improved the clinical outcome and provided cost-savings for Taiwanese patients with systolic heart failure.

  8. INFRASTRUCTURE FOR CONTINUOUS CARE SERVICE • National Taiwan University Hospital (NTUH) established a telehealthcare center in 2009, to provide a continuous healthcare service, while the patients stay at home Normal Discharge Before Admission Virtual OPD Service Home Care Service After Early Discharge

  9. INFRASTRUCTURE FOR CONTINUOUS CARE SERVICE

  10. Gateway plug & play store and transfer Telehealthcare equipment-Patient site

  11. Telehealthcare equipment-Patient site

  12. Telehealthcare equipment-Patient site

  13. Telehealthcare equipment-Patient site

  14. Telehealthcare equipment-Patient site

  15. Telehealthcare equipment-Patient site

  16. Video Conference Telehealthcare equipment

  17. Telehealthcare equipment-Hospital site

  18. Telehealthcare equipment-Hospital site

  19. Telehealthcare equipment SpO2-Hospital site

  20. Telehealthcare equipment-Hospital site

  21. CASE STUDY • 87 year old female, with history of atrial fibrillation, arrhythmia • 2009/10/06 discharged after bone fracture operation

  22. CASE STUDY 2009/10/12Symptoms of respiratory distress SPO2 75% Case manager immediately contacted cardiology surgery, emergency treatment

  23. CASE STUDY pulmonary embolism → operation

  24. INITIAL RESULT

  25. Enrollment

  26. CONCLUSION • The Department of Health of Taiwan has been establishing a national health insurance that includes continuous care service. • A new service infrastructure is needed to support post-hospital community service, and provide continuous and comprehensive care service • Our project demonstrates an infrastructure to enabling integrated personal healthcare service. (to be effective on 2011)

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