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Enhancing Telemedicine for Chronic Patients: Good Practice Guidelines and Usability Insights

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This document presents comprehensive Good Practice Guidelines (GPG) aimed at improving telemedicine services for chronic patients suffering from COPD, diabetes, and cardiovascular disease. It highlights key results achieved through stakeholder engagement, including improved regional policies and successful service transfers between regions. The GPGs incorporate various methodologies, focusing on clinical, organizational, technical, economic, legal, and political aspects. Real-life case studies from various European regions illustrate effective telemedicine practices. The GPGs are designed for transferable implementation and customization to local contexts, ensuring accessibility for all.

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Enhancing Telemedicine for Chronic Patients: Good Practice Guidelines and Usability Insights

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  1. GPG – Content and UsabilityJanne RasmussenProject ManagerOUH Odense University HospitalRegion of Southern Denmark [DK]

  2. RTF aim and results Aim & results • New knowledge and skills of all involved stakeholders • Improvement of regional policies/strategies • Successful transfer of telemedicine services btw. regions • GPG on telemedicine services for chronic patients with 1) COPD), 2) Diabetes, 3) Cardiovascular disease (CVD) • GPG on regional strategies for IT-support of chronic patients • GPG on market facilitation for SME’s within telemedicine • Policy recommendations for wider implementation and deployment of telemedicine

  3. Good Practice Guidelines - for chronic disease management Overview of Good Practice Guidelines – content and usability Good Practice Guidelines – a political view by Dr. Toni Dedeu, Senior International Officer – International Affairs and Health Cooperation, Ministry of Health, Catalonia Good Practice Guidelines – a practical view by Anne Reoch, Clinical Lead for Stroke and Cardiovascular Diseases, The Scottish Centre for Telehealth and Telecare, Scotland

  4. GPG – content and structure • Context - Condition / characteristics of disease - Users’ needs analysis - Role of telemedicine • Good Practice Guideline - Methodology - Clinical aspects - Organisational aspects - Technical aspects - Economic aspects - Legal aspects - Political aspects - Lessons Learned • Telemedicine services – examples from healthcare organisations in Europe

  5. GPG for COPD services • Region of Southern Denmark:video nursing-consultations - short-term follow-up after hospital admission due to exacerbation • Veneto Region, Italy: poly-specialist teleconsultation in homecare for COPD patients with deambulatory difficulties and domiciled in disadvantaged areas • Ministry of Health of the Catalan Government, Spain: Pulmonary rehabilitation program - continuous care between sectors, promoting healthy life-styles, enhancing self-management and improving compliance. • Northern Norway Regional Health Authority: home-based rehabilitation through TV interface as a supplement to outpatient rehabilitation provided by the hospital

  6. GPG for Diabetes services • Auvergne Region, France: Glucose control in type 1 and type 2 diabetes through PDA phones (Diabeo) • Norrbotten Region, Sweden: assisted self-monitoring in diabetes - self-test and exercise data (MyHealth@Age) • Northern Norway Regional Health Authority:’The Few Touch Digital Diabetes Diary’ for type 2 Diabetes • Region of Southern Denmark: Tele-consultations and shared care system for home-treatment of patients with diabetic foot ulcers

  7. GPG for CVD services • Estonia:alarm handling and home-monitoring for chronically ill patients (DREAMING) • Auvergne Region, France: Telecardiology – follow-up of pacemaker operated patients • Veneto Region, Italy:Conegliano Telemedicine Service - cardiac implantable electronic device (RENEWING HeALTH) • Malopolska Region, Poland: Medical Teleconsultation for improving the treatment of patients with acute coronary syndrome • Scotland:Scottish Telestroke Programme – increasing the equity of access to stroke thrombolysis across Scotland

  8. GPG - usability Many pieces of valuable information: • Based on real-life services and experiences • Described in detail and from many different angles • Accessible in the RTF network and shared beyond • Possible to transfer and customise to local settings

  9. GPGs – for all! regional-telemedicine.eu/results

  10. GPG – Content and UsabilityJanne RasmussenProject ManagerOUH Odense University HospitalRegion of Southern Denmark [DK] Thank you! janne.rasmussen2@ouh.regionsyddanmarl.dk

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