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Continuity of Patient CareChronic diseases:A Challenge for eHealth
Chronic diseases: A challenge for eHealth       Relevance of Chronic Conditionshttp://www.euro/who/int
Chronic diseases: A challenge for eHealth               Relevance of Chronic Conditions Mortality   • 60% worldwide   • 66...
Chronic diseases: A challenge for eHealth                Relevance of Chronic Conditions: Europe                        Sp...
Chronic diseases: A challenge for eHealth                CDM: Worldwide experiences: Florida StatePatients paticipating in...
Chronic diseases: A challenge for eHealth                  CDM: Worldwide experiences: Castlefields   Castlefields Health ...
Chronic diseases: A challenge for eHealthCDM: Situation in Andalusia, Spain             Chronic Diseases in Andalusia     ...
Chronic diseases: A challenge for eHealth                Third Health Plan of Andalusia 2003-2008http://www.juntadeandaluc...
Chronic diseases: A challenge for eHealth                   Andalusian Public Healthcare System: Quick facts              ...
Chronic diseases: A challenge for eHealthPerson centred care in chronic conditions
Chronic diseases: A challenge for eHealth                     Role of eHealth in CDM progarms BMJ, doi:10.1136/bmj.39156.5...
Chronic diseases: A challenge for eHealth                 eHealth in Andalusia: “Diraya” PlatformHealth Care Information a...
Chronic diseases: A challenge for eHealth                      eHealth in Andalusia: “Salud Responde”                     ...
Chronic diseases: A challenge for eHealth                        eHealth in Andalusia: “Salud Andalucía 24h”Transparency  ...
Chronic diseases: A challenge for eHealth                   Electronic prescription        70000                      62.7...
Chronic diseases: A challenge for eHealth                      Health Wave Plan: Telephone follow-upHeath Wave Response Pl...
Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients                                 Users: ...
Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients                              People stu...
Chronic diseases: A challenge for eHealth     Improving the management of Chronic diseases                      Proactive ...
Chronic diseases: A challenge for eHealthICT applications in Chronic diseases
http://www.opimec.es
Chronic diseases as a challenge for ehealth berlin 2007
Chronic diseases as a challenge for ehealth berlin 2007
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Chronic diseases as a challenge for ehealth berlin 2007

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Transcript of "Chronic diseases as a challenge for ehealth berlin 2007"

  1. 1. Continuity of Patient CareChronic diseases:A Challenge for eHealth
  2. 2. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditionshttp://www.euro/who/int
  3. 3. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditions Mortality • 60% worldwide • 66% in Canada Health Budget • 78% in USA • 70% in Australiahttp://nurseweb.ucsf.edu/ihahttp://www.calgaryhealthregion.ca/cdmhttp://www.health.gov.au
  4. 4. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditions: Europe 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 dayshttp://www.ine.eshttp://www.natpact.nhs.uk
  5. 5. Chronic diseases: A challenge for eHealth CDM: Worldwide experiences: Florida StatePatients paticipating in DM:Lower rate of:- Inpatient hospital stays- Inpatient days- Emergency room visits- Outpatient visitshttp://www.floridahealthy.orgAfifi AA et al. Preventive Medicine 2007
  6. 6. Chronic diseases: A challenge for eHealth CDM: Worldwide experiences: Castlefields Castlefields Health Centre Cardiac events 60 50 40 Non-fatal Mis 30 IHD Deaths 20 10 0 02 3 4 5 6 7 8 9 0 1 /9 /9 /9 /9 /9 /9 /9 /0 /0 1/ 92 93 94 95 96 97 98 99 00 0http://www.natpact.nhs.uk/cms/328.phpLyon D et al. J Integ Care 2006;14:7-12
  7. 7. 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 patients Mental disorders: 42% people Older people with CD: >75%
  8. 8. Chronic diseases: A challenge for eHealth Third Health Plan of Andalusia 2003-2008http://www.juntadeandalucia.es/salud
  9. 9. Chronic diseases: A challenge for eHealth Andalusian Public Healthcare System: Quick facts 1,500 Primary care centres 41 Public Hospitals 90,000 Healthcare professionals 8,700 M € Health Budgethttp://www.juntadeandalucia.es/servicioandaluzdesalud
  10. 10. Chronic diseases: A challenge for eHealthPerson centred care in chronic conditions
  11. 11. Chronic diseases: A challenge for eHealth Role of eHealth in CDM progarms BMJ, doi:10.1136/bmj.39156.536968.55 (published 10 April 2007) RESEARCH Telemonitoring or structured telephone support programmes for patients with chronic hearth failure: systematic review and meta-analysis Robyn A. Clark, Sally C. Inglis, Finlay A. McAlister, John G.F. Cleland, Simon Stewarthttp://www.bmj.com
  12. 12. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Diraya” PlatformHealth Care Information andManagement Integrated System
  13. 13. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Salud Responde” Living wills Second Medical Opinion Centralised appointment Smart cards Waiting Internet appointment listsHealthRespondsInformation and Services Centre InformationTelephoneappointment Electronic prescription Virtual Office (InterS@S)
  14. 14. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Salud Andalucía 24h”Transparency . Tobeinformed is health HealthResponds Education Web Telephone enquiries Information TV/DTV Second medical opinion entertainement Mobile Iiving wills Health card Waiting lists Telephone appointment Healthcare information Health advicesInformation on Quality in Discharge telephone surveyHealth Centres AIDS, Tobacco, bird flu...Expectations bank SMS services Healthcare Information Health AdvicesCollection of Expectationsto promote participation e-Administration Living wills Smart card 24 health andalusia hr Individual assessment andand information information on Health
  15. 15. Chronic diseases: A challenge for eHealth Electronic prescription 70000 62.763 60000 48.753 -22.32% 50000 40000 30000 20000 10000 0 SEP-05 SEP-06GP consultations before and after electronic prescription
  16. 16. Chronic diseases: A challenge for eHealth Health Wave Plan: Telephone follow-upHeath Wave Response Plan Weather forecast Daily alert level HealthResponds People at risk: 5,821 Total Calls: 42,964 Emergency Coordination Centre Hospital Emergency Room Family nurse People at risk
  17. 17. Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients Users: 6,720 Total SMS: 112,192 Vaccines Warnings Appointments Advices
  18. 18. Chronic diseases: A challenge for eHealthDigital Retinography in diabetic patients People studied: 13,892 With retinopathy: 4,306
  19. 19. Chronic diseases: A challenge for eHealth Improving the management of Chronic diseases Proactive Healthcare SystemEffectiveSelf-managementSupport
  20. 20. Chronic diseases: A challenge for eHealthICT applications in Chronic diseases
  21. 21. http://www.opimec.es
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