THE LabTM TELEMEDICINE LABORATORY: NOT A GRAIL YET?

THE Lab TM TELEMEDICINE LABORATORY: NOT A GRAIL YET? Francesc Saigí, PhD Universitat Oberta Catalunya Spain

Motivation, problem area CONTENTS The health paradigm Adaptation of the e-formation to the health paradigm The LabTM, innovation in continual medical e-formation

Motivation, problem area Health Systems World Aims

Demand for health care;

Ageing population, chronic disease potential;

Increasing mobility of citizens;

The need to manage vast amounts of information ;

Inequality in access to health resources;

Economic sustainability ;

Global competitivity;

Provision of an ever better health care;

Steady growth in demand for intensive care .

e-Patients (empowerment).

Environment… of budget control and cost containment . Steady growth in demand for intensive care in a scenario in which the provision of health workers is expected unchanged.

Roig F, Saigí F. Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009

Motivation, problem area

e-Health ,

“… the opportunity of facing new challenges in improving health care by making use of ICT,… of Internet”.

Saigí F. , Cerdá, I .; Barriuso, J. Medicina en Internet. FUOC • XP09/B0292/00247. 2009

We are not facing a technological choice . We are in fact facing something fundamentally different, which is the transformation of many of the processes with which health professionals provide assistance .

http://mariaardila.blogspot.es/img/tele.jpg

“… the emphasis is less on technology and more on new ways of working and sharing responsibilities ”.

Alonso, A.; Colomé, JM.; Saigí, F . (2008). Telemedicina y seguimiento de pacientes. Una sanidad necesitada del éxito tecnológico . Informática y Salud (I+S). Sociedad Española de Informática y Salud. Nº 68, pp. 34-37

http://www.latintele.com/fileadmin/templates/images/aplicaciones_telemedicina.jpg

Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009

Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009

KM, i AIMS VARIABLES FACTORS CRITERIA SURROUNDING Episodes with income External services Services at home Continuity of care services regardless of life stage. Integration levels and medical-care spaces Health care services using ICT Health care services using ICT PREVENTION DIAGNOSIS TREATMENT REHABILITATION CHRONIC HEALTHCARE

Episodes with income External services Services at home Continuity of care services regardless of life stage. Integration levels and medical-care spaces Health care services using ICT Health care services using ICT KM, i AIMS VARIABLES FACTORS CRITERIA SURROUNDING PREVENTION DIAGNOSIS TREATMENT REHABILITATION CHRONIC HEALTHCARE http://ar.geocities.com/mensalud_noticias1/2008_01Enero/14Lunes/telemedicina2.jpg http://3.bp.blogspot.com/_72eTXVwDXEk/SViotgbqj_I/AAAAAAAAE0w/5qaG6iT41_Q/s400/telemedicina_loscallejones.blogspot.com.jpg http://s3.amazonaws.com/elespectador/files/images/baaed9ef1a.jpg http://assistanceinternational.org/img/telemedicina_odontologos.jpg

DIRECT APPLICATIONS of continuum medical training to the END USER .

DEVELOP NEW KNOWLEDGE and SHARE with others, which help to keep knowledge UP-TO-DATE , creating a COLLABORATIVE NETWORK .

Must involve knowledge development IN THE CONTEXT of healthcare professionals daily life as new knowledge is needed to cope with innovation: COMMUNITIES OF INQUIRY (Practice, Interest, etc.), supporting exchange and further development of knowledge.

ICT is an integrated facilitator in all this and an ubiquitous enabler.

In the New Health Paradigm, the healthcare professionals will have even more intensive knowledge , so we need to innovate their training in 3 ways:

To respond to this new way of learning directed to healthcare professionals in the New Health Paradigm :

the system must be FLEXIBLE (in terms of time and space);

be FAST (in terms of access to information and provide the opportunity to share knowledge);

be FRIENDLY ;

be ATTRACTIVE ; and finally,

be FUN .

Research Objectives

Episodes with income External services Services at home Continuity of care services regardless of life stage. Integration levels and medical-care spaces Health care services using ICT Health care services using ICT KM, i AIMS VARIABLES FACTORS CRITERIA SURROUNDING PREVENTION DIAGNOSIS TREATMENT REHABILITATION CHRONIC HEALTHCARE K K K K K K K K K K K K K K K

REPOSITORY FOR TELEMEDICINE DOCUMENTATION

SIMULATE BUSINESS PROCESSES

CONSULTANCY

Research Objectives

CONSULTANCY

Research Objectives

CONSULTANCY

Major O utcomes /Results

Major O utcomes /Results "TELEDERMATOLOGY – a diagnostic reliability of teledermatology consultation “ Results From 19/05/2009: 10 Curses, 10 days/Course

Major O utcomes /Results “ Interact with other health professionals and technicians related to actual experiences associated LabTM Telemedicine ”

Major O utcomes /Results “ Develop networks with health professionals to promote, share and disseminate the development of new knowledge and new practices and tools and methodologies related to the telemedicine ”

Major O utcomes /Results “ Do you think the "LabTM" may be useful for your professional development? ”

Major O utcomes /Results Researching area

Conclusion and outlook

Through the LabTM , the following competences are developed by healthcare professionals:

the ability to learn in a lifelong learning process in and from action by

sourcing ,

sensing ,

questioning ,

analyzing ,

creating and

reflecting on telemedicine, either individually or collectively ,

and the ability to learn from social interaction through networking , team-working and dialoguing .

Conclusion and outlook

The LabTM presented here has the potential to facilitate the process of collaborative knowledge and active knowledge construction through the establishment of Communities of Practice ( CoP ), by

assisting in the discovery of new business or learning partners,

promoting the development of new knowledge and new professional and social communities, and

supporting and mediating the interaction between these new relationships .

Conclusion and outlook “ (...) Furthermore, one can imagine the consequences if every hospital in the richer countries were to be linked up on a formal basis with a small group of hospitals or health centers in developing countries. Through mutual learning and collaboration in health service provision, such health partnerships could ultimately change health-care delivery at the national level; they might also change how the industrialized nations perceive the world. Telemedicine and ICT would be essential to maximizing the potential of these health partnerships. ” Telehealth in the developing world Richard Wootton, Nivritti G. Patil, Richard E. Scott y Kendall Ho Royal Society of Medicine Press/IDRC 2009

Thank you!!! Francesc Saigí, PhD [email_address] Universitat Oberta Catalunya Spain