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Patients in charge medicine20 nov 2010


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Presentation on medicine2.0 Maastricht, e-Patients in charge, e-health & empowerment, nov 2010

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Patients in charge medicine20 nov 2010

  1. 1. Patients in charge Saskia Timmer , M M&I Manager Innovation, Research & Development Dr. Leo Kannerhuis, centre for autism E-health (interventions) Effects On Patient Empowerment And (Mental) Healthcare
  2. 2. Research question <ul><li>What is the influence of e-health and e-health interventions on empowerment of patients in (mental) health care and on the health care professional’s methods ? </li></ul><ul><ul><ul><li>e-health and e-health interventions </li></ul></ul></ul><ul><ul><ul><li>concept empowerment </li></ul></ul></ul><ul><ul><ul><li>patient empowerment? </li></ul></ul></ul><ul><ul><ul><li>health care professional’s methods? </li></ul></ul></ul><ul><ul><ul><li>Influence on care (& treatment) process </li></ul></ul></ul>
  3. 3. Design Qualitative study All health care domains Literature study Interviews Model empowerment Definition e-health interventies Empowerment patients Results Literature Influence on healthcare professional Results interviews Conclusions Expert validation Conclusions & Recommendations Results Literature study Validation in interviews Conceptual model empowerment & Definition of interventions Influence during treatment fase
  4. 4. Defining e-health interventions Online information E-buy* Online treatment Monitoring** Social media Self test E-communication Self help course PHR Domotics TC/TM/ZoA Video-comm**. Amb.T*.
  5. 5. Key-elements & relation: Empowerment  four aspects: attitude, knowledge input, dialogue and cooperation Conclusion 1: Empowerment
  6. 6. Empowerment patients
  7. 7. Empowerment health care professionals
  8. 8. Empowerment in cooperation
  9. 9. E-health & patient Empowerment
  10. 10. Influence interventions during care process Interventies Care process   Screening   Diagnose   Indication Discisionmaking planning care Evaluation aftercare End Guidence treatment Zelfmanagem. Online information                   Social media                   Self tests                   E-communication                   PHR                   (G) Self help course                   Online treatment                   Domotics                   Telecare/Telemedicine/ZoA                  
  11. 11. Influence and care process 2 Total e-health interventions  supporting empowerment during all phases But: not all interventions are equally available  Use knowledge and interventions of all health care segments to stimulate empowerment in whole care process
  12. 12. <ul><li>E-health/ total package of e-h interventions: potential contribution to patient empowerment in all treatment phases: </li></ul><ul><ul><li>Theoretical possibilities </li></ul></ul><ul><ul><li>MHC: not all e-health interventions </li></ul></ul><ul><li>Specifically e-health elements: online information, e-communication & possibilities for e-self-care </li></ul><ul><ul><li>Influence dialogue & cooperation </li></ul></ul><ul><ul><li>Elements of several e-health interventions </li></ul></ul> Conclusion 2 & 3
  13. 14. <ul><li>The influence on health care professionals: </li></ul><ul><ul><li>a general shift of ideas: </li></ul></ul><ul><ul><ul><ul><li>Patient in charge </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Shifting responsabilities </li></ul></ul></ul></ul><ul><li>But… not yet sufficiently enough translated to the daily care practice </li></ul><ul><li>Needed => - Change in attitude </li></ul><ul><ul><ul><ul><ul><li>Working process, methods & responsabilities </li></ul></ul></ul></ul></ul> Conclusion 4
  14. 15. <ul><li>Use knowledge & e-health interventions & develop a whole package of e-health care for the MHC </li></ul><ul><li>Particularly stimulate and develop e-health interventions that support dialogue and cooperation </li></ul><ul><li>explicitate the impact on the health care professional’s working methods , use the empowerment model </li></ul><ul><li>More research is needed into the influence of e-health and e-health interventions on the working methods of the health care professional </li></ul> Recommendations empowerment MHC
  15. 16. <ul><li>Building autismcare2.0: </li></ul><ul><li>Screening/selftest: Webtest on autism: </li></ul><ul><li>Selfcare: E-learning courses: </li></ul><ul><ul><li>Online psycho-education on ASD </li></ul></ul><ul><ul><li>Online psycho-education ASD & substance (ab)use </li></ul></ul><ul><ul><li>Online psycho- education ASD & Internet </li></ul></ul><ul><li>e-communication: E-coaching </li></ul><ul><li>Telecare: </li></ul><ul><ul><li>video conferencing </li></ul></ul><ul><ul><li>Wiki therapist: robot in treatment </li></ul></ul><ul><li>Self management </li></ul><ul><ul><li>Digital portfolio: education & work </li></ul></ul><ul><ul><li>Bio feedback module: Stress measurement </li></ul></ul><ul><ul><li>Dunov Digital coach </li></ul></ul>Dr Leo Kannerhuis: E-health & empowerment
  16. 17. Patients in charge! Questions ?? Saskia Timmer , M M&I [email_address] @sastimmer E-health (interventions) Can stimulate Patient Empowerment