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TELBIL+T: telemonitoring and telecare in chronic illnesses

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The project TELBIL+T coordinates telemonitoring and telecare within the same system, using a protocol, involving coordinated action between Primary Health Care, Public Telecare Service (betiON), the Health Council and the Emergency Services of the Santa Marina Hospital for chronic patients with heart failure and/or lung disease. Between December 2012 and November 2014 with 75 patients who, owing to their level of dependency, were users of betiON.

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TELBIL+T: telemonitoring and telecare in chronic illnesses

  1. 1. INTRODUCTION The socio-healthcare integrated collaboration has enabled the care being provided to adapt and to be customised to the socio- healthcare requirements of patients with an individual focus through a coordinated and multidisciplinary interaction of all the agents members of the project. The use of these synergies and this multidisciplinary interaction has allowed the exploitation of resources, enhancing the capabilities and structures already in place thus rendering it unnecessary to create new capabilities or expand the current portfolio of services. An example of this is the way in which it draws on the experience of telecare in care and management of technological devices in the home, offering a comprehensive vision of the individual, and placing people at the centre of the system and rationalising the use of resources. It has also helped standardise the telecare and telemonitoring services in a natural manner without affecting the organisations involved. RESULTS We can therefore conclude that the project has allowed: • An improvement in the health, quality of life, satisfaction, self-management of their disease and safety of patients. • An improvement in the satisfaction and safety, quality of life, safety of the caregivers and family. • An improvement in the satisfaction and standardisation of the workload of the health professionals involved. • Promotion of socio- healthcare collaboration, using structures and services that are already in place, making the model sustainable and cost effective. • A provision of management of the social profile of the individual to classic telemonitoring models and projects already in place through coordination with traditional telecare. BASQUE TELECARE CENTRE* TELBIL+T: TELEMONITORING AND TELECARE IN CHRONIC ILLNESSES ABSTRACT The project TELBIL+T coordinates telemonitoring and telecare within the same system, using a protocol, involving coordinated action between Primary Health Care, Public Telecare Service (betiON), the Health Council and the Emergency Services of the Santa Marina Hospital for chronic patients with heart failure and/or lung disease. Between December 2012 and November 2014 with 75 patients who, owing to their level of dependency, were users of betiON.
  2. 2. B A S Q U E T E L E C A R E C E N T R E • A provision of a base for the elaboration of a shared socio-healthcare history. • A provision of the keys for the standardisation and extension of telemonitoring in the follow-up of complex multipathological patients. • A demonstration of the importance of primary care, from a healthcare point of view, in the care of people for an early intervention thus preventing subsequent high hospital bills. DISCUSSION The TELBIL+T project complies with the objectives established when it was initiated. Not only has this demonstrated an improvement of the health of the patients recruited but it has also permitted the increase in their satisfaction and quality of life as well as that of their families and caregivers. The project facilitates and promotes the empowerment of patients and their environment by improving their autonomy and management of their illness. All this is tied in with the low usage of healthcare resources, both in terms of admissions, average length of stay and hospital emergency departments as well as visits made to health centres. This has resulted in a rationalisation of the workload of healthcare professionals in the majority of cases, focusing their actions solely on healthcare interventions when and where necessary. The project has been well accepted by the socio- healthcare professionals involved, according to the input received during the evaluation of the project. *BASQUE TELECARE CENTRE. Public Telecare Service. Employment & Social Services Department. Basque Government Email addres: aalday@osatek.eus The full version of this study is published by the Caser Foundation and can be accessed at the following link: http://www.fundacioncaser.es/sites/default/files/telbilt_j.garcia_web.pdf CONCLUSIONS Health and social care coordination not only demonstrated improved health of patients received but also made it possible to increase their satisfaction and quality of life as well as that of their families and caregivers. Furthermore, less use of health resources was achieved, related to both hospital and primary care, leading, in most cases, to a streamlining of the workload of health workers, focusing their activities solely on health interventions when and where they were needed.

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