e-health in a Remote and Rural Setting in the North of Scotland – An Evolving Success Story [4 Cr3 1330 Cumming]

1,301 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,301
On SlideShare
0
From Embeds
0
Number of Embeds
28
Actions
Shares
0
Downloads
10
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • e-health in a Remote and Rural Setting in the North of Scotland – An Evolving Success Story [4 Cr3 1330 Cumming]

    1. 1. Cumming, G. et al.: e-health in a Remote and Rural Setting in the North of Scotland – An Evolving Success Story <ul><li>This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team </li></ul><ul><li>Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) </li></ul><ul><li>Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php </li></ul>
    2. 2. e-health in a remote and rural setting in the North of Scotland an evolving success story <ul><li>Grant Cumming NHS Grampian & UHI </li></ul><ul><li>Andrew Fowlie NHS Grampian </li></ul><ul><li>Adrian Baker NHS Highland </li></ul><ul><li>Thomas Heneghan NHS Grampian </li></ul><ul><li>Neil Hamilton University of Aberdeen </li></ul><ul><li>Stefan Agamanolis Distance Lab </li></ul>
    3. 4. <ul><li>demographic change </li></ul><ul><li>health care expensive </li></ul><ul><li>doctor shortage & changing role </li></ul><ul><li>treatment  prevention </li></ul><ul><li>patient’s expectations </li></ul><ul><li>need to connect and collaborate </li></ul>e health Changes in health care are inevitable
    4. 5. The Vision & the Mission
    5. 7. Moray Elgin biggest town population 20,000
    6. 8. Population 120,000 2238km 2 Remote and rural population Poor road infrastructure current models of health care unsustainable
    7. 9. Track record to date
    8. 11. Patient tailored - Independent clinician led website Women consulted No 1 site in UK sites and world sites if google
    9. 13. Miscarriage Matters (CSO pilot study) Patient driven (needs assessment) Low level psychological intervention Resource additional information before during or after visits to health professional For online support groups and forums For online consultation As a therapeutic intervention For research/surveys For prescribing Cumming G , Klein S, Bolsover D, Alexander D, Hamilton N The development and evaluation of a miscarriage-related website for women and partners following early pregnancy loss : A pilot study 11th World Congress on Internet in Medicine 2006: 26 Paper presented and published abstract CAL dept
    10. 14. Summary HADS anxiety & depression scores significantly improved SF-36 scores all approximated to the norm at 3 months (apart from general health) SF-36 scores showed no significant improvement at 3 months cf baseline In those who had access to the website: Miscarriage impacts negatively on HADS and SF36 scores In those who did not have access to the website:
    11. 15. New developments
    12. 16. STRATEGY FOR THE DIVERSIFICATION OF THE ECONOMY OF MORAY FOLLOWING RESTRUCTURING OF THE RAF BASES AT KINLOSS AND LOSSIEMOUTH December 2005
    13. 18. 1/5/ 07 - 21/4/08 Baby feeding matters Statistics
    14. 19. Baby feeding videoconferencing study Internet Protocol (IP) Integrated Service Digital Network (ISDN) Dr Grays Buckie VC unit - spilt screen VC unit – split screen BFM website BFM website patient Health pro www.babyfeedingmatters.co.uk used as interactive teaching aid
    15. 20. Dufftown is situated in Moray in the North-East of Scotland 54 miles from Aberdeen 58 miles from Inverness 16 miles from Elgin The Dufftown Project
    16. 21. Dufftown Pilot <ul><li>Promote Self Care </li></ul><ul><li>Home monitoring blood pressure </li></ul><ul><li>Empowerment using Digital medium </li></ul><ul><li>Access on-line tools </li></ul><ul><li>Purpose built website </li></ul>??as good as conventional care ?? more economic
    17. 22. The future
    18. 24. PEDI principle <ul><li>P ersonalised predictive health care plans </li></ul><ul><li>E vidence based health and care </li></ul><ul><li>D igital consultations with health care professionals </li></ul><ul><li>I nteractive Web based care (Web 2.0 & Web 3.0) </li></ul>
    19. 25. good quality of life physical (community health-e-space.com Northern Scot) psychological emotional management dealing with long term condition role management (coming to terms with change in life role) online electronic support groups personal stories illness narratives computerised cognitive behavioural therapy spiritual – research project proposed disease prevention behavioural change (eg exercise, diet, smoking, alcohol ) SAE, goal setting, self monitoring, feedback www.babyfeeding matters & videoconferencing predictive modelling disease management & treatment SAE, goal setting, intervention, self monitoring, feedback eg urinary incontinence Dufftown hypertension pilot
    20. 26. Making e health real health treatment -> prevention (self care)
    21. 27. industry Life Science Building Connecting & Collaborating

    ×