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THE LabTM TELEMEDICINE LABORATORY: NOT A GRAIL YET?

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THE LabTM TELEMEDICINE LABORATORY: NOT A GRAIL YET?

  1. 1. THE Lab TM TELEMEDICINE LABORATORY: NOT A GRAIL YET? Francesc Saigí, PhD Universitat Oberta Catalunya Spain
  2. 2. Motivation, problem area CONTENTS The health paradigm Adaptation of the e-formation to the health paradigm The LabTM, innovation in continual medical e-formation
  3. 3. Motivation, problem area Health Systems World Aims <ul><li>Demand for health care; </li></ul><ul><li>Ageing population, chronic disease potential; </li></ul><ul><li>Increasing mobility of citizens; </li></ul><ul><li>The need to manage vast amounts of information ; </li></ul><ul><li>Inequality in access to health resources; </li></ul><ul><li>Economic sustainability ; </li></ul><ul><li>Global competitivity; </li></ul><ul><li>Provision of an ever better health care; </li></ul><ul><li>Steady growth in demand for intensive care . </li></ul><ul><li>e-Patients (empowerment). </li></ul><ul><li>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. </li></ul><ul><ul><ul><ul><li>Roig F, Saigí F. Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul>
  4. 4. Motivation, problem area <ul><li>e-Health , </li></ul><ul><li>“… the opportunity of facing new challenges in improving health care by making use of ICT,… of Internet”. </li></ul><ul><ul><ul><ul><li>Saigí F. , Cerdá, I .; Barriuso, J. Medicina en Internet. FUOC • XP09/B0292/00247. 2009 </li></ul></ul></ul></ul>
  5. 5. Motivation, problem area <ul><ul><ul><ul><li>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 . </li></ul></ul></ul></ul>http://mariaardila.blogspot.es/img/tele.jpg
  6. 6. Motivation, problem area <ul><ul><ul><ul><li>“… the emphasis is less on technology and more on new ways of working and sharing responsibilities ”. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>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 </li></ul></ul></ul></ul>http://www.latintele.com/fileadmin/templates/images/aplicaciones_telemedicina.jpg
  7. 7. Motivation, problem area <ul><ul><ul><ul><li>Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009 </li></ul></ul></ul></ul>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
  8. 8. Motivation, problem area <ul><ul><ul><ul><li>Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009 </li></ul></ul></ul></ul>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
  9. 9. Motivation, problem area <ul><li>DIRECT APPLICATIONS of continuum medical training to the END USER . </li></ul><ul><li>DEVELOP NEW KNOWLEDGE and SHARE with others, which help to keep knowledge UP-TO-DATE , creating a COLLABORATIVE NETWORK . </li></ul><ul><li>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. </li></ul><ul><ul><ul><ul><ul><li>ICT is an integrated facilitator in all this and an ubiquitous enabler. </li></ul></ul></ul></ul></ul>In the New Health Paradigm, the healthcare professionals will have even more intensive knowledge , so we need to innovate their training in 3 ways:
  10. 10. Motivation, problem area <ul><li>To respond to this new way of learning directed to healthcare professionals in the New Health Paradigm : </li></ul><ul><li>the system must be FLEXIBLE (in terms of time and space); </li></ul><ul><li>be FAST (in terms of access to information and provide the opportunity to share knowledge); </li></ul><ul><li>be FRIENDLY ; </li></ul><ul><li>be ATTRACTIVE ; and finally, </li></ul><ul><li>be FUN . </li></ul>
  11. 11. Motivation, problem area
  12. 12. Research Objectives <ul><ul><ul><ul><li>Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009 </li></ul></ul></ul></ul>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 <ul><li>REPOSITORY FOR TELEMEDICINE DOCUMENTATION </li></ul><ul><li>SIMULATE BUSINESS PROCESSES </li></ul><ul><li>CONSULTANCY </li></ul>
  13. 13. Research Objectives <ul><ul><ul><ul><li>Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009 </li></ul></ul></ul></ul>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 <ul><li>REPOSITORY FOR TELEMEDICINE DOCUMENTATION </li></ul><ul><li>SIMULATE BUSINESS PROCESSES </li></ul><ul><li>CONSULTANCY </li></ul>
  14. 14. Research Objectives <ul><ul><ul><ul><li>Roig F, Saigí F . Difficulties of incorporating telemedicine in health organizations: analytical perspectives . Gac Sanit. 2009 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Monteagudo, JL . Aplicaciones AAL para la salud y el bienestar . Jornada de Telemedicina UOC. 2009 </li></ul></ul></ul></ul>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 <ul><li>REPOSITORY FOR TELEMEDICINE DOCUMENTATION </li></ul><ul><li>SIMULATE BUSINESS PROCESSES </li></ul><ul><li>CONSULTANCY </li></ul>
  15. 15. Major O utcomes /Results
  16. 16. Major O utcomes /Results
  17. 17. Major O utcomes /Results
  18. 18. Major O utcomes /Results
  19. 19. Major O utcomes /Results &quot;TELEDERMATOLOGY – a diagnostic reliability of teledermatology consultation “ Results From 19/05/2009: 10 Curses, 10 days/Course
  20. 20. Major O utcomes /Results “ Interact with other health professionals and technicians related to actual experiences associated LabTM Telemedicine ”
  21. 21. 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 ”
  22. 22. Major O utcomes /Results “ Do you think the &quot;LabTM&quot; may be useful for your professional development? ”
  23. 23. Major O utcomes /Results Researching area
  24. 24. Conclusion and outlook <ul><li>Through the LabTM , the following competences are developed by healthcare professionals: </li></ul><ul><ul><li>the ability to learn in a lifelong learning process in and from action by </li></ul></ul><ul><ul><ul><li>sourcing , </li></ul></ul></ul><ul><ul><ul><li>sensing , </li></ul></ul></ul><ul><ul><ul><li>questioning , </li></ul></ul></ul><ul><ul><ul><li>analyzing , </li></ul></ul></ul><ul><ul><ul><li>creating and </li></ul></ul></ul><ul><ul><ul><li>reflecting on telemedicine, either individually or collectively , </li></ul></ul></ul><ul><ul><li>and the ability to learn from social interaction through networking , team-working and dialoguing . </li></ul></ul>
  25. 25. Conclusion and outlook <ul><li>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 </li></ul><ul><ul><li>assisting in the discovery of new business or learning partners, </li></ul></ul><ul><ul><li>promoting the development of new knowledge and new professional and social communities, and </li></ul></ul><ul><ul><li>supporting and mediating the interaction between these new relationships . </li></ul></ul>
  26. 26. 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
  27. 27. Thank you!!! Francesc Saigí, PhD [email_address] Universitat Oberta Catalunya Spain

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