Chronic diseases as a challenge for ehealth berlin 2007
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This document discusses the challenges of chronic diseases for healthcare systems. It notes that chronic diseases account for 60% of mortality worldwide and over 70% of health budgets in some countries. Examples are provided of high rates of chronic diseases in countries like Spain and the UK. The document then outlines experiences with chronic disease management programs in various regions that have led to lower rates of hospitalizations and emergency visits. It provides details on chronic disease prevalence and management initiatives in the Andalusia region of Spain, including eHealth platforms, electronic prescription, and telephone follow-up programs. Overall, the document advocates for proactive healthcare systems and self-management support to better address chronic diseases.
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Chronic diseases as a challenge for ehealth berlin 2007
- 1. Continuity of Patient Care Chronic diseases: A Challenge for eHealth
- 2. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditions http://www.euro/who/int
- 3. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditions Mortality • 60% worldwide • 66% in Canada Health Budget • 78% in USA • 70% in Australia http://nurseweb.ucsf.edu/iha http://www.calgaryhealthregion.ca/cdm http://www.health.gov.au
- 4. Chronic diseases: A challenge for eHealth Relevance of Chronic Conditions: Europe Spain: - 18 million people report a Chronic disease UK: - 60% of adults report a Chronic health problem - 80% of GP Consultations - 60% of Hospital bed days http://www.ine.es http://www.natpact.nhs.uk
- 5. Chronic diseases: A challenge for eHealth CDM: Worldwide experiences: Florida State Patients paticipating in DM: Lower rate of: - Inpatient hospital stays - Inpatient days - Emergency room visits - Outpatient visits http://www.floridahealthy.org Afifi AA et al. Preventive Medicine 2007
- 6. Chronic diseases: A challenge for eHealth CDM: Worldwide experiences: Castlefields Castlefields Health Centre Cardiac events 60 50 40 Non-fatal Mis 30 IHD Deaths 20 10 0 02 3 4 5 6 7 8 9 0 1 /9 /9 /9 /9 /9 /9 /9 /0 /0 1/ 92 93 94 95 96 97 98 99 00 '0 http://www.natpact.nhs.uk/cms/328.php Lyon D et al. J Integ Care 2006;14:7-12
- 7. Chronic diseases: A challenge for eHealth CDM: Situation in Andalusia, Spain Chronic Diseases in Andalusia Cause of Death: - Cardiovascular diseases 38% - Cancer 24% 471,000 diabetic patients Mental disorders: 42% people Older people with CD: >75%
- 8. Chronic diseases: A challenge for eHealth Third Health Plan of Andalusia 2003-2008 http://www.juntadeandalucia.es/salud
- 9. Chronic diseases: A challenge for eHealth Andalusian Public Healthcare System: Quick facts 1,500 Primary care centres 41 Public Hospitals 90,000 Healthcare professionals 8,700 M € Health Budget http://www.juntadeandalucia.es/servicioandaluzdesalud
- 10. Chronic diseases: A challenge for eHealth Person centred care in chronic conditions
- 11. Chronic diseases: A challenge for eHealth Role of eHealth in CDM progarms BMJ, doi:10.1136/bmj.39156.536968.55 (published 10 April 2007) RESEARCH Telemonitoring or structured telephone support programmes for patients with chronic hearth failure: systematic review and meta-analysis Robyn A. Clark, Sally C. Inglis, Finlay A. McAlister, John G.F. Cleland, Simon Stewart http://www.bmj.com
- 12. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Diraya” Platform Health Care Information and Management Integrated System
- 13. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Salud Responde” Living wills Second Medical Opinion Centralised appointment Smart cards Waiting Internet appointment lists HealthResponds Information and Services Centre Information Telephone appointment Electronic prescription Virtual Office (InterS@S)
- 14. Chronic diseases: A challenge for eHealth eHealth in Andalusia: “Salud Andalucía 24h” Transparency . Tobeinformed is health HealthResponds Education Web Telephone enquiries Information TV/DTV Second medical opinion entertainement Mobile Iiving wills Health card Waiting lists Telephone appointment Healthcare information Health advices Information on Quality in Discharge telephone survey Health Centres AIDS, Tobacco, bird flu... Expectations bank SMS services Healthcare Information Health Advices Collection of Expectations to promote participation e-Administration Living wills Smart card 24 health andalusia hr Individual assessment and and information information on Health
- 15. Chronic diseases: A challenge for eHealth Electronic prescription 70000 62.763 60000 48.753 -22.32% 50000 40000 30000 20000 10000 0 SEP-05 SEP-06 GP consultations before and after electronic prescription
- 17. Chronic diseases: A challenge for eHealth Health Wave Plan: Telephone follow-up Heath Wave Response Plan Weather forecast Daily alert level HealthResponds People at risk: 5,821 Total Calls: 42,964 Emergency Coordination Centre Hospital Emergency Room Family nurse People at risk
- 18. Chronic diseases: A challenge for eHealth Digital Retinography in diabetic patients Users: 6,720 Total SMS: 112,192 Vaccines Warnings Appointments Advices
- 19. Chronic diseases: A challenge for eHealth Digital Retinography in diabetic patients People studied: 13,892 With retinopathy: 4,306
- 21. Chronic diseases: A challenge for eHealth Improving the management of Chronic diseases Proactive Healthcare System Effective Self-management Support
- 22. Chronic diseases: A challenge for eHealth ICT applications in Chronic diseases