This document summarizes a project that coordinated telemonitoring and telecare for chronic patients in the Basque region of Spain. The project integrated health and social care to customize support for each patient's needs and improved health outcomes, quality of life, and satisfaction for patients, families, and caregivers. It also increased efficiency by standardizing services and reducing healthcare resource use and professionals' workloads. The conclusions were that coordinating health and social care not only improved patient health but also increased satisfaction while achieving less use of health resources and a streamlined workload for health workers.
Dr. Tonny Tumwesigye, Executive Director of the Uganda Protestant Medical Bureau describes the organizations composition and mission and explores how faith communities can be engaged in family planning education and promotion.
A community-based clinical liaison project to support HIV prevention and sexuality sensitive health care in General Practice and government clinics across Queensland
University Hospital Southampton Phase I & II Case StudyGet Real Health
Get Real Health was engaged to provide a customized version of InstantPHR in conjunction with Microsoft HealthVault, with specific pathways for gastroenterology and maternity.
For an expanded rollout of the portal, Get Real Health provided UHS’ “My Health Record” with a website design refresh, a mobile patient portal activated and configured in the existing InstantPHR, and an upgrade to InstantPHR 3.2. Through a web and mobile web-based interface, InstantPHR will collaboratively enable UHS to improve patient outcomes and enhance health.
More care, less pathway: future-proofing end of life care Marie Curie
Dr Peter Nightingale, Marie Curie and RCGP End of life lead, chairs the session with speakers Dr Bill Noble (Medical Director of Marie Curie Cancer Care) and Dr Adam Firth (RCGP Clinical Support Fellow for End of Life Care) at the RCGP Annual Conference, ACC Liverpool, 2-4 October, 2014.
Confident and experienced certified PHR employment lawyer who can add value to your company. I am seeking an internal investigations employee relations position, usually housed in the HR Department. I am currently available in the Winter Garden/Orlando, Florida area. I have experience in federal level hearings and with Equal Employment Opportunity Commission (EEOC), Merit System Protection Board (MSPB), and Federal Labor Relations Authority (FLRA). I use conflict resolution techniques sufficient to interact in highly charged emotional situations due to delicate or highly contested case matters and determinations. I investigate allegations of discrimination, poor work practices, and other potential adverse situations and I advise managers about disciplinary/corrective techniques responsive to a range of conduct and performance problems. I am able to maintain objectivity in situations charged with emotion, apply policy and procedures consistently across all employment levels. I interpret facts and/or identify aggravating or mitigating factors relevant to the situation, and probe and analyse to identify obscure or underlying causes of misconduct or poor performance.
Dr. Tonny Tumwesigye, Executive Director of the Uganda Protestant Medical Bureau describes the organizations composition and mission and explores how faith communities can be engaged in family planning education and promotion.
A community-based clinical liaison project to support HIV prevention and sexuality sensitive health care in General Practice and government clinics across Queensland
University Hospital Southampton Phase I & II Case StudyGet Real Health
Get Real Health was engaged to provide a customized version of InstantPHR in conjunction with Microsoft HealthVault, with specific pathways for gastroenterology and maternity.
For an expanded rollout of the portal, Get Real Health provided UHS’ “My Health Record” with a website design refresh, a mobile patient portal activated and configured in the existing InstantPHR, and an upgrade to InstantPHR 3.2. Through a web and mobile web-based interface, InstantPHR will collaboratively enable UHS to improve patient outcomes and enhance health.
More care, less pathway: future-proofing end of life care Marie Curie
Dr Peter Nightingale, Marie Curie and RCGP End of life lead, chairs the session with speakers Dr Bill Noble (Medical Director of Marie Curie Cancer Care) and Dr Adam Firth (RCGP Clinical Support Fellow for End of Life Care) at the RCGP Annual Conference, ACC Liverpool, 2-4 October, 2014.
Confident and experienced certified PHR employment lawyer who can add value to your company. I am seeking an internal investigations employee relations position, usually housed in the HR Department. I am currently available in the Winter Garden/Orlando, Florida area. I have experience in federal level hearings and with Equal Employment Opportunity Commission (EEOC), Merit System Protection Board (MSPB), and Federal Labor Relations Authority (FLRA). I use conflict resolution techniques sufficient to interact in highly charged emotional situations due to delicate or highly contested case matters and determinations. I investigate allegations of discrimination, poor work practices, and other potential adverse situations and I advise managers about disciplinary/corrective techniques responsive to a range of conduct and performance problems. I am able to maintain objectivity in situations charged with emotion, apply policy and procedures consistently across all employment levels. I interpret facts and/or identify aggravating or mitigating factors relevant to the situation, and probe and analyse to identify obscure or underlying causes of misconduct or poor performance.
Online search has virtually replaced traditional means of looking for products, services or an individual business. If your prospects can’t find you online, you don’t exist for them. Search engine optimization is the key, but it’s just part of a broader inbound marketing strategy.
Whether you’re a novice or not-so-new to this subject, this slide deck will help you grow your business by mastering every aspect of search engine optimization.
Quality containers from China in competitive priceMahendra Khatri
Shanghai Jing Sheng Container Manufacturing Co. Ltd (SJSC) is one of the leading container manufacturing company in China based in Shanghai with track record of about four decades and doing business all around the world.
Diabetes care supported by connected healthPete Davies
Using tools like personal health records, self-care for long-term conditions like diabetes can sustained, better supported and there are more opportunities to add value whilst reducing wastes.
The slides cover the AHSN's response to the Covid-19 pandemic, and provides a review of 2019-20.
There are also case studies where AHSN staff returned to the frontline NHS, to support our colleagues with the response to Covid-19. All documents can be viewed or downloaded below.
Bill Gillespie, Chief Executive of Wessex AHSN, said: "Thanks to the trusted relationships we have built with regional and national partners over the past eight years, we have been in a strong position to provide a solid, adaptive response to the crisis.
"Along the way, we have discovered that staff at every level of our partner organisations have enormous depths of creativity and commitment; and that the public are more willing than we ever imagined to welcome technology and innovation into their care.
"Our own AHSN staff have also shown a huge willingness to take on new roles, to work almost entirely virtually; and, for some, to step back into frontline roles or play a part in key national Covid projects. We’d like to thank them for their amazing commitment over the past few months."
Case Studies in Telehealth AdoptionThe mission of The Comm.docxjasoninnes20
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Case Studies in Telehealth AdoptionThe mission of The Comm.docxcowinhelen
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro.
Case Studies in Telehealth AdoptionThe mission of The Comm.docxwendolynhalbert
Case Studies in Telehealth Adoption
The mission of The Commonwealth
Fund is to promote a high performance
health care system. The Fund carries
out this mandate by supporting
independent research on health care
issues and making grants to improve
health care practice and policy. Support
for this research was provided by
The Commonwealth Fund. The views
presented here are those of the author
and not necessarily those of The
Commonwealth Fund or its directors,
officers, or staff.
For more information about this study,
please contact:
Andrew Broderick, M.A., M.B.A.
Codirector, Center for Innovation
and Technology in Public Health
Public Health Institute
[email protected]
The Veterans Health Administration:
Taking Home Telehealth Services to
Scale Nationally
Andrew Broderick
ABSTRACT: Since the 1990s, the Veterans Health Administration (VHA) has used infor-
mation and communications technologies to provide high-quality, coordinated, and com-
prehensive primary and specialist care services to its veteran population. Within the VHA,
the Office of Telehealth Services offers veterans a program called Care Coordination/
Home Telehealth (CCHT) to provide routine noninstitutional care and targeted care man-
agement and case management services to veterans with diabetes, congestive heart fail-
ure, hypertension, post-traumatic stress disorder, and other conditions. The program uses
remote monitoring devices in veterans’ homes to communicate health status and to cap-
ture and transmit biometric data that are monitored remotely by care coordinators. CCHT
has shown promising results: fewer bed days of care, reduced hospital admissions, and
high rates of patient satisfaction. This issue brief highlights factors critical to the VHA’s
success—like the organization’s leadership, culture, and existing information technology
infrastructure—as well as opportunities and challenges.
OVERVIEW
Since the 1990s, information and communications technologies—including tele-
health—have been at the core of the Veterans Health Administration’s (VHA’s)
successful system-level transformation toward providing continuous, coordinated,
and comprehensive primary and specialist care services. The VHA’s leadership
and culture; underlying health information technology infrastructure; and strong
commitment to standardized work processes, policies, and training have all con-
tributed to the home telehealth program’s success in meeting the chronic care
needs of a population of aging veterans and reducing their use of institutional
care and its associated costs. The home teleheath model also encourages patient
activation, self-management, and helps in the early detection of complications.
To learn more about new publications
when they become available, visit the
Fund's website and register to receive
Fund email alerts.
Commonwealth Fund pub. 1657
Vol. 4
January 2013
www.commonwealthfund.org
www.commonwealthfund.org
mailto:[email pro ...
Accountable and Collaborative Care: Lessons Learned from Across the Globe.
Alan spoke about how important it is to have Collaborative Care; especially in chronic conditions, such as diabetes and COPD. Collaborative Care is facilitated by multi-specialty facilities which makes it more convenient for the patients to get tests results; for example, to make less visits to the doctors office. This can give patient care continuity, since everyone is working for the same cause: You, the patient.
Also bundled payments give physicians the incentive to be more efficient with how they treat their patients.
The Rise of Home Healthcare: Trends and Opportunities in the Post-COVID Erahealthcare360social
The rise of home healthcare represents a paradigm shift in healthcare delivery, driven by advances in technology, changing patient preferences, and the lessons learned from the COVID-19 pandemic.
Tecnologías asistenciales para el cuidado de las personas.Alfredo Alday
Este material fue utilizado por Alfredo Alday en el las jornadas presenciales de Donosti, del Máster en Atención Integral y Centrada en la Persona de 2017.
Las tecnologías de la información y la comunicación aplicadas al cuidado de las personas como motor de innovación y transformación de los servicios sociales.
El hogar como nuevo centro de cuidados, a través de la TeleasistenciaAlfredo Alday
El hogar como centro de prestación de cuidados no es un concepto nuevo, pero cobra especial importancia en un marco de crisis de los cuidados, y de un desarrollo intenso de las tecnologías.
Los retos sociales hacen referencia al nuevo perfil del ciudadano que ha pasado de ser un ciudadano pasivo a un ciudadano reivindicativo, y se habla de expectativas más que de necesidades.
El papel de las TIC y de la Teleasistencia Avanzada. Máster en Atención Integ...Alfredo Alday
2ª promoción
EL PAPEL DE LAS TIC Y DE LA TELEASISTENCIA AVANZADA
El objetivo del Máster en Atención Integral y Centrada en la Persona (AICP) en Ámbitos de Envejecimiento y Discapacidad es formar profesionales capacitados para diseñar, dirigir, intervenir, gestionar o investigar en programas o recursos dirigidos a personas con discapacidad, en situación de dependencia y/o de cronicidad basados en la AICP.
Memoria 2015. Servicio Público de Teleasistencia de EuskadiAlfredo Alday
La Teleasistencia de Euskadi es un servicio consolidado, valorado muy positivamente por la población usuaria, y apuesta por la mejora continua, y concretamente a través de las siguientes líneas estratégicas 2016-2020:
- La continuidad de la cooperación socio-sanitaria desde un modelo centrado en la persona y mediante la coordinación efectiva de servicios sociales y sanitarios. Pero sin olvidar, e incluso priorizando, la coordinación con los servicios sociales de atención primaria.
- Aunque el colectivo referido a las personas mayores es sin duda central en la prestación del servicio, la ampliación de la cobertura a personas con discapacidad y personas con enfermedad mental, buscando la normalización de los mismos.
- El desarrollo de un modelo de atención personalizado, para la actuación preventiva en: soledad, caídas, seguridad y apoyo al entorno social-familiar.
PLAN ESTRATÉGICO DE SERVICIOS SOCIALES DE LA COMUNIDAD AUTÓNOMA DEL PAÍS VASC...Alfredo Alday
La Ley vasca de Servicios Sociales otorga a las administraciones públicas vascas el mandato de:
promover y garantizar el acceso a las prestaciones y servicios incluidas en su catálogo como un
derecho subjetivo (exigible ante los tribunales) a partir del 25 de diciembre de 2016;
mediante la regulación y ordenación del Sistema Vasco de Servicios Sociales como cuarto
pilar del Estado de Bienestar, desplegando un sistema de responsabilidad pública y universal,
para atender a todas las personas en situación de riesgo o dependencia, discapacidad,
exclusión y/o desprotección, y promover la integración social con autonomía de toda la
población y, en coordinación y cooperación con otros sistemas y ámbitos (empleo, vivienda,
sanidad, educación…), la inclusión y el bienestar social.
Este ha sido el objetivo y horizonte de la tarea de planificación que hemos realizado
colegiadamente las instituciones vascas representadas en el Órgano Interinstitucional de Servicios
Sociales y que ha conducido a que dicho órgano, una vez constatada la suficiencia de las
previsiones para avanzar hacia la universalización del sistema a corto plazo: a) acuerde establecer el
Decreto de Cartera de Prestaciones y Servicios del Sistema, cuyo contenido técnico ya había informado
de manera favorable; b) e informe favorablemente el Mapa de Servicios Sociales de la CAPV y la
Memoria económica (incluidas en el Plan Estratégico de Servicios Sociales que ahora se presenta).
TELBIL+T: TELEMONITORIZACIÓN Y TELEASISTENCIA EN ENFERMEDADES CRÓNICASAlfredo Alday
El proyecto TELBIL+T coordina la telemonitorización, la teleasistencia y el telecuidado en un mismo sistema, mediante un protocolo de actuación coordinado entre Atención Primaria, Servicio Vasco de Teleasistencia (betiON), Consejo Sanitario y Urgencias del Hospital de Santa Marina para pacientes crónicos con insuficiencia cardíaca y/o enfermedad pulmonar.
Entre diciembre de 2012 y noviembre de 2014 se procedió a la telemonitorización de 75 pacientes que, por su situación de dependencia, eran usuarios de betiON. Como conclusiones relevantes, la coordinación socio-sanitaria no sólo demostró mejorar la salud de los pacientes captados sino que permitió aumentar su satisfacción y calidad de vida, así como la de sus familiares y cuidadores. Así mismo, se logró un menor uso de recursos sanitarios, tanto hospitalarios como de atención primaria, derivando, en la mayoría de los casos, en una racionalización de la carga de trabajo del personal sanitario centrando sus actuaciones exclusivamente a las intervenciones de carácter sanitario cuando
y donde fueron necesarias.
Máster en atención integral y centrada en la persona. Ponencia sobre el papel...Alfredo Alday
1ª promoción del máster en atención integral y centrada en la persona. Ponencia sobre el papel de las tecnologías en el cuidado de las personas. Donostia 11/06/2015.
Health related quality of life and multimorbidity in community-dwellingAlfredo Alday
Introduction
Multimorbidity is more common in the elderly population and negatively affects health-related quality of life (QoL). The aims of the study were to report the QoL of users of the Basque telecare public service (BTPS) and to establish its relationship with multimorbidity.
Methods
The EuroQol questionnaire was administered to 1125 users of the service. Their sociodemographic and healthcare characteristics were obtained from BTPS databases and the Basque healthcare service. Multiple regression analysis was performed on the overall questionnaire index to determine the effect of chronic diseases and sociodemographic. Moreover, the effects of the different diseases on specific dimensions of the test were explored by logistic regression.
Results
Of the users interviewed, 82% were women, 88% ≥75 years and 66% lived alone. The average of chronic pathologies was higher among men (5.3 vs. 4.6), for the lower age range and among those not living alone (P < 0.001).>< 0.001).
Conclusions
This study reveals that for the population covered by BTPS the impact of chronic pathologies, multimorbidity and their social context affects QoL very diversely. These diverse social and healthcare needs of community-dwelling elders allow the development and implementation of personalised services, such as telecare that facilitate them to remain at home.
La innovación sociosanitaria, a través de las tecnologías de la información, ...Alfredo Alday
Las sociedades que han sido capaces de desarrollar un estado de bienestar se enfrentan a un doble reto: el envejecimiento y la cronicidad, además, en un marco de crisis económica. Los sistemas públicos de servicios sanitarios y sociales no son ajenos a esta situación y se ven obligados a evolucionar hacia nuevos modelos de atención capaces de dar respuesta a las nuevas demandas.
Estos nuevos modelos pasan por situar a la persona en el centro del sistema y ofrecer servicios integrales. La coordinación de servicios sociales y sanitarios podría suponer mayor eficiencia y, un gasto público incluso inferior al gasto sanitario existente en algunos países. El desequilibrio entre la inversión en servicios sociales y sanitarios genera un sistema incapaz de ofrecer una intervención social temprana y preventiva, que finalmente acaba provocando altos gastos hospitalarios y farmacéuticos.
De forma general el cambio debe apoyarse en dos ideas fuerza: tecnología y actitud. Igual que lo han hecho otros sectores, es necesario la puesta en marcha de soluciones que incorporen el uso intensivo de las nuevas tecnologías de la información y la comunicación, siempre desde un enfoque social de las mismas, y con un liderazgo claro.
eZaintza: ayuda a personas con problemas de orientación temporo-espacial, y a...Alfredo Alday
eZaintza es un sistema de ayuda a personas con problemas de orientación temporo-espacial y de apoyo a sus cuidadores. Puede ser utilizado en un entorno familiar, o puede ser una herramienta de trabajo para cuidadores profesionales, e incluso puede conectarse con servicios de teleasistencia.
El objetivo último es transformar la intervención socio-sanitaria reforzando la prevención y haciendo más eficiente la actividad asistencial, aprovechando las ventajas que ofrecen las TIC, y más concretamente las tecnologías móviles.
Mapping of Effective Technology-based Services for Independent Living for Old...Alfredo Alday
TELEMONITORING SERVICE FOR CHRONIC CONDITIONS FROM PRIMARY CARE -TELBIL- is one of the 14 Good Practices for Independent Living for Older People at Home.
LA TELEASISTENCIA SOCIOSANITARIA DE EUSKADI: UNA VISIÓN HOLÍSTICA.Alfredo Alday
La coordinación sociosanitaria se ha convertido en una utopía que reaparece con más fuerza en los momentos de crisis económica como solución al uso eficiente de los presupuestos y con una justificación asociada a la calidad de los servicios.
A la hora de hablar de coordinación es esencial que exista una igualdad de condiciones entre las partes que se coordinan. Posiblemente aquí radica la clave en el escaso desarrollo histórico de la colaboración sociosanitaria, debido al desequilibrio entre salud y social en numerosos aspectos: desde la financiación, al desarrollo profesional, pasando por las estructuras organizativas. Por ello, al hablar de coordinación sociosanitaria, deberíamos empezar por aplicarla a parcelas organizativas concretas de los sistemas asistenciales, que estén en condiciones de poder desarrollarlo.
Servicio Público de Teleasistencia de Euskadi. Memoria 2013.Alfredo Alday
El Servicio Público de Teleasistencia de Euskadi
se enmarca en un sistema global de prestación de servicios de atención en el domicilio y tiene como
fin favorecer la permanencia e integración en el entorno familiar y social habitual. En otras palabras, se enmarca en un modelo de atención integral centrada en la persona, cuyo aspecto fundamental es atender las necesidades sociales y sanitarias de la persona de forma coordinada, tanto en su vertiente preventiva como en la asistencial. En este cambio
de paradigma que se plantea en la dispensa de cuidados a domicilio, la teleasistencia atesora un desarrollo potencial casi ilimitado y desempeña un papel primordial, en conjunción con otra serie de medidas (ayuda a domicilio, productos de apoyo, fomento de la participación social, mejora en la accesibilidad a la vivienda, aplicaciones domóticas
o telemonitorización de la salud, entre otras). Este artículo sintetiza la actividad del Servicio Público de Teleasistencia de Euskadi durante 2013.
Prevalencia de cronicidad y multimorbilidad en la población cubierta por el ...Alfredo Alday
Introducción. La teleasistencia pública en Euskadi (betiON) es un servicio ofrecido por el Departamento de Empleo y Políticas Sociales del Gobierno Vasco que proporciona atención telefónica a las poblaciones dependientes y de mayor edad, ofreciéndoles comunicación con un centro de atención. Su conexión con dispositivos asistenciales sanitarios permite disponer de sistemas de información que comparten datos de índole sanitaria y social, lo cual posibilita una caracterización de la población atendida y el desarrollo de modelos de provisión integrada social y sanitaria.
El objetivo del presente trabajo es describir la distribución de enfermedades crónicas y multimorbilidad entre los usuarios de betiON, estimar el coste de su atención sanitaria, calcular las hospitalizaciones evitables y comparar tales indicadores con la población general.
Métodos. Se extrajo información de las bases de datos sanitarias públicas y de betiON. Se caracterizó la población de teleasistencia mayor de 65 años de edad (N=23.742) respecto a variables demográficas, socio-económicas, carga de morbilidad, costes y hospitalizaciones evitables. Se realizaron ajustes indirectos por edad y sexo para comparar la prevalencia de enfermedades con la población general y modelos de regresión lineal múltiple para coste y hospitalizaciones evitables.
Resultados. El promedio de edad es 83 años, el 80% son mujeres, un 55,1% viven solos y residen en zonas más deprimidas. El 42,5% de los varones y 36,5% de las mujeres está afectado por 5 o más patologías crónicas, siendo 4,06 el promedio de enfermedades por persona. Además los costes de su atención sanitaria son más elevados que los de la población general (57%). Ajustando por edad, sexo y morbilidad, no existen diferencias en la tasa de hospitalizaciones evitables con la población general.
Conclusiones. Los usuarios de teleasistencia presentan mayor carga de morbilidad, mayor necesidad de atención y condiciones sociales más desfavorables, pese a lo cual la calidad de la atención recibida es equiparable a la población general. La coordinación de servicios sociales y sanitarios a través de la conexión de sistemas de información y la teleasistencia como plataforma de servicios ofrecen oportunidades relevantes de innovación en la intervención sobre esta población.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
TELBIL+T: telemonitoring and telecare in chronic illnesses
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. 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.