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Remote monitoring benefits: doc@HOME experience

Remote monitoring benefits: doc@HOME experience. Ardo Reinsalu Curonia Research. IT Penetration. IT implementation. MANUFACTURING. HEALTHCARE. BANKING. 1990. 2000. 1980. Time. Window of Health (WoH) term helps to quantify the measure of overview of patient’s health. Narrow Window.

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Remote monitoring benefits: doc@HOME experience

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  1. Remote monitoring benefits: doc@HOME experience Ardo Reinsalu Curonia Research

  2. IT Penetration IT implementation MANUFACTURING HEALTHCARE BANKING 1990 2000 1980 Time 02.10.2002

  3. Window of Health (WoH) term helps to quantify the measure of overview of patient’s health

  4. Narrow Window • WoH = 3.5 min/month – 7 minutes bimonthly • Positive: • Physical presence is important • Social effect • Negative: • “white coat” effect • Memory problem 02.10.2002

  5. Average Window • Measurements taken by patient and memorized or presented on paper • Positive: • More detailed info on patient condition between the visits • “white coat” effect can be avoided • Negative: • Information comes with a delay • Irregular history of measurements 02.10.2002

  6. Wide Window • 24/7 monitoring of one or several parameters • Half-transparent WoH • Positive: • Objective measurements • On-need basis and automatic registration • Negative: • Lack of “personal touch” • Not enough info to make a conclusive decision 02.10.2002

  7. Additional Dimensions • Clear and transparent WoH • Additional dimensions: • Multiple-type of data • Subjective feedback adds relevant context • Feedback from the doctor • Change of treatment • Additional tests based on early warning • Motivational tool 02.10.2002

  8. Doc@HOME Study • 50 patients with treated essential mild to moderate hypertension • Treatment effectiveness is defined as adequacy of accomplishing treatment purpose • Registered data: • BP, ECG, daily symptoms, perceived stress level, weight, smoking, quality of sleep 02.10.2002

  9. Conclusions • Cost of treatment is decreased by preventing hospitalization • Physician’s workload is reduced by pre-screening the registered data • Side-effects to drugs are discovered and corrective actions taken • Secondary organ damage is exposed early • Acute crises are prevented • Real reasons behind proxy measurements are understood 02.10.2002

  10. Use of IT and telecommunication means helps to increase the size and transparency of patient’s Window of Health

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