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THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE. Feipei Lai National Taiwan University flai@ntu.edu.tw 3/22/2010. OUTLINE. Why do we need telehealthcare service? Previous experiences Infrastructure for Continuous Care Service Case Study Conclusion.
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THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE Feipei Lai National Taiwan University flai@ntu.edu.tw 3/22/2010
OUTLINE • Why do we need telehealthcare service? • Previous experiences • Infrastructure for Continuous Care Service • Case Study • Conclusion
Why do we need telehealthcare service? • Top 5 high cost diseases: • Dialysis, Dentistry, Cold/Flu, High blood pressure, Diabetes • 4 billion US dollar annually • 1/3 of Taiwan National Health Insurance Expenditure • Average hospital visit (2008) : 15 times/year (population: 23 M)
Between January 2004 and December 2004, chronic heart failure patients who were followed up by specialist nurse-led telephone visiting regularly were enrolled. Clinical and financial data half a year before enrollment were collected as control. A total of 247 patients (168 males, 79 females; mean age, 60 ± 17 years) were enrolled. J Formos Med Assoc 2007;106(4):313–319
EFFECTIVENESS The previous study confirmed that home-based intervention with nursing specialists improved the clinical outcome and provided cost-savings for Taiwanese patients with systolic heart failure.
INFRASTRUCTURE FOR CONTINUOUS CARE SERVICE • National Taiwan University Hospital (NTUH) established a telehealthcare center in 2009, to provide a continuous healthcare service, while the patients stay at home Normal Discharge Before Admission Virtual OPD Service Home Care Service After Early Discharge
Gateway plug & play store and transfer Telehealthcare equipment-Patient site
Video Conference Telehealthcare equipment
CASE STUDY • 87 year old female, with history of atrial fibrillation, arrhythmia • 2009/10/06 discharged after bone fracture operation
CASE STUDY 2009/10/12Symptoms of respiratory distress SPO2 75% Case manager immediately contacted cardiology surgery, emergency treatment
CASE STUDY pulmonary embolism → operation
CONCLUSION • The Department of Health of Taiwan has been establishing a national health insurance that includes continuous care service. • A new service infrastructure is needed to support post-hospital community service, and provide continuous and comprehensive care service • Our project demonstrates an infrastructure to enabling integrated personal healthcare service. (to be effective on 2011)