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Integrating telecare systems for chronic disease management in the community: What needs to be done Carl May

Integrating telecare systems for chronic disease management in the community: What needs to be done Carl May. Institute of Health and Society Newcastle University. Inter-disciplinary consortium

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Integrating telecare systems for chronic disease management in the community: What needs to be done Carl May

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  1. Integrating telecare systems for chronic disease management in the community: What needs to be doneCarl May Institute of Health and Society Newcastle University

  2. Inter-disciplinary consortium • Newcastle: Carl May, James Cornford, Cath Exley, Tracy Finch, Neil Jenkings, Louise Robinson, Rob Wilson • Manchester: Anne Rogers, Claire Gately, Sue Kirk • Glasgow: Frances Mair, George Anderson, Janice Osbourne • Amsterdam: Dick Willems • Michigan State: Pamela Whitten

  3. Policy problem • Longstanding programme of research – consistently revealed that failure to attend to problems of workability and integration retards successful implementation of telehealthcare systems • Medical model of research has lead to narrow view of success and failure – focusing on measurable outcomes, not implementation processes

  4. Practice Problem • Medical model of implementation (telecare as a treatment technology) has meant that perspectives of technology developers have often been undervalued • Institutional model of implementation (telecare as a service intervention) has meant that users’ views have often been sought after service introduction

  5. Key questions • How do different constituencies understand integration of telecare within and across sectors? • What principles should drive interactions between health agencies, social care, private sector and users? • How can expertise and experience be shared and valued?

  6. Core technologies and their domains • Monitoring devices – user operated, ICT based, connected (hardware) • Diabetes, asthma, COPD (defining clinical problems) • Link with NHS services and private sector call centres (infrastructure)

  7. Method • Group-work and interviews to build sets of principles • Service users • Primary care professionals • Private sector services and suppliers • Social care professionals

  8. Principles? • Why are there problems in integrating telecare systems with other services? • What do constituencies need to understand about each other? • How can mechanisms be developed to enable different constituencies to hear each other?

  9. Policy relevance • Much is already known – no need for masses of new data • Move beyond local demonstration projects and ‘white paper demonstrator’ services requires users’ knowledge about everyday integration processes • Need to find ways to engage and co-ordinate users’ knowledge and practice

  10. Thank you

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