ABSTRACT
Evermore people are suffering from multi-morbidity, an accumulation of different afflictions that mutually affect each other. Simultaneously treatments which were previously conducted stationary are nowadays carried out in home settings. Therefore more and more ICT is employed to support such treatments. However, most of these systems are isolated and not accounting for technical interoperability or the determining factor that different treatments influence each other.
An approach for an integrated system to treat multi-morbid patients is presented within this paper. It aims to join various means of monitoring, health data storage and telemedicine into a holistic system to account for the needs of such patients. Already implemented subsystems are presented and considerable advantages of the system under construction are illustrated by a use-case for its application.
- Vogeli, C., Shields, A. E., Lee, T. A., Gibson, T. B., Marder, W. D., Weiss, K. B. and Blumenthal, D. 2007. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management and costs. J. Gen. Intern. Med. 22 (Dec. 2007), 391--395.Google ScholarCross Ref
- Utah Department of Health. 2005. Major Diagnostic Categories (MDC). http://health.utah.gov/opha/IBIShelp/codes/MDC.htm,Google Scholar
- Wolff, J. L., Starfield, B. and Anderson, G. 2002. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch. Intern. Med. 162 (Nov. 2002), 2269--2276.Google ScholarCross Ref
- Bayliss, G. and Danziger, J. 2009. Nocturnal versus conventional haemodialysis: some current issues. Nephrol. Dial. Transpl. 24 (Dec. 2009), 3612--3617.Google ScholarCross Ref
- Weinzimer, S. A, Steil, G. M., Swan, K. L., Dziura, J., Natalie, K., and Tamborlane, W. V. 2008. Fully automated closed-loop insulin delivery versus semiautomated hybrid control in pediatric patients with type 1 diabetes using an artificial pancreas. Diabetes Care 31 (May 2008), 934--939.Google ScholarCross Ref
- Markle Foundation, 2004, Connecting americans to their health care. Final report" Korking Group Policies for Electronic Information Sharing Between Doctors and Patients. (July 2004) http://www.policyarchive.org/handle/10207/15525Google Scholar
- IHE. 2010 IHE Patient Care Coordination PCC Technical Framework Volume 1 Revision 6.0.IHE International. 2010 www.ihe.net/Technical_Framework/Google Scholar
- Continua Health Alliance 2010, www.continuaalliance.orgGoogle Scholar
- Alschuler, L., Beebe, C., Boone, K. W., and Dolin, R. 2008. Implementation Guide for CDA Release 2.0 Personal Healthcare Monitoring Report (PHMR), 2008.Google Scholar
- Helmer, A., Lipprandt, M., Frenken, T., Eichelberg M., and Hein, A. 2011. 3dlc: A comprehensive model for personal health records supporting new types of medical applications. Journal of Healthcare Engineering. 2 (Sep. 2011).Google ScholarCross Ref
- Pielawa, L., Brell, M. and Hein, A., Online Adaptive Physiological Models for Dialysis Therapy. 2011. In Proceedings of the 45. Jahrestagung der Deutschen Gesellschaft für Biomedizinische Technik (Freiburg, Germany, September 27--30, 2011), BMT'11 in press.Google Scholar
- Coli, L., Ursino, M., Dalmastri, V., Volpe, F., Manna, G. L., Avanzolini, G., Stefoni, S., and Bonomini, V. 1998. A simple mathematical model applied to selection of the sodium profile during profiled haemodialysis. Nephrol. Dial. Transpl. 13 (Feb. 1998), 404--416.Google ScholarCross Ref
- Locatelli, F., Buoncristiani, U., Canaud, B., Köhler, H., Petitclerc, T., and Zucchelli, P. 2005. Haemodialysis with on-line monitoring equipment: tools or toys? Nephrol. Dial. Transpl. 20, (Jan. 2005), 22--33.Google ScholarCross Ref
Index Terms
- Intelligent environments supporting the care of multi-morbid patients: a concept for patient-centered information management and therapy
Recommendations
Experiences in mHealth for chronic disease management in 4 countries
ISABEL '11: Proceedings of the 4th International Symposium on Applied Sciences in Biomedical and Communication TechnologiesThis paper describes mHealth applications to deal with Non Communicable Diseases in North and Latin America: In Chile, a project focused on Diabetes Mellitus type 2; In the United States, Honduras, and Mexico, projects focused in diabetes, heart failure,...
Improving Healthcare with Interactive Visualization
Visualization and visual analytics re-searchers can contribute substantial technological advances to support the reliable, effective, safe, and validated systems required for personal health, clinical healthcare, and public health policymaking. The Web ...
Development and implementation of a national telehealth project for long-term care: A preliminary study
The aging population is a global phenomenon. The skyrocketing costs of healthcare and the shortage of healthcare providers will soon become a crucial issue all over the world. Taiwan's government executed the Taiwan's Telehealth Pilot Project (TTPP) ...
Comments