Post on 31-Dec-2015
“Direct Telemedicine in a Nursing Home Setting”
Rationale – Innovation - Feasibility
Louis Lareng, Monique Savoldelli, Pierre RumeauTelemedicine Dept,
University Hospital Toulouse, Toulouse, France
Institut Européen de Télémédecine
20502050
20002000
A growing ageing population: in
2050
aged 65+ = 19.3 to 28.2% (14.7 %)
(Alho 2005, Statistics Norway) http://www.ssb.no/english/ma
gazine/art-2005-12-01-01-en.html
75+ = 4,2 > 11,6.10^6 85+ = 1,3 > 4,8.10^660+ x2 75+ x3 85+ x4
(Brutel C. La population de la France métropolitaine en 2050 : un vieillissement inéluctable. Economie et statistiques 2002:355-356:57-71)
Are there enough geriatricians in
Norway?No! Norsk geriatrrisk
forening http://www.legeforening
en.no
Medicalization of nursing homes by GPs
but other tasks!!!!
Cost / Benefitsof a physician’s visit
Danger for the physician
Costs
Direct contact with patient
Convivence
No need to move patient
Multidisciplinary care with local actors
Time lost in travel
Reluctance to ask advice
Lost opportunities for patient
Lesser communication in team
« Le grand père malade », Henri Evenepoel (1872-1899)
http://www.hypnos.co.uk/hypnomag/gallery/charcot.htm
Dr Jean-Martin Charcot (1825-1893)
L'enfant malade. Eugène Carrière (1849-1906)
Competing tasksNursing home care
Lack of mobility of
patient and
personnel
Lack of availability of
physician
Toulouse University Hospital GIP RTR Midi PyrénéesPr Lareng-Dr Savoldelli
Luz St Sauveur
Mountain Nursing Home
Luz st Sauveur
Medical PracticeDr Ducrot, Dr Memain, Dr Lagrange
MCUThales Alenia Space
SateliteHub
•Satellite networkSatellite network
•Digital networkDigital network
•Private SDSL Aster networkPrivate SDSL Aster network
•Internet secureInternet secure
AND management and medical data recording system AND
multiparticipant conferencing unit
AND medical coordination
PC+
Webcam+
Satelite connectivity
H323 Telemedicine Software
(Polycom PVX©)