“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©)

Institut Européen de Télémédecine

Telemedicine sailed the seas

and explored the space…

Let’s bring it back at home!

Louis Lareng