Experiences with telehealth in Flanders: prof. Paul Dendale
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Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
Transcript of Experiences with telehealth in Flanders: prof. Paul Dendale
Telemonitoring : personal experience
The past: Tema HF 1
Dendale et al. Eur J Heart Fail. 2012 Mar;14(3):333-40
Telemonitoring in heart failure
The present : Tema HF 2
Telemonitoring in heart failure
The future:
Incorporation of smart algorithms (Censtat)
Health economic analysis (RIZIV)
Telerehabilitation in heart disease
The past: TeleRehab 1
I Frederix et al. J Telemed Telecare. 2011;17(5):231-4
Telerehabilitation
The present: TeleRehab 2
Frederix et al :Eur J Prev Cardiol 2013
Telerehabilitation
The near future: TeleRehab 3
Telerehabilitation
2015 (?): MobileHeart
EU funded (?)International
MultidisciplinaryState of the art
Incasa : integrated care to stimulate adherence
INCASAOnline
platform
Integrated Care to Stimulate Adherence
Patient
Hospital GP
• Medication• Vaccination• Intake
Informed consent
• Point of care testing• Bloodpressure • Weight – BMI• HbA1c• Lipids• Questionnaires
• Connection to eHealth box and Vitalink• Health management
• Education• Supportive actions• Promotional messaging• Tailored screens
• Connection towards online patient platform• Encrypted data storage (intra muros)
Barriers to implementation
- Low quality of providers- Lack of business case for “service providers”- Lack of reimbursement- Patient and GP acceptance- Liability, confidentiality
Totally new health care organisation and financing
-Patient empowerment/increased self care-Tsunami of data-Integration in Electronic Patient Files-Constantly changing technology-Elderly population-Hospital-centric or patient-centric (or GP-centric)?-Multimorbidity
