Empowering patients through ehealth services: PALANTE Andalusian Pilot

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Lorena Agüero Saavedra
hace 8 años
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1 Empowering patients through ehealth services: PALANTE Andalusian Pilot Dr. Ana Carriazo Regional Ministry of Equality, Health and Social Policies of Andalusia

2 Andalusia Main features 8,492,635 inhabitants >22 M tourists Political Autonomy since 1981 Full responsibility at regional level on Public Health and Healthcare services since 1984 Regulatory framework for Social services Public Healthcare System 1500 Primary care centres 47 Hospitals (93% h beds) 100,000 healthcare workers 8210 M Budget (980 /citizen) 3800 Pharmacies PHC is the gatekeeper Public Social care System 3500 Social care centres (child care, drug addiction, people with disabilities, elderly people and community social services) Coordination with local authorities, and close collaboration with the third sector centres are devoted to the elderly (day-care centres, active participation centres and others).

Pharmacies PHC is the gatekeeper Public Social care System 3500 Social care centres (child care, drug addiction, people with disabilities, elderly people and community social

3 Plan for Diabetes Andalusia: 1M people with diabetes Prevention-oriented (-50% complications) Integrated care process for diabetes care Programmes: Specific outpatient clinics (12) Programme of podiatric attention (8709 patients in 2012) Programme of continuous insuline infusions (1011 treat) Health hotline Salud Responde (9693 patients) Early detection programme for diabetic retinopathy Results ( ) Decrease of ketoacidosis (-38%, type-1 diabetes) Decrease of Hyperosmolar coma (- 20%, type-2 diabetes) Fewer amputations (-20%) Fewer acute myocardial infarction (-16%) Smaller ictus rate (-30%)

Health hotline Salud Responde (9693 patients) Early detection programme for diabetic retinopathy Results (2007-2012) Decrease of ketoacidosis (-38%,

4 Early detection Diabetic Retinopathy 308,048 people at risk 434,242 tests 30,000 cases detected 156 digital retinographs since 2005 Primary care centres Endocrinology units (Hospitals) Towns

5 Overall goal To empower patients enabling them: to make informed decisions about their health to take an active role in their care to collaborate effectively with their healthcare team thanks to ICT services integrated in their currently available Health IT platforms for the population.

collaborate effectively with their healthcare team thanks to ICT

6 Pilot sites 7 new pilots in 6 countries (7 regions) 2 additional ongoing experiences in 2 other countries Start date: 1 st February 2012 Duration: 36 months + 6 months 21 partners from 10 different countries Involving 69,550 patients STYRIA Population 1,2 Mill.

February 2012 Duration: 36 months + 6 months 21 partners from 10

7 Pilot 1 - Andalusia Starting point ClicSalud: secure universal access to individual ehr + new services Goals: Empowerment of patients (target: 7,000 patients) Improve quality of life and diabetes management PALANTE ClicSalud e-hr

Empowerment of patients (target: 7,000 patients) Improve

8 Pilot 1: services (I) Questionnaires (treatment diet and physical exercise adherence) Telemonitoring devices: 3000 glucometers y 400 tensionmeters Educational tools: friendly fridge, stacks and ladders, augmented reality

devices: 3000 glucometers y 400 tensionmeters

9 Pilot 1: services (II) Patients and professionals bidirectional communication tool

10 Pilot 1 life story: Very poorly managed diabetic patient (Type 2) Middle aged man From a distant rural area Truck driver covering trans-european routes

11 Profesionales y pacientes de alta por meses Núm Prof Acum Núm Pac Acum people with diabetes 538 type type 2 Número (Acumulado) Mediciones Realización de cuestionarios 2146 Mensajes pac 1131 Mensajes prof 1773 Juego de la oca Mes/Año Núm. veces que se ha registrado una toma (por categoría) PERÍMETRO ABDOMINAL INDICE DE MASA CORPORAL TENSIÓN ARTERIAL GLUCOSA FRECUENCIA CARDIACA FRECUENCIA CARDIACA GLUCOSA AL AZAR GLUCOSA ANTES DE LA CENA GLUCOSA ANTES DEL ALMUERZO GLUCOSA ANTES DEL DESAYUNO GLUCOSA DESPUÉS DE LA CENA GLUCOSA DESPUÉS DEL ALMUERZO GLUCOSA DESPUÉS DEL DESAYUNO TENSIÓN ARTERIAL DIASTÓLICA TENSIÓN ARTERIAL SISTÓLICA INDICE DE MASA CORPORAL PERÍMETRO ABDOMINAL

2014 2014 2014 2014 2014 Mes/Año Núm. veces que se ha registrado una toma (por categoría) PERÍMETRO ABDOMINAL INDICE DE MASA CORPORAL TENSIÓN ARTERIAL GLUCOSA FRECUENCIA CARDIACA 0 5.000 10.000 15.

12 PAM scale TAM scale

13 Thank you Ana Carriazo, MD PhD Senior Advisor Regional Ministry of Equality, Health and Social Policies of Andalusia EIPonAHA Reference Site

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