Gunnar Hartvigsen, PhD, Professor
Norwegian Centre for Telemedicine
University Hospital of North Norway
N-9038 Tromsø, Norway
and
Medical Informatics & Telemedicine Group
Department of Computer Science
University of Tromsø
N-9037 Tromsø, Norway
Telephone +47 776 44049
Telefax +47 776 44580
Secretary +47 776 44056
Mobile +47 90657785
E-mail: gunnar.hartvigsen@telemed.no
George Demiris PhD
Associate Professor
Biomedical and Health Informatics, School of Medicine
& Biobehavioral Nursing and Health Systems
School of Nursing
University of Washington
BNHS Box 357266
Seattle, WA 98195-7266
USA
Telephone: +1-206-221-3866
E-mail: gdemiris@u.washington.edu
URL: http://faculty.washington.edu/gdemiris
Alison Bowes, Professor of Sociology
Department of Applied Social Science
University of Stirling
Stirling FK9 4LA
Scotland
UK
Telephone: + 44 (0) 1786 467696
Fax: + 44 (0) 1786 467689
E-mail: a.m.bowes@stir.ac.uk
URL : http://www.dass.stir.ac.uk
Telemedicine systems for private homes includes equipment that supports on-line communication with the general practitioner/health personnel and where medical data are provided from both wearable and stationary sensors along with general sensors that record current activities and status information in the home. A critical success factor will be access to updated patient data (interoperability). Today, the situation is more like isolated information islands where integrated and updated patient data does no exist.
Premises for telehomecare include illnesses that do not require continuously presence of care personnel or life critical medical equipment. The use of telemedicine and telehomecare systems requires the presence of an adequate communication infrastructure in the home, and adequate communication lines from the home to other stakeholders (doctors, nurses, alarm centrals, relatives, etc.) who need to be aware of the patients general condition and possible changes in his/her physical condition. It is expected that intelligent homes will reduce the need for personnel and improve quality of life for their residents. Such systems often focus on increased safety, security and comfort.
The first full scale systems for telehomecare and telemedicine systems in private homes will be tele-based visits/consultations where the doctor and/or nurse can access historical as well as present physiological values measured by on-body sensors or stationary medical equipment present in their homes. Based on this consultation the doctor might want to order follow-up examinations and/or alter the medication. The latter is done by remotely changing the settings in the patients intelligent pillbox (distributed pharmacy). All operations are controlled by and recorded in the patients electronic health record. The tutorial will present the current status and future perspectives for telemedicine systems and telehomecare solutions for private homes. It will also address issues of privacy, obtrusiveness and usability of telehomecare systems and a framework for the formative and summative evaluation of such applications.
Hartvigsen, G. (2003). Mitt hjem er mitt hospital: Pasienttilpasset telebasert tilsyn og telemedisinske løsninger i hjemmet. (My home is my hospital: Patient adapted telehomecare and telemedicine systems in private homes) NST-rapport 14-2003, Norwegian Centre for Telemedicine.
Div. reports, presentations, news, etc.
Healthcare workers; medical informatics researchers; government healthcare representatives and policy makers; master students in medical informatics and others who want to learn more about telemedicine in (private) homes.
90% basic, 10% intermediate.