The field cardiology was selected for the pilot implementation because
coronary heart diseases are the most expensive diseases in term of
re-hospitalisation in the USA and Europe as well. eHealth structures
support small hospitals, family doctors and ambulance services. The
same telecardiological eHealth solution can be applied and experienced
in three fields: home care, second opinion from experts across the
network (national and transnational) and patient hospital relation.
The pilot implementation in the field of eCardiology aims to home care and/or
for monitoring high risk patients waiting for an invasive diagnostic or
bypass operation.
Partners: Denmark, Finland, Germany, Lithuania, Poland, Sweden
Overall Objectives:
- implementation of ECG solution in Denmark, Finland, Lithuania, Poland and Sweden
-
better health care in remote areas and urban areas
- to enhance the patient comfort in terms of confidence, security and mobility
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more effective management of patients with known heart disease and to provide the appropriate care level to the patients
-
less number of visits to health institutions (primary care centre,
specialist department), reduction of pre-hospital delay and
to save hospital capacities
Methodology and Transnational Value Added:
- Either medical staff like home nurses or patients are equipped with
ECG devices according to the partner region (see implementation status
below).
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After recording an ECG the transmission of the ECG records is
organised cross-border via telephone calls from medical staff or
patients in different countries to a multilingual server located in Bad
Segeberg, Germany. The ECGs and patient data is transferred via
Internet to medical specialists in the different countries where the
call came from to decide about appropriate treatment.
-
The calls for medical staff and patients are via a toll free line.
The project partners pay a monthly fee per ECG device including the
server based services.
-
The sharing of a server located in Germany and buying the related
services cross-border avoid investments in the partner regions.
Status of Implementation:
- Region Skåne: home nurses equipped with 35 devices (see video)
-
Kaunas Region: 15 patients waiting for heart operations equipped with 15 devices.
-
Lebork: 10 patients equipped with devices to be monitored after acute coronary syndrom.
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In Finland technical tests were carried out with home nurses.
If you have any comments to this chapter please contact Werner
Smidt, Telemedicine,
Germany. E-Mail: werner.smidt@segebergerkliniken.de