10th May 2018

Basque Country


 

Programme:

  • PIP Multimorbid

Target Group:

  • Complex multimorbid patients
multimorbid-integration

This multimorbid programme has been developed by a multidisciplinary team formed by primary healthcare professionals, specialists, and managers with expertise in the development of the design of new pathways to care for older people with complex health and social care needs. These people are at high risk of hospital or care home admission. This is achieved through ICT-enabled health and social care services coordination, monitoring, carer involvement, and patient self-management. ICT-based platforms can improve treatment compliance, enhance self-management, and increase patient and carer understanding. The programme helps to improve clinical outcomes and enable people to lead fulfilled lives. The technology will highlight when respite care or additional professional input is required.


 

Programme:

  • Telemonitoring services for CHF

Target Group:

  • HF patients
chf-telemonitoring

Due to population ageing, chronic heart failure (CHF) is becoming more common. It will become increasingly difficult to maintain the quality of care. Home telemonitoring is a promising solution, allowing healthcare professionals to follow up a patient´s health status more closely and facilitate early symptom detection. Patients transmit their parameters at least once per week. The telemonitoring devices send the data to the gateway in the patient’s home. This transmits the data to the Telecare Centre, where the operator checks the data. When clinical parameters are out of range, the operator verifies the alarm situation by a phone call to the patient. The Telecare Centre resolves any technical problems arising in the use of devices.