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      ERMHAN: A Context-Aware Service Platform to Support Continuous Care Networks for Home-Based Assistance

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          Abstract

          Continuous care models for chronic diseases pose several technology-oriented challenges for home-based continuous care, where assistance services rely on a close collaboration among different stakeholders such as health operators, patient relatives, and social community members. Here we describe Emilia Romagna Mobile Health Assistance Network (ERMHAN) a multichannel context-aware service platform designed to support care networks in cooperating and sharing information with the goal of improving patient quality of life. In order to meet extensibility and flexibility requirements, this platform has been developed through ontology-based context-aware computing and a service oriented approach. We also provide some preliminary results of performance analysis and user survey activity.

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          Towards a Better Understanding of Context and Context-Awareness

          Gregory D. Abowd, Anind K. Dey, Peter J. Brown … (1999)
          Article 0 comments Cited 131 times – based on 0 reviews
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            Improving the quality of health care for chronic conditions.

            R Bengoa, S Pruitt, J E Epping-Jordan … (2004)
            Chronic conditions are increasingly the primary concern of health care systems throughout the world. In response to this challenge, the World Health Organization has joined with the MacColl Institute for Healthcare Innovation to adapt the Chronic Care Model (CCM) from a global perspective. The resultant effort is the Innovative Care for Chronic Conditions (ICCC) framework which expands community and policy aspects of improving health care for chronic conditions and includes components at the micro (patient and family), meso (health care organisation and community), and macro (policy) levels. The framework provides a flexible but comprehensive base on which to build or redesign health systems in accordance with local resources and demands.
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              Telemedicine experience for chronic care in COPD.

              Albert Alonso, Josep Roca, Silvia Jimenez Morales … (2006)
              Information and telecommunication technologies are called to play a major role in the changes that healthcare systems have to face to cope with chronic disease. This paper reports a telemedicine experience for the home care of chronic patients suffering from chronic obstructive pulmonary disease (COPD) and an integrated system designed to carry out this experience. To determine the impact on health, the chronic care telemedicine system was used during one year (2002) with 157 COPD patients in a clinical experiment; endpoints were readmissions and mortality. Patients in the intervention group were followed up at their homes and could contact the care team at any time through the call center. The care team shared a unique electronic chronic patient record (ECPR) accessible through the web-based patient management module or the home visit units. Results suggest that integrated home telemedicine services can support health professionals caring for patients with chronic disease, and improve their health. We have found that simple telemedicine services (ubiquitous access to ECPR, ECPR shared by care team, accessibility to case manager, problem reporting integrated in ECPR) can increase the number of patients that were not readmitted (51% intervention, 33% control), are acceptable to professionals, and involve low installation and exploitation costs. Further research is needed to determine the role of telemonitoring and televisit services for this kind of patients.
              Article 0 comments Cited 32 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Telemed Appl
                Journal ID (publisher-id): IJTA
                Title: International Journal of Telemedicine and Applications
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 1687-6415
                ISSN (Electronic): 1687-6423
                Publication date (Print): 2008
                Publication date (Electronic): 5 August 2008
                Volume: 2008
                Electronic Location Identifier: 867639
                Affiliations
                National Inter-University Consortium for Telecommunications, Department of Electronics and Telecommunications, University of Firenze via S. Marta 3, 50139 Firenze, Italy
                Author notes

                Recommended by Frédérique Laforest

                Article
                DOI: 10.1155/2008/867639
                PMC ID: 2495075
                PubMed ID: 18695739
                SO-VID: bb2256b2-b89b-47b6-bc07-30100d2d6d2f
                Copyright © Copyright © 2008 Federica Paganelli et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 28 September 2007
                Date revision received : 19 February 2008
                Date accepted : 20 May 2008
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Medicine
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                ScienceOpen disciplines: Medicine

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