University of Calgary PRISM: University of Calgary's Digital Repository Research Centres, Institutes, Projects and Units E-Health Resource Repository 2005-04-06 A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care Caceres, C; Gomez, E.J.; Garcia, F.; Chausa, P.; Gatell, J.M.; Del Pozo, F. Presented at Med-e-tel 2005 Conference in Luxembourg. http://hdl.handle.net/123456789/3505 Presentation Downloaded from PRISM: https://prism.ucalgary.ca
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University of Calgary
PRISM: University of Calgary's Digital Repository
Research Centres, Institutes, Projects and Units E-Health Resource Repository
7A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Psychological and Social aspects
Phases an HIV patient goes through:Shock Negation Acceptance
Associated states: anxiety, depression, etc.Stigmatization and social discrimination
Family refusalLabour problemsSexual problemsEconomical problems
QUALITY OF LIFE
DeathChronic
8A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
HIV/AIDS framework
Partner
Family
Friends
H.I.V.Pharmacist
G.P.
NurseSocialworker
PsychologistVolunteers
PublicHospitals
Primary careDrug centers
Penitentiarysystem
Civil serviceRegionsLaboratories
NGOs
Other services
9A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
VIHrtual Hospital Project GoalsImprove quality of life and HIV/AIDS patients care (clinical, psychological, and social factors)Definition and development of a telemedicine service that:
Empowers the patient self-careImproves communication with healthcare professionalsOptimizes hospital visits, improves attention, and manages the treatmentsReduces costs of health care
Telemedicine services integrationClinical implementation in the Clínic Hospital in Barcelona (Spain)
10A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
VIHrtual Hospital Description
11A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
System architecture
DMZ
InternetInternet
Patient PC
VIHrtualDB
Intranet
ADSL
PHARMACYDB
Administrator PC
Professional PC
VPNFirewall
VIHrtualWeb Server
Router
AIDSDB
Hospital Patient’s home
12A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
VIHrtual Hospital Services
13A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Users
Professional user
• Doctor• Nurse• Psychologist• Psychiatrist• Pharmacist• Social worker• Quality of life
Patient user
14A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Security issues
Anonimize data
Cipher database
Backup copies
Use of certificates
VPN
Secure access through fingerprints
Checking forms
Access registry
Fast and secure maintenance
15A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Clinical trial of the system
Clinical trial in the Clinic Hospital in Barcelona:
November 2004 – June 2007 (2 years)50 patients using the system + 50 patients withconventional careRandomized, prospective, and cross-over study
Evaluation of the Telemedicine Service(technical, clinical, economical, andorganizational aspects)
16A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Conclusions
Telemedicine system that improves HIV infection controlInnovative services for both patients and professionalsLow cost system makes easier the scalability of the implementationFirst results will be available in Nov - 2005
17A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
Research teamsCésar Cáceres Enrique J. GómezJorge GuzmánFrancisco del Pozo
Carlos NietoPedro MartínSusana PérezVirginia Álvarez
Médicos: Felipe García, Emilio Fumero, Pedro Castro,José Luis Blanco, Esteban Martínez, Josep Mallolas,Montse Loncá, Agata León, Montse Laguno,Ana Milinkovic, María Larrouse, José María Gatell
Enfermería: Marta Sala, Cristina CasadesusFarmacia: Montse Tuset, Maite Martín, Elena Cacho, Carlos CodinaSalud mental: Araceli Rousaud, Jordi BlanchTrabajo social: Menchu LanaspaCalidad de vida: Xavier BadíaAdministradora: Laura Zamora
A New Telemedicine Approach for Chronic HIV/AIDS Patient Home Care
César Cáceres1,2, Enrique J. Gómez1, Felipe García3, Paloma Chausa1, José M. Gatell3, Francisco del Pozo1