Here - EWMA 2013

ORAL PRESENTATIONS
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Key Session: E-health and the Future of Health Care Systems
An evidence generating implementation process
– The telemedicine solution for diabetic foot ulcers in
the Region of Southern Denmark
Knud Yderstræde 1
1 Odense University Hospital (Odense, Denmark).
National strategies for implementation of telemedical solutions in healthcare include a
number of parttakers. Experience is insufficient, but a number of solutions are tested
these years. The Danish authorities have launched a process, which will lead to
telemedical care of the major part of ulcers treated in the various clinical sectors. The
concept will address aspects of economical outcomes in the use of telemedicine by
saving costs on transportation, earlier dismission from hospitals and possibly a better
surveillance of patients at home. The concept is tightly connected to a research grant
having the overall goal to treat patients at home to a much higher degree. This would go
hand in hand with the needs to reduce the number of stationary in-hospital beds.
Treatment at home (www.patientathome.dk) covers a number of setups, and basically
patients with chronic diseases constitutes the target population. Included is the
development of a number of sensor systems to monitor patients at home and in relation
to diabetic foot ulcers this would include sensors to be used for measuring oxygen
tension, edema, exsudation etc. Also, a prototype 3D optical scanner will be applied in
due time, to be used for home care nurses in order to provide sufficient photo
documentation for the treating doctors and central special nurses.
The region of southern Denmark provides a testing platform, and a multiplude of health
sectors are part of the telemedical treatment of diabetic foot ulcers. The various aspects
of this rather complicated setup will be presented and discussed.
KEY SESSION: E-HEALTH AND THE FUTURE OF HEALTH CARE SYSTEMS
113
Key Session: E-health and the Future of Health Care Systems
Case for Scotland – Technology Part of Normal Service
Anne Reoch 1
1 Clinical Lead Cardiac, Stroke and Planned Care SCTT, NHS 24 (Scotland)
In Scotland we are now focusing on making the use of technology part of normal
healthcare service delivery. In January this year, Scottish Government published The
Telehealth and Telecare Delivery Plan until 2015. NHS Scotland established the Scottish
Centre for Telehealth and Telecare in 2007, to take forward innovative telehealthcare
solutions and help to embed these in services. The Centre is now part of the national
statutory Health Board responsible for delivering telehealth services – NHS 24. An
overview of services provided by NHS 24, which may be relevant in the future for largescale
management of wound care, will be given. Examples of wound care management
currently being provided in Scotland’s geographical Health Boards by technological
means, will also be given.
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