Family Medicine

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World Book of Family Medicine – European Edition 2015 A rising equality gave rise to fewer thefts and that along with fewer killers led to decreased numbers of prisoners and punishments. Inclusive policies, it can be a blessing. The most difficult one to improve was the level of trust and confidence, because fear has always been an evolutionary advantage. The brave were trampled, the fearful in their dens survived and procreated. Confidence was difficult to measure because of its variability with age and prone to bias and confounding. But family physicians found a solution, and the Edelman Trust Barometer has simply been washed away by means of a daily representative measurement. Exhibited daily in the town squares. Boosting trust. What will the future bring next? The achievement of the stages of Kardasjev’s predictions. People becoming gods, in the depths of their mind, it's something absolutely new. So they say. Take Home Messages Symphonic thinking as a selection criterion Validation of increase In order to learn you have to teach WONCA enriched with an Observatory Original abstract http://www.woncaeurope.org/content/436-future-and-innovation-family-medicine-active-workshop-perspectives-discipline References In the text and 1. AM Michael Kidd. Challenges for Healthcare in the 21st Century: How Family Medicine Can Help. J Family Med Prim Care. 2013 Jul-Sep; 2(3): 211–214. 2. Credo of Family Medicine by André Raes. Antwerpen, 1981 160
World Book of Family Medicine – European Edition 2015 Elias Papazissis, MD, MSc homed.medical@gmail.com 52 – Home Care at the Dawn of the 21st Century. Electronic Devices and Telemedicine Facilitate Safe Home Care for Acutely Ill Patients. Elias Papazissis, MD, MSc President, hoMed Co. Introduction The current status of technology, which is available and affordable for widespread use, is already sufficient to permit advanced home care to acutely ill patients (1). However, ongoing technological evolution is even more promising and highlights a big change in healthcare provision (2). It seems that soon, the concept “hospital” will not continue to be considered so much related to the venue itself, but to an overall organization where sophisticated treatment and enhanced patient monitoring can be provided with safety regardless of the place, whether hospital ward or patient’s residence, neutralizing distance barriers (3). Continually increasing bandwidth in telecommunications, which permits fast and smooth video and data transmission, tablets, smartphones, portable analysers, imaging systems and other diagnostic devices, apparatuses such as electronic infusion pumps and ambulatory monitoring systems including high-tech sensors incorporated into “smart clothes”, are the main contributors in this evolution. Point of care diagnostic devices. Portable palm-size analysers can perform a wide range of important measurements including blood gas analysis, basic chemistry, troponin, BNP and PT-INR, at the point of care, within just 2 minutes. There are also portable, small and lightweight automated 5-part WBC haematology analysers, which provide quantitative results in 3 minutes. Ultrasound portable scanners are equivalent to the stand-alone ones in terms of capability, reliability and accuracy. There are also quite reliable pocket size scanners for prompt emergency testing. Portable x-ray systems produce high-resolution images in seconds. We use fully equipped vehicles. Digital x-rays, which are performed in a patient’s home, are subsequently developed in the vehicle outside the home. Images are transmitted to radiologists for diagnosis and, concurrently, to other physicians involved in the patient’s treatment. Telemedicine state of the art. Digital sound archives which are captured by electronic stethoscopes and transmitted by means of Bluetooth protocol, can undergo frequency and waveform analysis. For example, when an additional tone is heard, graphs can show it’s frequency, duration, time-distance from the 1st to 2nd tone and it’s variation with respiration. This information, which otherwise would need a very experienced cardiologist’s ear, can be recorded with accuracy through us of an electronic stethoscope and subsequently transmitted for remote 161
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Family Medicine

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