ehealth in Geriatric Rehabilitation

Transcription

1 ehealth in Geriatric Rehabilitation possibilities and barriers in developing future rehabilitation programs LUMC (PHEG) Nationaal ehealth Living Lab Leonoor van Dam van Isselt Specialist ouderengeneeskunde Senior onderzoeker

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3 Wat is ehealth? Het gebruik van informatie- en communicatietechnologieën, en met name internettechnologie, om gezondheid en gezondheidszorg te ondersteunen of te verbeteren

4 Waarom ehealth? Voordelen Toegankelijk Tailoring (gepersonaliseerd) Anonimiteit Grootschalig en lage kosten Veel ehealth interventies, maar weinig hoogwaardig onderzoek American Heart Association: Apps generally fail to incorporate evidence-based content and lack rigorous testing for efficacy

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8 Recommendations I Home style & lifestyle Easy to use Clear screens Choice & control Reliable Usability & design Adapt products Demonstrate use Comfortable to wear

9 Recommendations II Perceived need Being challenged Confidence Independence Personal motivations Social benefits Preventing falls Safety Convenience

10 Recommendations III Commercial events Affordable Direct appeal Sound research Demonstrate acceptance Local champions Promoting new technologies Local relevance Positive focus Appeal to curious Existing networks

11 Barriers Patient level: hearing and/or vision impairment, fear for technology, lack of space at home, cognitive impairment Possible solutions Co-create, recommendations FARSEEING

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13 Usability & design Business & implementation Co-creation Patient & HCP

14 Lessons learned: 1. Multidisciplinary approach (triple co-creation) 2. Personalization may seem obvious, but it rarely is 3. After implementation the real embedding starts, ehealth as a second nature 4. Start early on questions like: who is the paying customer. And: what is legally required?

15 Barriers Patient level: hearing and/or vision impairment, fear for technology, lack of space at home, cognitive impairment Reduced contact Possible solutions Co-create Blended care: ehealth as an addition to personal contact. To what extent can be determined on the basis of patient wishes and possibilities

16 Barriers Patient level: hearing and/or vision impairment, fear for technology, lack of space at home, cognitive impairment Reduced contact Finance/costs Possible solutions Co-create Blended care: ehealth as an addition to personal contact. To what extent can be determined on the basis of patient wishes and possibilities Involve health insurers and the government in the initial stages in ehealth projects and make agreements about multi-year financing if there is added value

17 Barriers Patient level: hearing and/or vision impairment, fear for technology, lack of space at home, cognitive impairment Reduced contact Finance/costs Possible solutions Co-create Blended care: ehealth as an addition to personal contact. To what extent can be determined on the basis of patient wishes and possibilities Involve health insurers and the government in the initial stages in ehealth projects and make agreements about multi-year financing if there is added value Effectiveness Scientific research

18 Action research method

19 Barriers Patient level: hearing and/or vision impairment, fear for technology, lack of space at home, cognitive impairment Reduced contact Finance/costs Possible solutions Co-create Blended care: ehealth as an addition to personal contact. To what extent can be determined on the basis of patient wishes and possibilities Involve health insurers and the government in the initial stages in ehealth projects and make agreements about multi-year financing if there is added value Effectiveness Implementation Scientific research Online platform/library Expertise centrum

20 Online platform

21 Conclusions Literature on effectiveness of ehealth in older adults is promising. The potential benefits (and need) of integrating ehealth in to GR are increasingly being recognized. No evidence on feasibility and effectiveness ; research is needed (implementation and effectiveness) Focus on: self-management, specific interventions and early discharge or home-based rehabilitation Co-create, blended care, structural finance, evidence based Develop online platform to facilitate implementation in daily practice and research