intr@med for telemedicine services

8/13/2019 Intr@MED for Telemedicine Services

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Medicine challenges Increase of elderly people

Cronical diseases

Cardiovascular diseases

Cancer

Neuropathologies

Infectious diseases

Genetic causes of diseases Diseases prevention (epidemiology)

Rehabilitation

Home care assistance

Citizens/patients ask for more information

Intr@MED: an ICT platform for Tele-Medicinebetween Mediterranean Countries

(Prof. Francesco Sicurello, IITM)


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Needs of health assistance and

biomedical research

Circulation of knowledge, information and datawith the aim of achieving productivitymanagement control and of maintaining highstandards of healthcare;

Population ageing with leads to demand forcontinuous treatment and care improvingquality;

Globalization of health, seems as market anddemands of ever more qualified healthservices.


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Economic aspects in

healthcare:Industrialized Countries

Health care expenditures: ~ 10% GDP

USA 12% Japan 7%

Australia 8,5%

European Union 8% Italy 6%

Strong GAP with Developing Countries


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Change of Paradigm

Cost containment Changing demographies

Peripheralization of Health care delivery

Changing disease patterns

Impact of ICT in supporting clinical decisions More informed and expectant patients

Well-being factor (wellness paradigm )

Moving information and knowledge

Creation of health network


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Challenges of healthcare providers

(public and/or private)

To improve quality and treatment and care of patient and

of life of the citizens.

To reduce costs (expenditure control).

To use advanced diagnostic and therapeuticaltechnologies (CT,MRI, etc.) for a large number of

patients/citizens.

ICT and Telemedicine can contribute to win this

challenges: Improving level of health maintainance.

Reducing costs.


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ICT Market in Health Sector

Rapidly increasing

Percentage of ICT growth (y. 2009) of healthbudget:

USA 10% Japan 12%

Canada 14%

Australia 15%

European Union 7% Italy 5,5%

Digital Divide betwen developed and developing countries


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e-Health 3rdindustrial pillar

for health

Pharmaceutical (7% of HC expenditures)

XIXthcentury

Medical imaging (3%)

XXthcentury

e-Health (5%)XXIthcentury


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Telemedicine is the delivery of health-careservices, where distance is a critical factor, byhealth-care professionals using information andcommunication technologies for the exchange of

valid information far diagnosis, treatment andprevention of disease and injuries, and for thecontinuing education of health-care providers aswell as research and evaluation, all in theinterests of advancing the health of individualsand their communities. (WHO, Geneve 1997)

Telemedicine


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Telemedicine Applications

TeleCardiology

TeleRadiology

TelePathology

TeleOphthalmology

TeleHomeCare


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TeleCardiology


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TeleRadiology


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TelePathology
http://localhost/var/www/apps/conversion/tmp/scratch_2/Desktop/PULIZIA/DSCN2939.MOV


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Teleophthalmology


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TeleHomeCare


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Cooperation in e-Health and

Telemedicine Developingof health network;

Interconnecting servicesand actors ofhealthcare system between Italy anddeveloping countries.

Spreadinginformation to several structures,local care units, hospitals, GPs etc.


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Aims of cooperation:

Multi-country trainingin public health; Creationof specialized regional databases;

Organizationof epidemiological surveillancegroups;

Implementationof computerized solutionsfor telediagnosis;

Coordinationof policies in the treatment ofmajor diseases.


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Actors of cooperation:

Research Institutes and hospitals;

Health care administration;

Individual doctors/researchers in biomedicine.


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Projects

In the frame of Scientific/Technological

Cooperation

Mediterranean Network in Medicine

(Egypt, Libya, Siria, ecc. ) Intr@med.

InterHospitaland Health cooperating

Network for Telemedicine between

some Eastern Europe Countries.


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Interhospital Teleconsulting System, in the

frame of the Scientific and Technological

Cooperation Protocol between Italy and

RomaniaHospitals involved:County Hospital of Timisoara

General Hospital of Firenze

Hospital of Brescia/Desio

TELECardiology

TELERadiology TELEPathology

SPECIALITIES

Common data set and DB and liver DISEASES

(hepatopathies) and HIV Diseases


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NetworkROMANIA

HOSPITALS

ITALIAN

HOSPITALs

ROMANIA

UNIVERSITY

SERVICE

MANAGER

ITALIAN

UNIVERSITY

SERVICE

MANAGER

SERVER

FARM DATA

REPOSITOR

Y


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Hospital/Health Network Model to

extend to Balkan Area by


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The Balkan Area

Split

INTR@MED


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Integration among services already available to the

local communities or extended to a widergeographical area.

accessing to clinical information and processing inthe health services for clinical activity to users(doctor, radiologists, etc.) and the clinical activity of

teleconsulting and telediagnosis. offering the opportunity to integrate and coordinate

methods of care and diagnostic/therapeuticalprotocols.

INTR@MEDMediterranean Medical Intranet based

on Web Portal to access clinical

database and forteleconsulting/telediagnosis.


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TELEMEDICINE PROJECT

BETWEEN ITALY AND EGYPT

Intramed Portal can provide integration among servicesaready available to the local communities or extended toa wider geographical area.

It can favorite the access to clinical information andprocessing in the health services for clinical activity tousers (doctors, radiologists, etc.) and the clinical activityof teleconsulting and telediagnosis.

It can also offer the opportunity to integrate and co-ordinate

methods of care and diagnostic/therapeutical protocols).2nd opinion.


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Telemedicine Project:

Italy (Palermo)Egypt (Cairo)


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Telepathology

Telepathology platform

is constituted by:

microscope,telecamera,

PC, communicationnetwork, architecture

client/server, relational

DBMS, SW Firewall,

SW of compression of

the images (i.e. Jpeg).


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Towards a network for

Telemedicine in AfricaItalian Hospital Umberto I in Cairo will be a

node of a health network linking

Some hospitals in Egypt and in MiddleEast Countries (Sharm El Sheikh, Luxor,

Assuan, etc.)

About 20 Italian hospitals and clinicalcentres located in several African

countries;


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Italy and Africa Cooperation in

Telemedicine and e-Health

Countries:

Egypt

Uganda

Libya

Cameron

Republic of Cte d'Ivoire

Burkina Faso

Madagascar

Senegal

Congo

Djibouti Tanzania

Tunisia

Nigeria

Ruanda


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Experience in Telephatology

between Italy and some

African countries


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Multidisciplinary Approach in Cancer

Epidemiology, Research and Treatment for Africa


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Multidisciplinary Approach in Cancer

Epidemiology, Research andTreatment for Africa


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PORTALTelePathology Section: patients clinical data and pictures slides


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INTR@MEDand Mediterranean

Basin
http://upload.wikimedia.org/wikipedia/commons/2/2c/Mediterranean_Relief.jpg


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Euro-Mediterranean Basin

Countries ~30.

Area: more then 2,000,000 km.

Inhabitants ~ 500.000.000.

Towards EMU (Euro Mediterranean Union):

free exchange of people and goods

Cooperation between Governments

Cooperation between Health Structures and Operators (hospitals,out patients clinics, Physicians, researcher, Professionals ecc. )

intr@med for telemedicine services

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