Page 113 - Petelin, Ana, Nejc Šarabon, eds. 2018. Zdravje starostnikov ▪︎ Health of the Elderly. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 113
to make home telemedicine services available to patients starostnikom prilagojene ikt rešitve in storitve | ict solutions and services tailored for the elderly
with chronic conditions to support their self-management at
home?
Drago Rudel1, Cirila Slemenik-Pušnik2, Metka Epšek-Lenart2, Stanislav Pušnik3,
Janez Lavre2
1 MKS Elektronski sistemi d.o.o., Rožna Dolina, cesta XVII 22b, 1000 Ljubljana,
Slovenia
2 Splošna bolnišnica Slovenj Gradec, Gosposvetska cesta 1, 2380 Slovenj Gradec,
Slovenia
3 Zdravstveni dom ravne na Koroškem, Ob Suhi 11, 2390 Ravne na Koroškem,
Slovenia
Introduction: With increased demands in long-term care, home telemedicine
(TM) services are becoming an important part of modern healthcare systems.
Researchers have already proven that these services have enormous poten-
tials in maintaining/improving health conditions of patients with chronic diseas-
es. The goal of the study was to assess the clinical effectiveness of TM servic-
es on a group of patients.
Methods: The assessment was perfomed in General hospital Slovenj Gradec,
Slovenia, where 550 patients with heart failure and diabetes used the TM ser-
vices since 2014. The services were set-up and evaluated within the UNITED-
4HEALTH EU project.
Results: Results showed that the use of TM services can significantly reduce the
number and duration of hospitalisations. Both patients and doctors accepted
these services (level of satisfaction 4.3/5).
Discussion and conclusions: Despite the demonstrated positive effects, Slove-
nia is missing the opportunity to provide TM services to these patients. Instead
of supporting the implementation of these services, the financial resources
are invested in re-innovation. TM services are currently available also to oth-
er health care institutions in Slovenia. No health institution decided to imple-
ment these services, despite the fact that extensive promotion was performed
with healthcare professionals. The reason for non-acceptance are mainly in the
Slovenian health and inssurance systems and the non-supportive attitude to-
wards inovations.
Keywords: telemedicine service, home telemedicine, long-term conditions,
heart failure, diabetes type 2

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