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2 Journal of Telecommunications and Information Technology

2 2005

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Tools for health professionals within the German health telematics platform

Blobel B., Pharow P.

Journal of Telecommunications and Information Technology

2005

nr 4

114-120

Shared care concepts such as managed care and continuity of care are based on extended communication and co-operation between different health professionals or between them and the patient respectively. Health information systems and their components, which are very different in their structure, behaviour, data and their semantics as well as regarding implementation details used in different environments for different purposes, have to provide intelligent interoperability. Therefore, flexibility, portability, knowledge-based interoperability and future-orientation must be guaranteed using the newest development of model driven architecture. The ongoing work for the German health telematics platform based on an architectural framework and a security infrastructure is described in some detail. This concept of future-proof health information networks with virtual electronic health records as core application starts with multifunctional electronic health cards. It fits into developments currently performed by many other developed countries. The paper introduces into the German health telematics platform and its tools based on smart card.

A web-based system for personalized patient education and compliance monitoring

Pavlopoulos S., Prentza A., Koutsouris D.

Journal of Telecommunications and Information Technology

2005

nr 4

42-48

The economic importance of therapy compliance has grown steadily in recent years, not only because of the efficacy of newer therapeutic methods but also because of the increased costs of treating the consequences of poor compliance. Improved compliance can lead to significant savings by preserving or restoring a patient's health, improving quality of life, by reducing the number of medical services required when therapy fails or appears ineffective, and by helping limit the rise in national health care costs. Within the framework of the TEN-Telecom European Commission Programme, C-Monitor project developed an integrated health telematics platform to enhance chronic patient compliance to therapy and interactive communication with their attending physicians. The overall aim of the project was to study the potential benefits, both in clinical and financial aspects, of such innovative systems and services along cost-efficiency of care provision. The platform developed has been validated in controlled small-scale trials in a number of European countries. The Greek pilot involved installation of the system in a private hospital in Athens and the validation scenario dealt with morbid obesity patients that have undergone surgical operation. A number of 30 patients were recruited for the trial. Results of the trial indicated the technological robustness of the proposed system and the potential clinical and economic benefits of running such services. Further trials are required to better address cost-efficiency issues with respects to the service goals.