A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy
Identifieur interne : 000736 ( Ncbi/Merge ); précédent : 000735; suivant : 000737A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy
Auteurs : Stavroula G. Mougiakakou [Grèce, Suisse] ; Efthyvoulos Kyriacou [Chypre (pays)] ; Kostas Perakis [Grèce] ; Homer Papadopoulos [Grèce] ; Aggelos Androulidakis [Grèce] ; Georgios Konnis [Grèce] ; Riccardo Tranfaglia [Italie] ; Leandro Pecchia [Italie] ; Umberto Bracale [Italie] ; Constantinos Pattichis [Chypre (pays)] ; Dimitrios Koutsouris [Grèce]Source :
- BioMedical Engineering OnLine [ 1475-925X ] ; 2011.
Abstract
Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED.
The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens.
These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics.
The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry.
The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services.
Url:
DOI: 10.1186/1475-925X-10-49
PubMed: 21649924
PubMed Central: 3127994
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Mougiakakou</name><affiliation wicri:level="3"><nlm:aff id="I1">Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Communication and Computer Systems, National Technical University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="I5">ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>ARTORG Center for Biomedical Engineering Research, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I6">Division of Endocrinology, Diabetes and Clinical Nutrition, University Hospital - Inselspital - University of Bern, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Endocrinology, Diabetes and Clinical Nutrition, University Hospital - Inselspital - University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Kyriacou, Efthyvoulos" sort="Kyriacou, Efthyvoulos" uniqKey="Kyriacou E" first="Efthyvoulos" last="Kyriacou">Efthyvoulos Kyriacou</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Computer Science, University of Cyprus, Cyprus</nlm:aff><country xml:lang="fr">Chypre (pays)</country><wicri:regionArea>Department of Computer Science, University of Cyprus</wicri:regionArea><wicri:noRegion>University of Cyprus</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I7">Department of Computer Science and Engineering, Frederick University, Lemesos, Cyprus</nlm:aff><country xml:lang="fr">Chypre (pays)</country><wicri:regionArea>Department of Computer Science and Engineering, Frederick University, Lemesos</wicri:regionArea><wicri:noRegion>Lemesos</wicri:noRegion></affiliation></author><author><name sortKey="Perakis, Kostas" sort="Perakis, Kostas" uniqKey="Perakis K" first="Kostas" last="Perakis">Kostas Perakis</name><affiliation wicri:level="3"><nlm:aff id="I1">Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Communication and Computer Systems, National Technical University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Papadopoulos, Homer" sort="Papadopoulos, Homer" uniqKey="Papadopoulos H" first="Homer" last="Papadopoulos">Homer Papadopoulos</name><affiliation wicri:level="3"><nlm:aff id="I3">National Center for Scientific Research "Demokritos", Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>National Center for Scientific Research "Demokritos", Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Androulidakis, Aggelos" sort="Androulidakis, Aggelos" uniqKey="Androulidakis A" first="Aggelos" last="Androulidakis">Aggelos Androulidakis</name><affiliation wicri:level="3"><nlm:aff id="I1">Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Communication and Computer Systems, National Technical University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Konnis, Georgios" sort="Konnis, Georgios" uniqKey="Konnis G" first="Georgios" last="Konnis">Georgios Konnis</name><affiliation wicri:level="3"><nlm:aff id="I1">Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Communication and Computer Systems, National Technical University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tranfaglia, Riccardo" sort="Tranfaglia, Riccardo" uniqKey="Tranfaglia R" first="Riccardo" last="Tranfaglia">Riccardo Tranfaglia</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Pecchia, Leandro" sort="Pecchia, Leandro" uniqKey="Pecchia L" first="Leandro" last="Pecchia">Leandro Pecchia</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Bracale, Umberto" sort="Bracale, Umberto" uniqKey="Bracale U" first="Umberto" last="Bracale">Umberto Bracale</name><affiliation wicri:level="1"><nlm:aff id="I8">Department of General, Vascular and Thoracic Surgery, University of Naples Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of General, Vascular and Thoracic Surgery, University of Naples Federico II, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Pattichis, Constantinos" sort="Pattichis, Constantinos" uniqKey="Pattichis C" first="Constantinos" last="Pattichis">Constantinos Pattichis</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Computer Science, University of Cyprus, Cyprus</nlm:aff><country xml:lang="fr">Chypre (pays)</country><wicri:regionArea>Department of Computer Science, University of Cyprus</wicri:regionArea><wicri:noRegion>University of Cyprus</wicri:noRegion></affiliation></author><author><name sortKey="Koutsouris, Dimitrios" sort="Koutsouris, Dimitrios" uniqKey="Koutsouris D" first="Dimitrios" last="Koutsouris">Dimitrios Koutsouris</name><affiliation wicri:level="3"><nlm:aff id="I1">Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Communication and Computer Systems, National Technical University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author></analytic><series><title level="j">BioMedical Engineering OnLine</title><idno type="eISSN">1475-925X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED.</p></sec><sec><title>Methods</title><p>The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens.</p><p>These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics.</p></sec><sec><title>Results</title><p>The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry.</p></sec><sec><title>Conclusions</title><p>The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Pattichis, Cs" uniqKey="Pattichis C">CS Pattichis</name></author><author><name sortKey="Kyriacou, E" uniqKey="Kyriacou E">E Kyriacou</name></author><author><name sortKey="Voskarides, S" uniqKey="Voskarides S">S Voskarides</name></author><author><name sortKey="Pattichis, Ms" uniqKey="Pattichis M">MS Pattichis</name></author><author><name sortKey="Istepanian, R" uniqKey="Istepanian R">R Istepanian</name></author><author><name sortKey="Schizas, Cn" uniqKey="Schizas C">CN Schizas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Surana, S" uniqKey="Surana S">S 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Biomed Eng Online</journal-id><journal-title-group><journal-title>BioMedical Engineering OnLine</journal-title></journal-title-group><issn pub-type="epub">1475-925X</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21649924</article-id><article-id pub-id-type="pmc">3127994</article-id><article-id pub-id-type="publisher-id">1475-925X-10-49</article-id><article-id pub-id-type="doi">10.1186/1475-925X-10-49</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Mougiakakou</surname><given-names>Stavroula G</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I5">5</xref><xref ref-type="aff" rid="I6">6</xref><email>stavroula.mougiakakou@artorg.unibe.ch</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Kyriacou</surname><given-names>Efthyvoulos</given-names></name><xref ref-type="aff" rid="I2">2</xref><xref ref-type="aff" rid="I7">7</xref><email>e.kyriacou@frederick.ac.cy</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Perakis</surname><given-names>Kostas</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>kperakis@biomed.ntua.gr</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Papadopoulos</surname><given-names>Homer</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>homerpap@dat.demokritos.gr</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Androulidakis</surname><given-names>Aggelos</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>androu@biomed.ntua.gr</email></contrib><contrib contrib-type="author" id="A6"><name><surname>Konnis</surname><given-names>Georgios</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>konnis@biomed.ntua.gr</email></contrib><contrib contrib-type="author" id="A7"><name><surname>Tranfaglia</surname><given-names>Riccardo</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>riccardo.tranfaglia@unina.it</email></contrib><contrib contrib-type="author" id="A8"><name><surname>Pecchia</surname><given-names>Leandro</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>leandro.pecchia@unina.it</email></contrib><contrib contrib-type="author" id="A9"><name><surname>Bracale</surname><given-names>Umberto</given-names></name><xref ref-type="aff" rid="I8">8</xref><email>reumbe@tin.it</email></contrib><contrib contrib-type="author" id="A10"><name><surname>Pattichis</surname><given-names>Constantinos</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>pattichi@cs.ucy.ac.cy</email></contrib><contrib contrib-type="author" id="A11"><name><surname>Koutsouris</surname><given-names>Dimitrios</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>dkoutsou@biomed.ntua.gr</email></contrib></contrib-group><aff id="I1"><label>1</label>Institute of Communication and Computer Systems, National Technical University of Athens, Athens, Greece</aff><aff id="I2"><label>2</label>Department of Computer Science, University of Cyprus, Cyprus</aff><aff id="I3"><label>3</label>National Center for Scientific Research "Demokritos", Athens, Greece</aff><aff id="I4"><label>4</label>Department of Biomedical, Electronic and Telecommunication Engineering, University of Naples Federico II, Naples, Italy</aff><aff id="I5"><label>5</label>ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland</aff><aff id="I6"><label>6</label>Division of Endocrinology, Diabetes and Clinical Nutrition, University Hospital - Inselspital - University of Bern, Bern, Switzerland</aff><aff id="I7"><label>7</label>Department of Computer Science and Engineering, Frederick University, Lemesos, Cyprus</aff><aff id="I8"><label>8</label>Department of General, Vascular and Thoracic Surgery, University of Naples Federico II, Naples, Italy</aff><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>7</day><month>6</month><year>2011</year></pub-date><volume>10</volume><fpage>49</fpage><lpage>49</lpage><history><date date-type="received"><day>10</day><month>8</month><year>2010</year></date><date date-type="accepted"><day>7</day><month>6</month><year>2011</year></date></history><permissions><copyright-statement>Copyright ©2011 Mougiakakou et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder>Mougiakakou et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedical-engineering-online.com/content/10/1/49"></self-uri><abstract><sec><title>Background</title><p>Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED.</p></sec><sec><title>Methods</title><p>The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens.</p><p>These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics.</p></sec><sec><title>Results</title><p>The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry.</p></sec><sec><title>Conclusions</title><p>The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Chypre (pays)</li><li>Grèce</li><li>Italie</li><li>Suisse</li></country><region><li>Attique (région)</li><li>Canton de Berne</li></region><settlement><li>Athènes</li><li>Berne</li></settlement><orgName><li>Université de Berne</li></orgName></list><tree><country name="Grèce"><region name="Attique (région)"><name sortKey="Mougiakakou, Stavroula G" sort="Mougiakakou, Stavroula G" uniqKey="Mougiakakou S" first="Stavroula G" last="Mougiakakou">Stavroula G. Mougiakakou</name></region><name sortKey="Androulidakis, Aggelos" sort="Androulidakis, Aggelos" uniqKey="Androulidakis A" first="Aggelos" last="Androulidakis">Aggelos Androulidakis</name><name sortKey="Konnis, Georgios" sort="Konnis, Georgios" uniqKey="Konnis G" first="Georgios" last="Konnis">Georgios Konnis</name><name sortKey="Koutsouris, Dimitrios" sort="Koutsouris, Dimitrios" uniqKey="Koutsouris D" first="Dimitrios" last="Koutsouris">Dimitrios Koutsouris</name><name sortKey="Papadopoulos, Homer" sort="Papadopoulos, Homer" uniqKey="Papadopoulos H" first="Homer" last="Papadopoulos">Homer Papadopoulos</name><name sortKey="Perakis, Kostas" sort="Perakis, Kostas" uniqKey="Perakis K" first="Kostas" last="Perakis">Kostas Perakis</name></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Mougiakakou, Stavroula G" sort="Mougiakakou, Stavroula G" uniqKey="Mougiakakou S" first="Stavroula G" last="Mougiakakou">Stavroula G. Mougiakakou</name></region><name sortKey="Mougiakakou, Stavroula G" sort="Mougiakakou, Stavroula G" uniqKey="Mougiakakou S" first="Stavroula G" last="Mougiakakou">Stavroula G. Mougiakakou</name></country><country name="Chypre (pays)"><noRegion><name sortKey="Kyriacou, Efthyvoulos" sort="Kyriacou, Efthyvoulos" uniqKey="Kyriacou E" first="Efthyvoulos" last="Kyriacou">Efthyvoulos Kyriacou</name></noRegion><name sortKey="Kyriacou, Efthyvoulos" sort="Kyriacou, Efthyvoulos" uniqKey="Kyriacou E" first="Efthyvoulos" last="Kyriacou">Efthyvoulos Kyriacou</name><name sortKey="Pattichis, Constantinos" sort="Pattichis, Constantinos" uniqKey="Pattichis C" first="Constantinos" last="Pattichis">Constantinos Pattichis</name></country><country name="Italie"><noRegion><name sortKey="Tranfaglia, Riccardo" sort="Tranfaglia, Riccardo" uniqKey="Tranfaglia R" first="Riccardo" last="Tranfaglia">Riccardo Tranfaglia</name></noRegion><name sortKey="Bracale, Umberto" sort="Bracale, Umberto" uniqKey="Bracale U" first="Umberto" last="Bracale">Umberto Bracale</name><name sortKey="Pecchia, Leandro" sort="Pecchia, Leandro" uniqKey="Pecchia L" first="Leandro" last="Pecchia">Leandro Pecchia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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