Casa study visit Denmark

23-24 April 2013Odense, Denmark

Delegation: Fabian Dominguez, Frederic Vannieuwenborg(Ghent University, iMinds)

Study Visit 5: The MAST-model, a Model for Assessment of

Telemedicine applications

Why Denmark, why Odense?

Demand side supply side factors- Common societal

challenges- Rural areas

- More central role of primary care - Less hospital beds per 1000 pers.

(3.5 vs.6.4)- Key success elements (IPHS)

• Governance & funding mechanisms• Care re-organisation• Incentives• eHealth deployment

Odense University of Southern Denmark University hospital and center for Health

innovation

Show cases

• a Model for Assessment of Telemedicine applications

• The patient Briefcase• Telemedicine wound assessment• Integrated Care in the Region of Southern

Denmark (off-topic)

MEDICAL OPERATIONAL ECONOMIC QUALITATIVEimpact impact impact impact

Evaluating eCare and eCure Service

-Morbidity-Mortality-…

-Care process- efficiency- Travel time-…

-Amount of bed days-Cost for insurers-…

-Gain in mobility-Gain in social - activities-…

Research Challenge HTA vs. eCare and eCure services

1. MAST

K. Kidholm, A. G. Ekeland, L. K. Jensen, J. Rasmussen, C. D. Pedersen, A. Bowes, S. A. Flottorp, and M. Bech, "A model for assessment of telemedicine applications: mast," International Journal of Technology Assessment in Health Care, vol. 28, pp. 44-51, 2012.

2. Patient briefcase

S. Saleh, J. P. Larsen, J. Bergsåker-Aspøy, and H. Grundt, "Re-admissions to hospital and patient satisfaction among patients with chronic obstructive pulmonary disease after telemedicine video consultation-a retrospective pilot study," Multidisciplinary Respiratory Medicine, vol. 9, p. 6, 2014.

A. D. Sorknæs, H. Madsen, J. Hallas, P. Jest, and M. Hansen Nord, "Nurse tele consultations with discharged COPD patients reduce early readmissions–an ‐ ‐interventional study," The clinical respiratory journal, vol. 5, pp. 26-34, 2011.

Transferability

• Our expectations about day care… (example)

• Day2Care icon proposal to investigate technological and operational possibilities

(kce report 192A)

But for now…

(kce report 192A)

3.Ulcer foot• MAST – evaluation proved

cost-effectiveness• Perfect for the most fragile

patients

• Now, clinical trial of a 3D camera for the dermatologist

Integrated Care platform (off-topic)

Lessons Learned

• Extending HTA studies• COPD monitoring and day care alternatives• Ulcer foot• Frontrunners on ICT integration in Health…

Our digital agenda

but aged results

Thanks

- Questions? -