Remote Rehabilitation: A solution to Overloaded & Scarce Health Care Systems

Karla Munoz Esquivel, Elina Nevala, Antti Alamäki, Joan Condell, Daniel Kelly, RJ Davies, David Heaney, Anna Nordström, Markus Åkerlund Larsson, Daniel Nilsson, John Barton, Salvatore Tedesco

Research output: Contribution to journalReview article

Abstract

The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sENsor Devices fOr rehabilitation and Connected health (SENDoc) project [1] is focused on introducing wearable sensor systems among elderly communities to support their rehabilitation. It is important to understand the context into which change is introduced. Therefore, an overview of the current state of health care systems in the four partner countries is presented, defining the concept of rehabilitation and how remote rehabilitation is currently delivered. Advantages (e.g. enhanced outcomes, less cost and enhanced patient engagement), and disadvantages of remote rehabilitation (e.g. complexity involved in the use of technology, design and safety issues) are discussed. It is concluded that the key advantage of remote rehabilitation is the potential to support change in patient behaviour, empowering active participation and living independently, with less need to travel for face-to-face sessions. Remote rehabilitation can make enhance quality of health care service delivery. However, all relevant stakeholders including medical staff and patients should be included in the design of the technology employed with a focus on simplicity, usability and robustness. Compliance with Security and the new GDPR regulation will be key to supporting remote rehabilitation. In addition, the diversity of available platforms and devices must also be supported to ensure interoperability. Finally, remote rehabilitation needs to be further validated in practice. . Attempts to implement and sustain change should be cognisant of local and current organization of health care and of existing enablers and barriers.
LanguageEnglish
Pages1-19
Number of pages19
JournalTrends in Telemedicine & E-health
Volume1
Issue number1
Publication statusPublished - 27 Aug 2018

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Health care
Patient rehabilitation
Costs
Smart sensors
Interoperability
Aging of materials
Health
Economics

Keywords

  • Elder
  • health care
  • Remote rehabilitation
  • SENDoc
  • Wearable sensor technologies

Cite this

Munoz Esquivel, Karla ; Nevala, Elina ; Alamäki, Antti ; Condell, Joan ; Kelly, Daniel ; Davies, RJ ; Heaney, David ; Nordström, Anna ; Åkerlund Larsson, Markus ; Nilsson, Daniel ; Barton, John ; Tedesco, Salvatore. / Remote Rehabilitation: A solution to Overloaded & Scarce Health Care Systems. 2018 ; Vol. 1, No. 1. pp. 1-19.
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abstract = "The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sENsor Devices fOr rehabilitation and Connected health (SENDoc) project [1] is focused on introducing wearable sensor systems among elderly communities to support their rehabilitation. It is important to understand the context into which change is introduced. Therefore, an overview of the current state of health care systems in the four partner countries is presented, defining the concept of rehabilitation and how remote rehabilitation is currently delivered. Advantages (e.g. enhanced outcomes, less cost and enhanced patient engagement), and disadvantages of remote rehabilitation (e.g. complexity involved in the use of technology, design and safety issues) are discussed. It is concluded that the key advantage of remote rehabilitation is the potential to support change in patient behaviour, empowering active participation and living independently, with less need to travel for face-to-face sessions. Remote rehabilitation can make enhance quality of health care service delivery. However, all relevant stakeholders including medical staff and patients should be included in the design of the technology employed with a focus on simplicity, usability and robustness. Compliance with Security and the new GDPR regulation will be key to supporting remote rehabilitation. In addition, the diversity of available platforms and devices must also be supported to ensure interoperability. Finally, remote rehabilitation needs to be further validated in practice. . Attempts to implement and sustain change should be cognisant of local and current organization of health care and of existing enablers and barriers.",
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Munoz Esquivel, K, Nevala, E, Alamäki, A, Condell, J, Kelly, D, Davies, RJ, Heaney, D, Nordström, A, Åkerlund Larsson, M, Nilsson, D, Barton, J & Tedesco, S 2018, 'Remote Rehabilitation: A solution to Overloaded & Scarce Health Care Systems', vol. 1, no. 1, pp. 1-19.

Remote Rehabilitation: A solution to Overloaded & Scarce Health Care Systems. / Munoz Esquivel, Karla; Nevala, Elina; Alamäki, Antti; Condell, Joan; Kelly, Daniel; Davies, RJ; Heaney, David; Nordström, Anna; Åkerlund Larsson, Markus; Nilsson, Daniel; Barton, John; Tedesco, Salvatore.

Vol. 1, No. 1, 27.08.2018, p. 1-19.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Remote Rehabilitation: A solution to Overloaded & Scarce Health Care Systems

AU - Munoz Esquivel, Karla

AU - Nevala, Elina

AU - Alamäki, Antti

AU - Condell, Joan

AU - Kelly, Daniel

AU - Davies, RJ

AU - Heaney, David

AU - Nordström, Anna

AU - Åkerlund Larsson, Markus

AU - Nilsson, Daniel

AU - Barton, John

AU - Tedesco, Salvatore

PY - 2018/8/27

Y1 - 2018/8/27

N2 - The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sENsor Devices fOr rehabilitation and Connected health (SENDoc) project [1] is focused on introducing wearable sensor systems among elderly communities to support their rehabilitation. It is important to understand the context into which change is introduced. Therefore, an overview of the current state of health care systems in the four partner countries is presented, defining the concept of rehabilitation and how remote rehabilitation is currently delivered. Advantages (e.g. enhanced outcomes, less cost and enhanced patient engagement), and disadvantages of remote rehabilitation (e.g. complexity involved in the use of technology, design and safety issues) are discussed. It is concluded that the key advantage of remote rehabilitation is the potential to support change in patient behaviour, empowering active participation and living independently, with less need to travel for face-to-face sessions. Remote rehabilitation can make enhance quality of health care service delivery. However, all relevant stakeholders including medical staff and patients should be included in the design of the technology employed with a focus on simplicity, usability and robustness. Compliance with Security and the new GDPR regulation will be key to supporting remote rehabilitation. In addition, the diversity of available platforms and devices must also be supported to ensure interoperability. Finally, remote rehabilitation needs to be further validated in practice. . Attempts to implement and sustain change should be cognisant of local and current organization of health care and of existing enablers and barriers.

AB - The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sENsor Devices fOr rehabilitation and Connected health (SENDoc) project [1] is focused on introducing wearable sensor systems among elderly communities to support their rehabilitation. It is important to understand the context into which change is introduced. Therefore, an overview of the current state of health care systems in the four partner countries is presented, defining the concept of rehabilitation and how remote rehabilitation is currently delivered. Advantages (e.g. enhanced outcomes, less cost and enhanced patient engagement), and disadvantages of remote rehabilitation (e.g. complexity involved in the use of technology, design and safety issues) are discussed. It is concluded that the key advantage of remote rehabilitation is the potential to support change in patient behaviour, empowering active participation and living independently, with less need to travel for face-to-face sessions. Remote rehabilitation can make enhance quality of health care service delivery. However, all relevant stakeholders including medical staff and patients should be included in the design of the technology employed with a focus on simplicity, usability and robustness. Compliance with Security and the new GDPR regulation will be key to supporting remote rehabilitation. In addition, the diversity of available platforms and devices must also be supported to ensure interoperability. Finally, remote rehabilitation needs to be further validated in practice. . Attempts to implement and sustain change should be cognisant of local and current organization of health care and of existing enablers and barriers.

KW - Elder

KW - health care

KW - Remote rehabilitation

KW - SENDoc

KW - Wearable sensor technologies

M3 - Review article

VL - 1

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IS - 1

ER -