Telemedicine supports patients on warfarin

“A clinical study has shown that telemedicine can be used to effectively support patients in the self-management of oral anticoagulation therapy. The study of 1,300 patients showed that one year of telemonitoring led to good results and increased patient self-confidence.”
Article
e-Health Europe, 15 September 2008

Telemedicine Training & Treatment Centre “A European Rollout of a Medical Best Practice”

Evert Jan Hoijtink*, Ingolf Rascher**
*General Manager Portavita BV
**Director Gesundheitswirtschaft und Krankenhausmanagement, IMO (Institut zur Modernisierung von Wirtschafts- und Beschäftigungsstrukturen)

Abstract:

The project aims at rolling out an already proven eHealth best practice of one of the European countries towards the other European countries. The best practice in this case is the Dutch anti-coagulation approach on treating patients with a high risk of developing coagulation (prevalence of 2%), through specialized “Telemedicine Training/Treatment Centers for Anticoagulation” (TTCA). Specifically the disease management performed by the Dutch anti-coagulation treatment centers results in lower number of complications with patients and a higher customer / patient satisfaction. This is worldwide acknowledged. The TTCA approach has proven itself over the past years to be successful in both medical outcome and patient satisfaction and therefore is ready to be offered to a wider (European) group of patients and medical treatment centers. To prepare this European rollout, all possible medical, organizational, legal and economic issues are investigated in a pragmatic way and measures or action are taken during implementation itself. This project organizes a group of professional organizations in both Germany and The Netherlands. These professionals represent all needed know-how to perform such a new implementation and gather all implementation issues that occur. The investigation is performed in a practical way instead of a theoretical approach. Therefore the project is actually rolled out through a real life pilot with both medical personnel and patients in Germany to gather the real issues by doing. The pilot will be supported by a clinical trial to gather medical and quality of life information.

Thrombosis Digital Logbook

Hein Willem de Bruijn
Portavita, (+) 31 20 531 5605, info@portavita.nl

Portavita Mission

Enable chronically ill patients to take more responsibility for their own healthcare management, through the implementation of full service home monitoring concepts, offering training, communication, monitoring and medical support.

The Digital Logbook

Critical in supporting the patient is the need to “bridge the gap between the self monitoring patient and the (distant) doctor”.
Portavita has therefore developed a web-based application through which the patient can submit his monitoring results, dosing schemes and additional questions.

The monitoring results and dosing scheme are automatically benchmarked against the patient individual parameters, as set by his physician.
The patient data is either directly stored in the Logbook (electronic patient record), or if needed presented on the work list of the relevant care professional.

Portavita Anticoagulation Service

Portavita has successfully implemented this service for self-management of oral anticoagulation therapy. Fifteen medical institutes and several thousands of patients are currently using the Portavita service. The patients log-on to the Digital Logbook every ten days to submit their data and are being monitored by their physicians.
This while the need to physically meet or talk over the phone has practically evaporated. This has doubled the capacity of the available care professional at lesser cost, while significantly increasing the perceived quality of life of the patient.

For an demo-version of the Digital Logbook, you can surf to www.digitaallogboek.nl, and log in with the following account:
Gebruikersnaam (name): demo
Wachtwoord (password): welkom