Collaborative Care Team in Open Source,
Issues and Approaches
Draft Version, 22 Aug 2016, Etienne Saliez /
Introduction:
In the scope of the ISfTeH, what
are the specific issues of telemedicine, out of the large domain of
medical informatics?
A review of issues and considered approaches, with the following
questions:
How far are the issues well identified ? Which issues are still
missing ?
Assuming agreements on an issues, which approaches should be
considered ?
Issues:
Main issues:
The trend is that many specialised actors become necessary for
the care of the same patient and the needed expertise is not
available everywhere. Since 50 years many excellent specialities
have been developed, but the coordination has been relatively
neglected.
Telecommunications could help more, but are still underused.
Too many custom softwares and poor interoperability. Up to now
most softwares did focus on only one target group of users at a
time, one professional specialisation, or one disease, or one
context.
Good healthcare is not yet enough available nor affordable in
developing regions. A critical concern in the scope of the ISFTeH,
the members coming from more than 50 countries, including many
developing regions.
A more detailed analysis of the issues is presented in the next
chapters of this overview of issues.
Improved care by means of better support of collaborations
between the professional actors in charge of the care of a patient,
by means of telemedicine and sharing know-how in the scope of the
ISfTeH, International Society of Telemedcine, http://www.isfteh.org/ and http://www.isfteh.org/working_groups/category/collaborative_care_team_in_open_source.
The essential concept of telemedicine is seen as 2 or more
healthcare partners having to collaborate, even when there are not
at the same continent.
The project focus on a "patient-centric multidisciplinary
record". A record belonging to the patient in which the involved
care providers can share information.
Sustainability by means of education, seen here as contextual
training.
A kind of health coordination platform, beginning by the most common
features for the care process, as it may be necessary for any kind of
diseases, for any kind of healthcare professionals, in any kind of
context. This common platform is intended to integrate additional
specialised software modules.
To share know-how, including full documentation in Open Source.
Medical work methodology can benefit of new technologies.
Experimental prototypes in order to:
Stimulate constructive discussions with the intended users, in
front of visual examples.
Check the feasibility of the considered up to date
technologies.
