More than 1,000 people suffering from respiratory and cardiac living in areas of competence of ASL Roma B, Roma D, Rome H, Viterbo and Rieti in September, and for the next 36 months, will be assisted directly by home thanks to telemedicine, without being obliged to go to the health facilities.
But it is only the beginning. If the pilot project launched by the Government Marrazzo at the last meeting of the Board, upon proposal of the Health Augusto Battaglia, will give the results hoped the new arrangements for telecare can also be extended to many other patients. Diseases considered for this experiment in fact, chronic obstructive pulmonary disease (COPD) and chronic heart failure, are widespread in the Lazio region and generate high costs of treatment.
The project aims to improve the quality of life of patients undergoing mechanical ventilation and oxygen therapy and to test a model of care to the patient's home. A model of care that will reduce the use of hospital outpatient care and those whose costs are particularly heavy for the treatment of these diseases, just think that - with regard to COPD - three quarters of the costs incurred by the company for a patient are represented by repeated hospitalizations.
For this experiment will be activated a central remote support and coordination will be entrusted Ares 118.
complex and sophisticated equipment will be used - web-cam, view-cam or video phone, associated with detection of vital parameters varied depending on the underlying disease - that will constantly monitor the vital signs of patients, the data on their condition will be transmitted to a medical team consisting of two cardiologists, two pulmonologists and nurses who can identify any anomalies in time or worse state of health of patients and act accordingly.
Patients will be monitored from Monday to Friday from 9 to 20, and Saturday from 9 to 14. At night and on holidays will be delegated the management of patients to doctors who provide continuity of care.
In Lazio, in 2005, were discharged from regional hospitals for respiratory diseases 47,730 citizens, 14,400 of them for 7268 for chronic obstructive pulmonary disease and respiratory failure.
"This project is a brave attempt - said President Piero Marrazzo - and one of the first experiences in Italy specialized home care management through the use of remote monitoring, particularly for patients with COPD. It's very important occasion - he concluded - to begin to use telemedicine to improve the quality of life of patients, particularly those residing in the provinces less well equipped, and simultaneously to contain and rationalize health care spending. "
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