e-health Uma Abordagem para a Promoção da Saúde Jornadas da Escola Superior de Saúde Jean Piaget - Viseu

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1 Jornadas da Escola Superior de Saúde Jean Piaget - Viseu Desafios em Fisioterapia Programas de Intervenção na Comunidade e-health Uma Abordagem para a Promoção da Saúde Daniela Baltazar Catarina Silva Anabela Correia Martins

2 Health 2 Intrinsic factors - Biological Empowerment - Psychological - Affective - Behavioral Extrinsic factors - Physical and relational environment Resource for life (Chatterji et al., 2002; WHO, 2001)

3 e-health 3 Is the use of information and communication technologies (ICT) for health. (WHO, 2013)

4 Empowerment key principle for health promotion Quality Credibility Trust 4 Internet: an interactive medium for information and communication Health on the Internet Accessibility Anonymity Support (Korp, 2006)

5 Mobile-cellular subscriptions and Internet users 5 Portugal Mobile-cellular subscriptions % Internet users 64 % (WHO, 2016) Finland Mobile-cellular subscriptions % Internet users 91 % (WHO, 2016)

6 Developing World 6-50% of people own a mobile phone - 70% have access to mobile phones new mobile broadband connections are made every minute (WHO, 2016)

7 7 ICF Networking (WCPT) Functioning and Disability Reference Group (FDRG - WHO)

8 Project 8 I can Function (micf) Patient-driven Transprofession al consortium Patient - empowering To develop a mobile Holistic solution based on the Facilitating ICF shared decision- service Healthmaking platform to conceptualise health and wellbeing as a dynamic interaction Continuity of between a person s health condition, care across functioning and contextual factors various service setting

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10 E-health Mobile technologies Gamification of health Electronic patient record Remote healthcare and diagnostics Telemedicine/Telerehabilitation Videoconference Electronic prescription service Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities Health Service Delivery Cloud Electronic health records Health Professional

11 Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities (Parker, 2013) People with chronic and complex conditions; Older Australians; Aboriginal and Torres Strait Islander peoples; Mothers and newborns; People with mental health conditions; People in regional, rural and remote communities.

12 E-health Mobile technologies Gamification of health Electronic patient record Remote healthcare and diagnostics Telemedicine/Telerehabilitation Videoconference Electronic prescription service Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities Physiotherapy

13 Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities Physiotherapy Communication internet (ADSL) wireless or satellite communication

14 Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities Physiotherapy Communication Daily

15 Organizations Primary Care Centers Hospitals Physiotherapy clinics Nursing homes Senior universities Municipalities Physiotherapy Communication Videoconferencing CODECs (550 MXP, Tandberg) with remote-controlled cameras, 50 cm LCD screens and associated software for user-friendly control.

16 E-health Mobile technologies Gamification of health Electronic patient record Remote healthcare and diagnostics Telemedicine/Telerehabilitation Videoconference Electronic prescription service Rastreio de risco de queda Centros de saúde Hospitais Clínicas de Fisioterapia Lares/Centros de dia Universidades Sénior Municípios Feedback visual Avaliação Plataforma de pressões Sensores inerciais Web Portal Visualization of results Health record Personalization of exercise plans Intervenção Plano de exercícios individual e personalizado

17 20 Is a new technological solution to enable screening and monitoring of the risk of falling and the implementation of falls prevention programmes in the elderly population. The main objective of this project is to explore the smartphone capabilities for an effective improvement and modification of fall risk factors. (Sousa, 2016) Contacto: Anabela Correia Martins (ESTeSC Coimbra Health School)

18 18 Better ehealth = Better Health

19 19 Obrigada pela atenção!

20 20 References: - Chatterji, S., Ustun, B., Sadana, R., Salomon, J., Mathers, C. & Murray, C. (2002). The conceptual basis for measuring and reporting on health. Global Programme on Evidence for Health Policy Discussion Paper N. 45. Geneve: World Health Organization. - Deng, H., Durfee, W. K., Nuckley, D. J., Rheude, B. S., Severson, A. E., Skluzacek, K. M.,... & Carey, J. R. (2012). Complex versus simple ankle movement training in stroke using telerehabilitation: a randomized controlled trial. Physical therapy, 92(2), Korp, P. (2006). Health on the Internet: implications for health promotion. Health education research, 21(1), Minet, L. R., Hansen, L. W., Pedersen, C. D., Titlestad, I. L., Christensen, J. K., Kidholm, K.,... & Møllegård, L. (2015). Early telemedicine training and counselling after hospitalization in patients with severe chronic obstructive pulmonary disease: a feasibility study. BMC medical informatics and decision making, 15(1), 1. - Parker, J. (2013). ehealth Clinicians s User Guide for Medical Practices. Australia. - Sousa, I., Silva, J., Alcobia, C., Tonelo, C., Ferreira, L., Mendes P. e Martins, A. (2016). Technological solution for fall risk screening and falls prevention. Poster apresentado no EU Falls Festival, Bolonha, Itália. - Tousignant, M., Moffet, H., Boissy, P., Corriveau, H., Cabana, F., & Marquis, F. (2011). A randomized controlled trial of home telerehabilitation for post-knee arthroplasty. Journal of Telemedicine and Telecare, 17(4), World Health Organization WHO. (2001). International Classification of Functioning, Disability and Health. Geneva: Classification, Assessment, Surveys and Terminology Team. - World Health Organization, WHO. (2016). Portugal Country context indicators ICT Development Index Rank. [On-Line]. Acessed May 4, Retrived from:

21 Jornadas da Escola Superior de Saúde Jean Piaget - Viseu Desafios em Fisioterapia Programas de Intervenção na Comunidade e-health Uma Abordagem para a Promoção da Saúde Anabela Correia Martins Catarina Silva Daniela Baltazar