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Uppsala University 2008-01-26 IT in Society 2007 HOPE Final Report Rose-Hulman Institute of Technology Computing in a Global

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Uppsala University 2008-01-26 IT in Society 2007 HOPE Final Report Rose-Hulman Institute of Technology Computing in a Global Uppsala University 2008-01-26 IT in Society 2007 HOPE Final Report Rose-Hulman Institute of Technology Computing in a Global Society 2007 Contact person: Daniels, Mats, Lecturer Uppsala University [email protected] Authors Hildorsson, Fredrik Ljunggren, Leon Odervång, Daniel Persson, Staffan Samuelsson, Joel Sving, Robin Albrektsson, Robert Almgren, Oscar Fyrsten, Oskar Halén, Mikael Höglund, Petter Lisse, Michelle McCord, Jacob Petersson, Christian Remius, Björn Sabotic, Murat Sadeli, Jeffrey Vilhelmsson, Magnus Wetzig, Cristobal Abstract HOPE, Health Optimum Project Evaluation, will address the County Council of Uppsala's participation in the project and will also take a wider approach to Telemedicine in the departments and wards which are affected by Health Optimum. The report will address how the affected wards are dealing with Telemedicine today, what drawbacks and benefits applies to Telemedicine, and how use of the chosen technologies can be improved. Furthermore, the report will also discuss Telemedicine in Swedish health care on a general level. The Health Optimum project has run for several years and has aimed at improving health care through the use of new technology. Technology has been implemented at several different departments. The evaluation has been carried out by IT students from Uppsala University through interviews, field studies and participatory observations. The services addressed in this report are Tele-counselling, Virtual Referral, Tele- laboratory, Telecare and shared clinical records. The Health Optimum project has introduced much new technology for hospitals participating in the project. However, with new technology comes new working procedures, and reorganisation of work. HO means several new routines at the hospitals which, during a transition period, might be slow and frustrating to users. However, after this transition period, the new technology will hopefully save a great amount of time and money. So far, in many of the different departments, the number of available user opinions is limited due to the technology not being implemented yet. At several of the departments, there are still problems with the new technology, which make users dislike it. With work on these issues and proper education, hopefully users will become satisfied with the new technology. Table of Contents 1 Introduction ............................................................................................................................. 6 1.1 Background ...................................................................................................................... 6 1.2 Limitations........................................................................................................................ 6 1.3 The Health Optimum Project............................................................................................. 7 2 Methodology ........................................................................................................................... 9 3 Views on Communication ..................................................................................................... 10 4 Technology in Health Care .................................................................................................... 12 5 Economy Aspects .................................................................................................................. 13 5.1 Cost Responsibilities ....................................................................................................... 13 5.2 Funds Division ................................................................................................................ 13 5.3 Internal Billing ................................................................................................................ 14 5.4 EU's Role ........................................................................................................................ 15 6 Future Expansion of Telemedicine ........................................................................................ 17 6.1 Considerations ................................................................................................................ 17 6.1.1 Quality of Care ........................................................................................................ 17 6.1.2 Technology .............................................................................................................. 18 6.1.3 Social Effects ........................................................................................................... 18 6.2 Expansion Scenarios ....................................................................................................... 19 6.2.1 A Centralised Organisation ...................................................................................... 19 6.2.2 A Decentralised Organisation .................................................................................. 20 6.2.3 Common Standard Model ........................................................................................ 21 7 Research Areas ...................................................................................................................... 22 7.1 The Cosmic System ........................................................................................................ 22 7.2 Dermatology ................................................................................................................... 23 7.3 Plastic Surgery ................................................................................................................ 23 7.4 Discharge Conference ..................................................................................................... 24 7.5 Neurophysiology ............................................................................................................. 26 7.6 Radiology ....................................................................................................................... 28 8 Overall Conclusions .............................................................................................................. 30 9 Acknowledgement ................................................................................................................. 32 10 References ............................................................................................................................. 33 10.1 Interviews.................................................................................................................... 33 10.2 Articles & Documents ................................................................................................. 34 10.3 Internet ........................................................................................................................ 34 11 Glossary ................................................................................................................................ 36 Appendix A: The Cosmic System for Telemedicine .................................................................. A - 1 Appendix B: Dermatology ........................................................................................................ B - 1 Appendix C: Plastic Surgery ..................................................................................................... C - 1 Appendix D: Discharge Conference .......................................................................................... D - 1 Appendix E: Neurophysiology .................................................................................................. E - 1 Appendix F: Radiology .............................................................................................................. F - 1 Appendix G: Technical Annex .................................................................................................. G - 1 Appendix H: Security ................................................................................................................ H - 1 Appendix I: Cost Estimates .........................................................................................................I - 1 Appendix J: Agreement Plastic Surgery ..................................................................................... J - 1 Appendix K: Cosmic – An Evaluation of Usability and Education ............................................ K - 1 Appendix L: Internal Billing ..................................................................................................... L - 1 Appendix M: The EU Report ................................................................................................... M - 1 Table 1: Problems in Cosmic .................................................................................................. A - 18 Table 2: Solutions of Problems in Cosmic ............................................................................... A - 23 Table 3: EEG Video Evaluation ................................................................................................. E - 4 Figure 1: Studio ......................................................................................................................... E - 2 Figure 2: Mobile solution .......................................................................................................... D - 2 Figure 3: Heby solution ............................................................................................................. D - 3 1 Introduction For a long time health care
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