- This topic has 8 replies, 5 voices, and was last updated 3 years, 7 months ago by Kridsada Sirichaisit.
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2020-10-03 at 2:13 am #22935Ornpicha ThiampolParticipant
Welcome project – Wearable Sensing and Smart Cloud Computing for Integrated Care to COPD Patients with Co-morbidities
The WELCOME project is developing a system, from concept to prototype, which will enable out of hospital self-management of patients suffering from Chronic Obstructive Pulmonary Disease (COPD) and associated chronic conditions (comorbidities). The system will assist the early treatment of patients by combining remote continuous monitoring and a decision support system to detect and diagnose worsening events. It will facilitate effective management of the complex interaction between COPD and its main comorbidities (like heart failure, diabetes mellitus, anxiety, and depression). It will also detect small changes in the health status of patients, thus preventing complications of the condition. The system aims to monitor better and manage integrated, personalized care plans.
The WELCOME system works by linking patients, carers, healthcare professionals, general practitioners, and hospitals together through three main components:
1. Home monitoring
Patients are provided with easy to use monitoring devices to measure chest sounds, electrical and muscular functions of the heart, oxygen saturation levels, lung function (through imaging), activity levels, blood glucose, blood pressure, body weight, temperature, airflow, and medication compliance. The key element of the patient monitoring system is a vest which is lightweight and comfortable with built-in sensors to collect physiological information. Additional information is collected using a tablet device where patients respond to specific questions to aid the decision-making process and complete the home monitoring.2.Cloud decision support system
The data collected by the vest and other devices is transmitted to a cloud-based decision support system for processing and analysis. The data is analysed to identify and highlight information of medical relevance which is then transmitted to key stakeholders (the patients, carers, healthcare professionals, general practitioners, and clinical administrators) for review. The decision support system can be integrated into a call center to provide a further element of assistance to the patient and reduce pressure on health services.3.Healthcare and hospital interface
Healthcare professionals and hospitals are provided with an interface that relays the home monitoring data and its interpretation. The interface assists healthcare professionals and hospitals to monitor the overall health status of the patient and make predictions so that early, clinically valid, and informed decisions can be made about preventative, treatments, and other health-related interventions. -
2020-10-08 at 7:29 am #23194Navinee KruahongParticipant
Dear Ornpicha,
Thank you for your interesting presentation! I think you made really arguments on how this project has values, even it is a very expensive project. However, based-on your presentation this project doesn’t only require technologies, but also the new model of care and almost change the whole healthcare system to support the implementation of this intervention. Which I think it is a big challenge of all e Health project.-
2020-10-12 at 12:25 am #23272Ornpicha ThiampolParticipant
Yeah, I think so! This project was held in 2017, so I think it was the first generation of e-Health. As I read this, they were trying to challenge and create new things at that time. It seems normal in the present time. By the way, it was really a big step in the past. That’s why they invest a lot of money.
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2020-10-08 at 2:43 pm #23199Navinee KruahongParticipant
***really good argument
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2020-10-09 at 4:33 pm #23223Saravalee SuphakarnParticipant
Thank you for the great presentation about Welcome project. This project can improve the current health practice in all three values as reduce cost, increase customer satisfaction and improve outcome. I’m not sure about cost of the devices that the patients have to pay, but when evaluated with its benefit, it may be worth to invest. However, the technology absolutely reduce cost and time to visit the hospitals of patients and increase satisfaction of patients. Because the analysis and decision supporting system, increase the accuracy and efficiently for early detection to prevent life-threatening condition, make it improve outcome of patients health.
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2020-10-12 at 12:28 am #23273Ornpicha ThiampolParticipant
This was a first-generation e-Health project that the EU tried to do it in 2017. According to this project, the patient doesn’t need to pay any more, so the EU invests huge money for it. I think it’s valuable because, after this project, there is a big change with e-Health.
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2020-10-10 at 7:16 am #23231Khaing Zin Zin HtweParticipant
Thanks for your example of remote monitoring e-health project. The way you presented about the values of the project is fascinating. However, I am afraid the requirement of high-tech monitoring devices might be a burden for the patients in terms of cost although beneficial in terms of data validity and timeliness for effective monitoring and intervention.
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2020-10-12 at 12:30 am #23274Ornpicha ThiampolParticipant
I think so. It’s not possible for the patient to pay for the device. This is the reason why the EU invest huge money to do it. In my opinion, because this is a first-generation e-Health project. So they want to know the effect and change of e-Health technology.
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2020-10-21 at 7:37 pm #23475Kridsada SirichaisitParticipant
Thank you for the presentation. I interest in your project until go to the budget slide. Natural history of COPD patient will decline in lung function (FEV1) in every year but the slow of FEV1, endurance (6 minute walk test) and quality of life (QoL) is the target of COPD management. The only one factor that can improve FEV1 is stop smoking. No medicine that can improve FEV1 they can decrease COPD exacerbation. If wearable monitoring can change FEV1 or decrease COPD exacerbation this is very useful. In my opinion If the vest can send GIS to cloud then I will know the place that can introduce COPD exacerbation and the physician will use this data to suggest the patient to avoid that place.
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