Prospective analysis of the implementation of healthcare telemedicine between prisons in the area of Catalonia (Spain)
| Autor: | Luis Fernández Luque, Jordi Sarlé Rubí, Francesc Saigí Rubió, Joan González Anglarill, Rosalía Ramón Fondevill |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Telemedicine
education.field_of_study Health (social science) Sociology and Political Science business.industry Health Policy media_common.quotation_subject Telecare Population Change management Prison Business model videoconference telemedicine prison observation business model Nursing Health care Medicine Operations management business education Health department media_common |
| Zdroj: | International Journal of Integrated Care; Vol 16: Annual Conference Supplement 2016; A53 |
| ISSN: | 1568-4156 |
| DOI: | 10.5334/ijic.2996 |
| Popis: | Introduction : Consorci Sanitari de Terrassa is a public entity of the Government of Catalonia, which manages the Prison Hospital Unit of Terrassa (UHPT), a reference in Catalonia for the provision of health services to different prisons. Healthcare delivery to the prison population is a goal for improvement of the Health Department. Telemedicine is an alternative to face-to-face service that can help to improve the care process in patients. Objective : To introduce in this environment a new business model that facilitates communication between health professionals who take care of this population to improve the quality of healthcare in prisoners. Methods : Phase I: comprehensive analysis of the environment, starting with a pilot stage of six months (October / 2010 to May / 2011) between UHPT and Can Brians 2 prison, with a population of 1,500 inmates. To evaluate the experience a survey was conducted with the support of AQuAS (Agencia de Qualitat i Avaluacio Sanitaries de Catalunya). Phase II: Intensive observation phase applying Shadowing methodology (May / 2015). Phase III: with information from phases I and II, different elements will be identified and a new business model defined, following the design "Business Model Canvas" (Alexander Osterwalder), in order to facilitate the implementation of the Telemedicine project: "Telecare in prison systems". Results : Phase I: The results of the pilot stage show high satisfaction in patients and professionals and an increase number of visits with the new system. Phase II: The observation process identifies: 1) excessive time spent in transportating patient, arrival and departure in prison units use 3.5 hours; 2) excessive administrative procedures; 3) high use of resources to follow security protocols; 4) lack of communication between different healthcare providers. Phase III: The new business model suggests edit value for improving patient-centered communication and optimizing the use of resources. Conclusions : It will be necessary to consider organizational and management changes to accommodate the new care system, promoting and encouraging change management. It is important to identify a government person to lead the project to ensure continuity and sustainability in other prisons in Catalonia. The implementation of this new business model will improve 1) patient-centered communication between care teams 2) optimization of management related to patient transport and 3) create protocols for clinical processes of healthcare activity according to the patient's health problems. |
| Databáze: | OpenAIRE |
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