Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
| Autor: | Manuel Mayrdorfer, Matthias Kurz, Tillmann Breitenstein, Bianca Zukunft, Severin Hoegl, Bilgin Osmanodja, Max Haenska, Tim Gielsdorf, Marcel Naik, Friederike Bachmann, Petra Glander, Jannis Bakker, Andrea Kreichgauer, Carolin J. Gethmann, Mira Choi, Danilo Schmidt, Matthias Pfefferkorn, Eva Schrezenmeier, Klemens Budde, Verena Graf, Fabian Halleck, Wiebke Duettmann |
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| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
General Chemical Engineering Interoperability Vital signs Monitoring Ambulatory General Biochemistry Genetics and Molecular Biology Health care eHealth Electronic Health Records Humans Medicine mHealth Kidney transplantation Health Level Seven Chronic care General Immunology and Microbiology business.industry General Neuroscience medicine.disease Kidney Transplantation 3. Good health Kidney Diseases Medical emergency business Software |
| Zdroj: | Journal of Visualized Experiments |
| ISSN: | 1940-087X |
| Popis: | The MACCS (Medical Assistant for Chronic Care Service) platform enables secure sharing of key medical information between patients after kidney transplantation and physicians. Patients provide information such as vital signs, well-being, and medication intake via smartphone apps. The information is transferred directly into a database and electronic health record at the kidney transplant center, which is used for routine patient care and research. Physicians can send an updated medication plan and laboratory data directly to the patient app via this secure platform. Other features of the app are medical messages and video consultations. Consequently, the patient is better-informed, and self-management is facilitated. In addition, the transplant center and the patient's local nephrologist automatically exchange notes, medical reports, laboratory values, and medication data via the platform. A telemedicine team reviews all incoming data on a dashboard and takes action, if necessary. Tools to identify patients at risk for complications are under development. The platform exchanges data via a standardized secure interface (Health Level 7 (HL7), Fast Healthcare Interoperability Resources (FHIR)). The standardized data exchange based on HL7 FHIR guarantees interoperability with other eHealth solutions and allows rapid scalability to other chronic diseases. The underlying data protection concept is in concordance with the latest European General Data Protection Regulation. Enrollment started in February 2020, and 131 kidney transplant recipients are actively participating as of July 2020. Two large German health insurance companies are currently funding the telemedicine services of the project. The deployment for other chronic kidney diseases and solid organ transplant recipients is planned. In conclusion, the platform is designed to enable home monitoring and automatic data exchange, empower patients, reduce hospitalizations, and improve adherence, and outcomes after kidney transplantation. |
| Databáze: | OpenAIRE |
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