INSTRUMENTATION TECHNOLOGY

Author: CACERES TALADRIZ CESAR.
Year: 2006.
University: POLITÉCNICA DE MADRID [www.upm.es].
Place of defense: E.T.S. DE INGE. DE TELECOMUNICACION.
Place of preparation: ESCUELA TECNICA SUPERIOR DE INGENIEROS DE TELECOMUNICACION. UNIVERSIDAD POLITECNICA DE MADRID.

Summary: Caring for complex chronic diseases (diabetes, COPD, HIV / SIDAâ |) demand increasingly health resources and new ways of doing things. In the case of HIV / AIDS, care for those infected has changed dramatically in recent times, mainly due to the success of antiretroviral therapies. Previously clinical efforts focused on improving as much as possible the time of life of patients suffering from a terminal illness; today HIV / AIDS is increasingly regarded as a chronic disease in which fewer patients die (assuming they have access to medication), so that efforts are focused not only on improving the quality of care for these patients, but also their quality of life affected by many factors (medical, psychological and social). This thesis aims to provide new procedures for monitoring and improving the care of people with HIV / AIDS and in stable chronic state, manejod and their tratmientos, coordinating his team care and management of its informaicón, ultimately, your attention sanitaira. The main contribution of this dissertation is the architecture of telemedicine Hospital VIHrtual designed to facilitate the shared care of patients with HIV / AIDS and chronic stable. This is an open architecture and flexible, with a series of modules and components quepermiten implement telemedicine systems that incorporate new proceidmientos shared care and comprehensive HIV / AIDS patients. As a second contribution, the thesis proposes a model delcuidado conveniconal and a second model of care telemédico of HIV / AIDS patients in stable condition and chronic. This is not generic models, but they are based on the Chronic Care Model, being adapted and validated for a specific environment as is the attention to such patients in the Hospital Clinic in Barcelona. The third contribution of the thesis is the evaluation of a telemedicine system based on the previous architecture, which has been installed in a entotno clinical real and has undergone a process of evaluaicón which has included technological aspects of usability, economic and the impact on the health of HIV / AIDS patients. The experimental results of the evaluaciónd the telemedicine system has enabled largely corroborate the hypotheses and research have shown that arqutiectura defined and developed in this thesis is able to meet the major needs for communication, coordination, collaboration and access to clinical information required shared in the care of patients with chronic stable and HIV / AIDS. The telemedicine system desarrolaldo is merely an example of how to implement some of the services offered by the architecture. Perhaps the most interesting result of the evaluation is that the system has become used in routine clinical and already has more than 180 patients. In turn, the results of this research allows glimpse how the new procedures telemedical contribute to the creation of new models of care for chronic patients in critical lso systems santiarios in the coming decades.