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FrancoAngeli Journals

Materiali per la ricerca e l'approfondimento

No. 123 (2022)

Remote diagnosis tools: how to connect hospitals with their territory. Tele-radiology pilot project of Azienda Socio-Sanitaria Ligure ASL2, Savona

DOI
https://doi.org/10.3280/mesa2022-123oa15595
Submitted
marzo 13, 2023
Published
2023-05-09

Abstract

The present case represents an innovative example of applied telemedicine in a context where aging population represent a key issue to be addressed. As a matter of fact, the province of Savana report the highest rate of population over 65 in the whole country.
The project of remote diagnosis consists in the implementation of a radiological service with the intent to reduce the distance between the hospital and the territory.
The core of the service consists in administering radiological exams directly at the patient’s house, without forcing him or her to walk into a clinic.
Given the aging issue characterizing the territory, this project aims to contribute to the well-being of the population living in the Savona province and first results already show positive impact of the service. Contained costs and sustainable development of the community represent two major outcomes that the project achieved.

References

  1. Aimonino Ricauda N., Tibaldi V., Bertone P. et al. (2011). The RAD-HOME Project: a pilot study of home delivery of radiology services. Arch Intern Med, 171: 1678-80.
  2. Aimonino Ricauda N., Tibaldi V., Leff B. et al. (2008). Substitutive “hospital at home” versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: a prospective randomized, controlled trial. Epub Jan 4.
  3. Cammarota T., Aimonino Ricauda N., Davini O. et al. (2009). Design of a study on the quality perceived by patients hospitalizedat home undergoing domiciliary radiography, XIX IAGG World Congress of Gerontology And Geriatrics, Paris.
  4. Centro di Riferimento Regionale per la Radiologia Domiciliare (2020). Report annuale. -- https://www.radiologiadomiciliare.it.
  5. Chiodini S. (2012-2013). Tesi di master management per le professioni sanitarie e della assistenza sociale – Coordinamento e Organizzazione dei servizi Ospedalieri, Domiciliari, e Territoriali.
  6. Davini O., Digiacomo G., Perusia M. et al. (2017). Health Impact Assessment of teleradiology program in disadvantage areas. International Journal of Technology Assessment in Health Care, suppl. S1, Cambridge, 33: 144-145.
  7. Eklund K., Klefsgard R., Ivarsson B., Geijer M. (2012). Positive experience of a mobile radiography service in nursing homes. Gerontology, 58: 107-11.
  8. Laerum F., Amdal T., Kirkevold M. et al. (2005). Moving equipment, not patients: mobile, netbased digital radiography to nursing home patients. ICS, 1281: 922-925.
  9. Landers S.H. (2010). Why Health Care is going home. N Eng J Med, 361: 18.
  10. Loeb M.B., Carusone S.B., Marrie T.J. et al. (2006). Interobserver reliability of radiologists’interpretations of mobile chest radiographs for nursing home-acquired pneumonia. Journal of the American Medical Directors Association, sept., 7(7): 416-414.
  11. Ricauda N.A., Tibaldi V., Bertone P. et al. (2011). The RAD-HOME project: a pilot study of home delivery of radiology services. Arch Intern Med., Oct 10, 171(18): 1678-1680. Epub 2011 Aug 8.
  12. Sawyer R.H., Patel U., Horrocks A.W. (1995). Domiciliary radiography: an important service?. Clinical Radiology, Jan, 50 (1): 51-55.
  13. Shepperd S., Doll H., Angus R.M. et al. (2008). Admission avoidance hospital at home. Cochrane Database Syst Rev, CD007491.
  14. Shepperd S., Doll H., Angus R.M. et al. (2009). Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data. CMAJ, 180: 175-82.

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