Pilot project of A telemedicine model in the field of chronic diseases, acronym "TeleCOPD Care
About this good practice
The accessible and quality prenatal care is important due to addtional risk factors during pregnancy.
The traditional model of care in Poland face new challanges, as decrease number of deliveries and lack of medical staff. As a rusalt a number of obsetric wards was closed. The hospital wards serve also place for urgent referals for quick checking-ups for pregnant women, with Cardiotocography. With the absent of such units the access for prenatal health decreased, especially in less urbanised counties of Pomoranian region.
The main objective of the pilot intervention was to check feasibility of technology of tele-CTG including expieriences of pregnant women, MDs, midvifes and other medical staff while changing the way of delivering help and support. The project was conducted in Bytow and Puck Counties with cooperation with 2 regional hospitals.
The teleCTG service was organised as follow:
•Qualification to the programme conducted by MDs in both hospitals
•Info about rules, benefits and limitation of delivered service plus practical instruction how to use device
•Formal consent of pregnant women
•Info of included patient
•The teleCTG devices along with additional usufel information sent by provider to qualified gravid women
•Conducting actual teleservice, mostly based on diagnostic algorithms and if necessary complemented with phone advice, when necessary referral to hospital
Beneficiaries:
•62 pregnant women and their families
•hospital staff
Resources needed
Financial resources:
Project total value: PLN .00
- Pomeranian Voivodship (85%)
- Hospitals (around 15%, including estimation of workload of hospital staff)
Human resources:
- PCP med doctors, midwives and other staf of hospitals partners
Other
- Technology and equipment delivered by provider
Evidence of success
A total of 58 pregnant women took part in the project. The conclusions are mainly qualitative. Conclusions on the programme: The response rate and willingness to participate were assessed as very good. The main source of information was the medical staff. The advantages of the project for participating staff and pregnant women: free availability, psychological support for women, chance to avoid some hospital visits, possibility of referral in emergency cases when fetal pathology is pre-diagnosed
Potential for learning or transfer
TeleCTG, when implemented properly, can lead to better perceived safety. Additional benefits are connected to decrease number of hospital and outpatient clinics, which means better access for patients. The technology is sufficient to decide, when the referral to hospital is really urgent and be attributed to more faster and more effective interbvention. As the service is scalable, it is at the same time cost-effective.
The target group within pregnant women could cover actually the whole cohort, although it could be sometimes recommend to special subgroups, like living alone, ine rural area and/or with limited mobility – all those factors is supposed to be taken into account while the process of planning and implementation the teleCTG.
The process of planning implementation shoul also cover adaptation of health care providers, especially hospitals. It is also important to study communication and narrative addressed both for pregnant woman and the healthcare staff.
Good practice owner
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