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EUROPEAN TELEMEDICINE FOR MEDICAL ASSISTANCE

Objective

ET-ASSIST is planning telematics support for the health care sector serving remote rural populations in Europe, or migrant or mobile groups such as expatriates and seamen. The key concern is maintaining a quality service when emergency patients are moved out of isolated regions or across national borders, sometimes into an unfamiliar linguistic or medical environment. The project will examine computerised and multimedia patient managment and health data systems as a means of accurately briefing all professionals involved in such cases, including local doctors, transport organisers and hospital staff.

The main objective of ET-ASSIST is to provide professionals involved in medical care to remote rural populations, travelers or expatriates, and crewmen onboard ships, with a set of information processing tools to improve the continuity of care at regional, national and international levels. For instance, when an assistance company is requested to organize a sanitary transportation from one Country to another, a critical step is to reliably evaluate what risks and benefits may be expected for the person seeking assistance, as a patient first, but also as a customer of commercially available services. This evaluation requires an efficient cooperative work between regional healthcare structures acting on the spot, and assistance companies. In the case of sanitary transportations, the challenge of ET-ASSIST is to ensure the availability, from each transit location and to all actors dealing with the (remote) patient, of a set of objective medical data constituting an accurate and reliable image of its medical status and history, and to facilitate related administrative and financial operations. Handling emergencies in this way, demands that systematic procedures be defined and/or improved, taking into account, among others, differencies of languages and interpretation practices.

The developments to be validated in the ET-ASSIST project bear on patient file management systems and on systems for the acquisition of physiological data and/or symptoms, accessible to computers. The main integration tool will be an X400 E-mail system allowing communication with other non standard systems. The integration methodology is based on the definition of a specific EDI (EDI-ASSIST), taking into account the work undertaken for EDIFACT. Assistance structures already make an extensive use of conventional communication technologies (about 12,8 millions of telephone communications in 1994, in France) evidencing the market potential for adapted telematics applications. The general promotion of standards (GEHR, SCP-ECG, EDI-ASSIST) is expected to contribute to the emergence of this market.

Funding Scheme

CSC - Cost-sharing contracts

Coordinator

MEDES, Institut de Médecine et de Physiologie Spatiales
Address
18, Av. Edouard Belin
31055 Toulouse
France

Participants (7)

CENTRE HOSPITALIER DE CAYENNE
France
Address
Av Des Flamboyants
97300 Cayenne
FOUNDATION FOR RESEARCH & TECHNOLOGY- HELLAS INSTITUTE OF APPLIED AND COMP. MEASURES
Greece
Address
Vassilika Vouton
71110 Heraklion
Fogg Travel Insurance Ltd
United Kingdom
Address
Crow Hill Drive
NG19 7AE Mansfield
INDUSTRIEANLANGEN BETRIEBSGESELLSCHAFT MBH
Germany
Address
20,Einsteinstrasse
85521 Ottobrunn
INTER MUTTUELLES ASSISTANCE SA
France
Address
118,Av De Paris
79033 Niort
SERVICIO DE SANIDAD MARITIMA
Spain
Address
20,Calle Genova 4A Planta
28004 Madrid
SYNDICAT INTERHOSPITALIER RIGIONAL D'ILE DE FRANCE
France
Address
44,Rue Louis Blanc
75010 Paris