Telecare Research Articles

Securizing care: Networks, Immediacy and Independence in a Home Telecare Service

Esta tesis es un estudio etnografico sobre un servicio de teleasistencia domiciliaria en el que se analiza como se organiza el cuidado a distancia e inmediato ante cualquier eventualidad, como se corporeiza y practica la autonomia a traves del uso de este servicio, y como el hogar y su forma de habitarlo se transforma con el uso de la teleasistencia. Estas tres preguntas tienen como objetivo final dilucidar que desinstitucionalizacion se abre con la TAD. Concretamente, la tesis que sostiene el trabajo es que la desinstitucionalizacion puede interpretarse, a la luz de los resultado de la etnografia, como el paso de un disciplinamiento del cuidado a un aseguramiento del cuidado.

Wireless Tele Care System for Intensive Care Unit of Hospitals Using Bluetooth and Embedded Technology

Wireless Tele Care System for Intensive Care Unit of Hospitals Using Bluetooth and Embedded Technology

複数の端末によるロボット遠隔操作が可能な遠隔介護システムの開発

Many care-givers for bedridden people cannot go out easily. To reduce this problem, we have developed a tele care network system with hoist trolley robot. The robot conveys some drinks for bedridden person. Using this system Care-giver can control robot from remote place talking with bedridden person like video phone. We developed mobile care terminal using cell phone, so care-giver can control robot from most place in Japan. For network system, we used common object request broker architecture(CORBA). Using CORBA, developer can extend system easily, so we can use many robots in this system. Then we tested the performance of this system. On remote terminal, the feedback delay on control robot was less than82.7ms, and the bandwidth which system required was1.6Mbps. On mobile terminal, the frame rate of movie from camera was0.36 frames per second(fps), and the feedback delay was about7seconds. We think that care-giver can control robot smoothly in broadband network system from remote terminal, and care-giver can confirm that robot works sequentially from mobile cell phone terminal.

Telemedicine with the Mobile Camera-phone in Metacarpal and Phalangeal Fracture

The purpose of the present study was to evaluate the feasibility of telemedicine using a mobile camera-phone to transfer radiographic images and on line communication for the diagnosis and treatment recommendations of metacarpal and phalangeal fractures. Teleconsultations were carried out between surgical residents in the emergency room and the consultant surgeon on 49 patients for 60 suspected metacarpal and phalangeal bone fractures by using Panasonic mobile camera-phones, which had a built-in 110,000-pixel digital camera and a 65,536 colors display. Separate fracture identification and treatment recommendations during remote teleconsultation and on-site inspection by the consultant surgeon were performed and compared. Later, a standard questionnaire about the level of satisfaction regarding image resolution and the ability to generate clinical opinions and management recommendations was filled out by three individual plastic surgeons. Of the 60 fractures, 58 fractures (97%) were recognized during the remote teleconsultation and 56 fractures (93%) were managed as per the remote treatment recommendations. Identification of fractures and treatment recommendations of nonoperation or operative fixation made from the remote teleconsultation mostly agreed with evaluations made on-site. In the image analysis conducted by three plastic surgeons, image quality was sufficient for interpretation. The same conclusions were reached in the identification of 56 fractures (93%) and in the treatment planning of 43 (71%) fractures. The results demonstrated that the telemedicine with a mobile camera-phone is feasible and useful for remote metacarpal and phalangeal fracture diagnosis and treatment recommendations. This system has the advantages of ease of use, low cost, and high portability and mobility. There is significant promise in the future for application of telemedicine and telecare with the further advancement of available technology in image media and electronic data transfer.

The role of telecare

The role of telecare

Tele-care: Helping caregivers cope with cancer

Tele-care: Helping caregivers cope with cancer

Home telecare system integrated with periodic health reminder and medical record & multimedia health information.

The necessity of home telecare system is growing due to increase in desire for health promotion owing to increase in chronic diseases, aged population and medical expenses. Already, we computerized patient's data and offer periodic health reminder to patients for health promotion by using Life-time Health Monitoring Program (LHMP). Our study connected LHMP to the Web on internet by CGI as an electronic medical record; enabling reference to patient's medical records anywhere. The study also made possible video teleconsultation and constructed multimedia database to provide health-related information to the patients. On these bases, a flow chart was developed using the home telecare to practice manage patients with chronic diseases, old patients, and the handicapped. Further standardization in data, establishment of law bases for home telecare system, development of rules for medical fees and active utilization of biomedical telemetry will be needed to extend home telecare system.

第１４回ライフサポート学会大会特別講演より ２１世紀の高齢者ケアの方向性 ハイテクノロジーと情報通信機能を用いたテレケアを目指して

第１４回ライフサポート学会大会特別講演より ２１世紀の高齢者ケアの方向性 ハイテクノロジーと情報通信機能を用いたテレケアを目指して

データ通信を利用した在宅検診システムの運用(<特集>ホームケアテクノロジー : 健康長寿社会をめざして)

データ通信を利用した在宅検診システムの運用(<特集>ホームケアテクノロジー : 健康長寿社会をめざして)

Three generations of telecare of the elderly

Three generations of telecare of the elderly