Kronik Hastaların Uzaktan İzlemine Yönelik Teletıp Platformu

Öz

Kronik hastalıklar küresel bazda artış göstermekte olup ancak etkili bir hastalık yönetimiyle kontrol altına alınabilmektedirler. Bu hastalıkların kontrolü için hastaların uzaktan izlenmesine olanak sağlayan teletıp sistemlerinin büyük fayda sağlama potansiyelleri vardır. Ancak bu sistemlerin ölçeklenebilirliğini ve sürdürebilirliğini sağlamak önem arz etmektedir. Bu çalışmada, kronik hastaların uzaktan takibini gerçekleştirebilmek için yeni bir teletıp platformu önerilmektedir. Bu platform hastalara sağlık verilerini sistem üstünden doğrudan ve kolaylıkla takiplerini yapan sağlık personeli ile paylaşabilme olanağı sunmaktadır. Sağlık personeli ise hastalık seyrindeki gelişmeleri ve tedavi hedeflerini bu veriler sayesinde uzaktan kontrol edebilmektedir. Ayrıca sağlık personeli platform üzerinden belirleyeceği hastaya özel sağlık verisi eşik değerleri ile kendisine ve/veya hastaya otomatik bildirim mesajı gönderebilmekte, böylelikle hasta verilerini sürekli manuel olarak incelemek yerine, platform üzerinden gelecek bildirimler vasıtasıyla hastaya gerektiği zaman ve vakit kaybetmeksizin müdahalede bulunabilmektedirler. Önerilen platform ile kronik hastalık yönetimi iyileştirilebileceği gibi sağlık personeline olabildiğince az iş yükü getirilerek verilecek sağlık hizmetinde verim ve kalite artışının da sağlanmasıyla platformun sürdürülebilirliği de temin edilebilecektir. Çalışmada platformun ölçeklenebilirliği, eş zamanlı istek testleri ile analiz edilmiştir. Platform üstünden bildirim mesajı göndermenin, 500 eş zamanlı istek için düşük tepki süresi (~750 ms), yüksek verimlilik (saniyede ~250 istek) ve düşük hata oranı (%1.3) ile gerçekleştiği gözlenmiştir. Bu sonuçlar tasarlanan teletıp platformunun birçok kullanıcıdan gelen veri akışının üstesinden gelebileceğini ve platformun ölçeklenebilir olduğunu göstermektedir.

Anahtar Kelimeler

• Teletıp,Uzaktan Hastalık İzlem,Hastalık Yönetimi,Kronik Hastalıklar

Telemedicine Platform for Remote Monitoring of Chronic Patients

Öz

Chronic diseases are increasing globally and can only be controlled with effective disease management. Telemedicine systems allowing remote monitoring of patients have a potential to bring great benefit for controlling these diseases. However, it is important to ensure the scalability and sustainability of these systems. Here, a new telemedicine platform is presented for remote monitoring of chronic patients. This platform provides patients to share their health data directly and easily with the health care personnel, who can remotely control disease progress and treatment goals with the shared data. Furthermore, the personnel can send an automatic notification message to themselves or/and to the patient when a patient specific health data threshold value set through the platform is reached. Hence, the health care personnel can improve the disease management with timely interventions using the platform notifications, instead of analyzing the data constantly. With this platform, chronic disease management can be enhanced and the sustainability of the platform can be ensured by bringing as little workload as possible to the personnel while increasing the efficiency and quality of health service. In the study, the scalability of the platform was analyzed using concurrent request tests. It was observed that sending the notification message through the platform was handled with low response time (~ 750 ms), high throughput (~ 250 requests per second) and low error rate (1.3%) for 500 concurrent requests. These results show that the designed telemedicine platform can manage the data flow from many users and the platform can be scalable.    

Anahtar Kelimeler

• Telemedicine,Remote Disease Monitoring,Disease Management,Chronic Diseases

Kaynakça

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