Kronik Hastaların Uzaktan İzlemine Yönelik Teletıp Platformu

Yıl 2020, Cilt: 22 Sayı: 64, 37 - 46, 24.01.2020

H. Cumhur Tekin

https://doi.org/10.21205/deufmd.2020226405

Cited By: 4

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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