Revista Española de Salud Pública
Print version ISSN 1135-5727
MONTEAGUDO PENA, Jose Luis; HERNANDEZ SALVADOR, Carlos and GARCIA-LOPEZ, Fernando. Methodology for the Implementation of e-Health Services for Chronic Patient Monitoring and Control. Rev. Esp. Salud Publica [online]. 2004, vol.78, n.5, pp. 571-581. ISSN 1135-5727. http://dx.doi.org/10.1590/S1135-57272004000500002.
A methodology is presented for a smooth, orderly implementation of specific e-Health services for monitoring chronic patients outside of the hospital setting. Identified as a stage-gate model for the management of the overall implementation process, this methodology is presented formally structured into three steps: a) exploratory examination (pilot project stage); 2) in-depth evaluation (clinical trial stage); and 3) deployment (guided use stage). In the first stage, controlled by the R+D team, the predominant criteria are the functionality and usability of the technologies involved. In the second stage, controlled by an associated Health Technology Evaluation Agency, the predominant criterion is the scientific aspect related to the results obtained in the clinical testing. The third stage is controlled through decisions made by the health administrations as to the implementation of new technologies and the financing thereof. A description is provided as to the requirements of the technological platform designed to serve as the medium for the projects and tests from stage 1 and 2. As an example of what is done in stage 2, a description is given of a trial related to hypertension.
Keywords : Chronic disease; Telemedicine; Clinical trial; Hypertension; Internet.