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Anne

Anne HOLLAND PhD

Year of Award: 2009 Award State: Victoria Health And Medicine > Rehabilitation And Pain Management
Health And Medicine > Diseases, Disorders And Syndromes
The Jack Brockhoff Foundation Churchill Fellowship to discover new ways to deliver Pulmonary Rehabilitation for Australians with chronic lung disease - UK, Norway, Spain, Canada
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Recommendations
Experiences of centres in Norway, Spain, Scotland and Canada show that it is safe and feasible to deliver pulmonary rehabilitation to people with COPD using telehealth technologies. Both centre-based and home-based telerehabilitation program models, using a variety of ICT technologies, have been tested around the world. The challenge that faces Australian healthcare providers and policy makers is to trial and evaluate telerehabilitation models that are best suited to identified local needs. In order for telerehabilitation to be successfully adopted in Australia, the following features are required:

  1. Provision of multi-use, mobile videoconferencing equipment in all health care facilities, regardless of size or location 
  2. Ensuring that hospital data networks have sufficient capacity to support telehealth applications 
  3. On-site, timely technical support for clinicians seeking to use telehealth in clinical care 
  4. Inclusion of telehealth options in health policy, especially for the care of people with long-term chronic health conditions, 
  5. Consideration of remuneration models for telehealth providers including doctors, nurses and allied health 
  6. Formalising links between tertiary hospitals in metropolitan centres and health care providers in regional centres, to ensure that clinicians with appropriate expertise and capacity are available to support regional telehealth applications 
  7. Setting up low cost centre-based models of telerehabilitation in regional areas, where appropriate health care facilities and staff are available 
  8. Investigation of home-based telerehabilitation models for both metropolitan and regional centres, to facilitate access to pulmonary rehabilitation for those who are too disabled to access centre-based care or who live in remote areas 
  9. Involvement of the multi-disciplinary health care team, including allied health and nursing, in development of telerehabilitation programs 
  10. Rigorous assessment of new telerehabilitation programs, to ensure decision makers have valid and reliable data regarding the costs and benefits of telerehabilitation for Australians.
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