DocumentCode :
1354144
Title :
A Personalized Framework for Medication Treatment Management in Chronic Care
Author :
Koutkias, Vassilis G. ; Chouvarda, Ioanna ; Triantafyllidis, Andreas ; Malousi, Andigoni ; Giaglis, Georgios D. ; Maglaveras, Nicos
Author_Institution :
Lab. of Med. Inf., Aristotle Univ. of Thessaloniki, Thessaloniki, Greece
Volume :
14
Issue :
2
fYear :
2010
fDate :
3/1/2010 12:00:00 AM
Firstpage :
464
Lastpage :
472
Abstract :
The ongoing efforts toward continuity of care and the recent advances in information and communication technologies have led to a number of successful personal health systems for the management of chronic care. These systems are mostly focused on monitoring efficiently the patient´s medical status at home. This paper aims at extending home care services delivery by introducing a novel framework for monitoring the patient´s condition and safety with respect to the medication treatment administered. For this purpose, considering a body area network (BAN) with advanced sensors and a mobile base unit as the central communication hub from the one side, and the clinical environment from the other side, an architecture was developed, offering monitoring patterns definition for the detection of possible adverse drug events and the assessment of medication response, supported by mechanisms enabling bidirectional communication between the BAN and the clinical site. Particular emphasis was given on communication and information flow aspects that have been addressed by defining/adopting appropriate formal information structures as well as the service-oriented architecture paradigm. The proposed framework is illustrated via an application scenario concerning hypertension management.
Keywords :
biomedical telemetry; body area networks; medical information systems; patient care; patient monitoring; patient treatment; safety; telemedicine; BAN; advanced sensors; adverse drug events; bidirectional communication; body area network; central communication hub; chronic care; formal information structures; home care service delivery; hypertension management; medication treatment management; mobile base unit; patient condition monitoring; patient safety monitoring; personalized framework; service-oriented architecture; Interoperability; medication treatment monitoring; patient safety; personal health systems; pervasive healthcare; sensor networks; service-oriented architecture (SOA); Antihypertensive Agents; Chronic Disease; Computer Communication Networks; Disease Management; Drug Monitoring; Drug Toxicity; Home Care Services; Humans; Hypertension; Individualized Medicine; Medical Informatics; Monitoring, Ambulatory; Telemedicine; Telemetry;
fLanguage :
English
Journal_Title :
Information Technology in Biomedicine, IEEE Transactions on
Publisher :
ieee
ISSN :
1089-7771
Type :
jour
DOI :
10.1109/TITB.2009.2036367
Filename :
5352293
Link To Document :
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