Background: To prevent deterioration after admission to the intensive care unit (ICU), and to improve rehabilitation, the ICU team should use digital technologies to provide comprehensive and practical information alongside personalised support for survivors and their family members. However, a knowledge gap exists on the users’ preferences for such an e-health platform in ICU follow-up services. Objectives: This study aims to explore the opinions and priorities for an e-health platform, including choices in digital elements, according to survivors of critical illness and their family members. Methods: A cross-sectional survey was used among members and other interested individuals of the Dutch volunteer organisation ‘Foundation Family- and Patient-Centred Intensive Care’. An investigator-developed questionnaire was disseminated through the newsletter and social media channels of the Foundation Family- and Patient-Centred Intensive Care. The results of this member consultation were analysed and reported as descriptive statistics on demographic variables and outcome measures in opinions and priorities of the participants. Results: Most of the 227 participants were female (76%), aged 46–55 years (33%), and completed higher education (70%). The participants reported high confidence in advice delivered through an e-health platform (72%). They prioritised the provision of a guide including relevant professionals who may support them during their recovery when using an e-health platform. Conclusions: ICU survivors prioritised the provision of relevant professionals who may support them during their recovery when using an e-health platform; however, selection bias means the population studied is likely to be more digitally connected than the general ICU population. Digital solutions could cater to their information and support needs. For family members, the highest priority reported was receiving help in managing their emotional distress. The development of an e-health platform considering the opinions and priorities of this target group could contribute to a personalised recovery trajectory promoting self-management while including digital elements addressing relevant ICU follow-up services.
MULTIFILE
Rede ter gelegenheid van de installatie tot lector Personalised Digital Health
Seamless integration of air segment in the overall multimodal mobility chain is a key challenge to provide more efficient and sustainable transport services. Technology advances offer a unique opportunity to build a new generation of transport services able to match the evolving expectations and needs of society as a whole. In this context, the passenger-centric approach represents a method to inform the design of future mobility services, supporting quality of life, security and services to citizens traveling across Europe. Relying on the concepts of inclusive design, context of use and task analysis, in this article, we present a comprehensive methodological framework for the analysis of passenger characteristics to elicit features and requirements for future multimodal mobility services, including air leg, that are relevant from the perspective of passengers. The proposed methodology was applied to a series of specific use cases envisaged for three time horizons, 2025, 2035 and 2050, in the context of a European research project. Then, passenger-focused key performance indicators and related metrics were derived to be included in a validation step, with the aim of assessing the extent of benefit for passengers that can be achieved in the forecasted scenarios. The results of the study demonstrate the relevance of human variability in the design of public services, as well as the feasibility of personalized performance assessment of mobility services.
In Europe nearly 10% of the population suffers from diabetes and almost 1% from Rheumatoid Arthritis which can lead to serious problems with mobility and active participation, especially in the ageing population. Pedorthists deliver personalised designed and manufactured orthopaedic footwear or insoles for these patients. However, despite their often laborious efforts upfront, the industry has very little means to quantify how successful the fitting and function of a shoe is. They have to rely on subjective, qualitative measures such as client satisfaction and diminishing of complaints. Although valuable, the need for objective quantitative data in this field is growing. Foot plantar pressure and shear forces are considered major indicators of potential foot problems. Devices to measure plantar pressure slowly gain terrain as providers of objective quantitative data to guide orthotic design and manufacturing. For shear forces however, measuring devices are not yet commercial available. Although shear forces are considered as a major contributor to ulcer formation in diabetic feet, their exact role still requires elucidation and quantification. This project aims to develop a prototype of an in-shoe wearable device that measures both shear forces and pressure using state-of-the-art developments in sensor technologies, smart textiles and wireless data transfer. The collaboration of pedorthists’ small and medium-sized enterprises (SME)’s with medical device engineering companies, knowledge institutes,technical universities and universities of applied sciences in this project will bring together the different fields of expertise required to create an innovative device. It is expected that the tool will be beneficial to improve the quality of pedorthists’ services and potentially reduce health insurance costs. Furthermore, it can be used in new shear forces research and open new business potential. However, the eventual aim is to improve patient care and help maintain personal mobility and participation in society.
Hoe kan zorgvernieuwing structureel en efficiënt gerealiseerd worden door inzet van 3D technieken en welke praktische medische vraagstukken kunnen hiermee worden opgelost? Dat is een vraag die voortkomt uit experimenten van Medisch Spectrum Twente (MST-afdeling Radiotherapie) samen met Saxion FabLab Enschede naar 3D geprinte opbouw voor radiotherapie behandelingen. De experimenten waren zeer succesvol, maar riepen tevens nieuwe technische en organisatorische vragen op. De huidige planningssoftware is (nog) niet compatibel en er is beperkte 3D expertise binnen het team. Daarnaast vraagt de implementatie van 3D technieken om een aanzienlijke investering qua tijd en geld en verandering van werkwijze. De conclusie van de afdeling radiotherapie is dat zij deze vraag niet zelfstandig kunnen oppakken om in te passen in hun eigen processen. Voortbouwend hierop hebben zorgstudenten breder gekeken naar de huidige ontwikkelingen van 3d printen op het gebied van de gezondheidzorg (Brinkman, Garstenveld, de Rijk, Rutgers, Timmershuis, 2017). Binnen MST heeft dit geleid tot een groep van meerdere afdelingen die actief geïnteresseerd zijn om samen vervolgonderzoek te doen naar het toepassen van 3D technieken. De ontwikkelingen op het gebied van 3D technologie zijn als individuele afdeling niet bij te benen. Dit vraagt om een duurzame samenwerking met lokale kennispartners. De uitdaging van de creatieve industrie is om met moderne technologieën succesvolle innovaties te realiseren binnen de complexe wereld van het ziekenhuis. Het bedrijf 4C ondervindt dat door de toenemende technische mogelijkheden er behoefte is aan hoogwaardig maatwerk door creatieve oplossingen. Saxion en FabLab Enschede bundelen de krachten met bovenstaande partners om de kennispositie van de hogeschool te versterken in het kader van het FieldLab UPPS (Ultra Personalised Products & Services). Doel van dit project is drieledig: 1) Het ontwikkelen van een roadmap voor kansrijke Ultra Persoonlijke klinische zorg binnen het MST door inzet van 3D technieken. 2) Door het uitwerken van een tweetal cases meer zicht te krijgen in de technische en organisatorische consequenties. 3) Het bijeenbrengen van kennispartners in een netwerk dat de roadmap verder op kan pakken en implementeren.
