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In the late 1990s, child and adolescent psychiatry in Northern Sweden began utilizing videoconferencing in their work. Today, such technology is used in many different applications, primarily administrative but also in family conversations and start-up conversations before treatment and, to a limited extent, in personal meetings with patients and families.…
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Already in 2000, the Department of Psychiatry in Västerbotten began utilizing videoconferencing in contacts with neighbouring units and non-healthcare partners. Organisational changes resulted in a significantly larger catchment area and the management realized that telemedicine was the only option to maintain good working relationships and proximity to patients and families.Today…
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The child and adolescence habilitation in Västerbotten offers advice, support and rehabilitation to children and adolescents with mental retardation, autism, physical disabilities or other severe disabilities. As the unit has a clear focus on removing barriers for people in their everyday life, video conferencing is used extensively to avoid unnecessary…
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The Centre for Rural Medicine, GMC, in Storuman has developed a new concept for improving proximity to healthcare for residents in rural and sparsely populated areas. In December 2013, the first health room was inaugurated in the small village of Slussfors, midway between the primary care facilities in Storuman and…
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The aim of collaborative care planning is management of information transfer and planning of a patients’ future care after admission from inpatient facilities. Already in the late 1990s, the first projects with video conference supported care planning were executed in Västerbotten County. Since then, this work model is routine practice…
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The Neonatal Unit at Nus cares for children in need of extra support and monitoring during early life. The unit has the whole Northern Healthcare Region as catchment area and many of the children need care for long periods, sometimes a long way from home. Before leaving the neonatal unit…
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In 2012, a National Children’s Heart Network, Gertrude, was established to improve the support for children and new-borns with suspected heart conditions. Thanks to the Swedish Heart and Lung Foundation, 35 of the Swedish hospitals with paediatric cardiology units have received an advanced video conferencing system with the ability to…
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Since 2009, the paediatric cardiology unit at Nus supports Sunderby and Gällivare Hospitals with emergency assessments of cardiac ultrasound in children and newborns. The child is cared for by a local paediatrician where the ultrasound investigation is performed. The cardiologist at Nus views the ultrasound images in real time via…
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During 2005-2007, engineers at the Department of Biomedical Engineering and Informatics, R&D at Nus developed a system for remote auscultations that can stream or store signals from a digital stethoscope. Assessments were thereafter done either during a video consultation or by recording and storing the sound for future assessment. The…
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In 2005, the Dermatology Clinic at Nus began evaluating the possibility to assess skin conditions such as acne, psoriasis and eczema remotely through referrals supplemented by digital images. This evaluation was the start of a large-scale expansion of image-based diagnostics and today, the clinic offers consultations based on digital images…
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Early diagnosis is of great importance for the survival of patients with malignant melanoma. Until 2012, Nus offered referral-free appointments with dermatologists to assess moles, but it was concluded that the service only reached a limited number of people, primarily from nearby municipalities. To offer a more equitable service across…
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The towns of Tärnaby, Storuman, Sorsele and Malå in the inland of Västerbotten have access to extended primary care through the cottage hospitals. These units have since many years a video solution in the emergency rooms that allows external support or guidance during emergencies. Physicians on call at home or…
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The most common form of facial malformation in new-borns is a gap in lip, jaw or palate, known as cleft palate. In Sweden, there are six units that manage these patients, including Nus who are responsible for all babies born in Northern Sweden.Since 2011, the so-called lip, jaw and palate…
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The Centre for Geriatrics at Nus offers psycho-geriatric assistance via video or webcam to primary care facilities in southern Lapland and the Umeå region. The approach has been applied by Skellefteå Hospital to a limited extent since 2004 and by Nus since 2009. In recent years, the concept has been…
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In Northern Sweden, there are about 170 adults with cochlear implant, CI. A cochlear implant is a high-tech tool that can restore hearing to deaf and severely hearing impaired. The implant, which consists of both implanted and external components, is inserted and tested at Nus for all adult patients in…
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The renal unit at Nus offers remote support to patients with peritoneal dialysis (PD) at the patients nearest primary care unit. The service was established in 2011 as part of the EU project ITTS and is now routine practice. The plan is to develop the concept further to be able…
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The Haematology Section at Nus is responsible for delivering highly specialized haematology care to all patients in Northern Sweden. Activities include regular follow-ups and drug recommendations, which today is also offered directly to patients in their homes using video services. Some patients need follow-ups as frequently as twice a week…
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The Centre for Cardiovascular Genetics, CKG, is a research centre operating within a partnership between the Heart Centre, the Centre for Medicine, the Child and Youth Clinic and Laboratory Medicine. The vision of CKG is to prevent morbidity and mortality in hereditary cardiovascular disease by offering families diagnostics, genetic counselling,…
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Teledermatological visits were introduced in 1996 at the Dermatology Clinic at Nus in collaboration with some of the primary care driven cottage hospitals in the sparsely populated western parts of the county. Physicians and patient in primary care consulted a specialist at the Dermatology Clinic during a video meeting and…
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Rheumatology patients on heavy medication need to be examined regularly to evaluate the pharmacological treatment, possible side effects and general wellbeing. To reach all the patients in the county, medical specialists in rheumatology placed at Nus previously staffed also the rheumatology departments of Skellefteå and Lycksele Hospitals once a week.…
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