Rate this item
(0 votes)
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.…

Telemedicine in psychiatry

Rate this item
(0 votes)
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…

Child and adolescence habilitation

Rate this item
(0 votes)
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…

Community-based health rooms

Rate this item
(0 votes)
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…

Collaborative care planning

Rate this item
(0 votes)
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…

Transfer meetings in neonatal care

Rate this item
(0 votes)
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…
Rate this item
(0 votes)
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…
Rate this item
(0 votes)
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…

Assessment of suspected heart murmurs

Rate this item
(0 votes)
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…

Image referrals in dermatology

Rate this item
(0 votes)
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…

Teledermatoscopy

Rate this item
(0 votes)
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…

Emergency support in rural areas

Rate this item
(0 votes)
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…
Rate this item
(0 votes)
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…

Psycho-geriatric consultations

Rate this item
(0 votes)
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…

Adjustment of hearing aids

Rate this item
(0 votes)
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…
Rate this item
(0 votes)
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…

Haematologic appointment

Rate this item
(0 votes)
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…
Rate this item
(0 votes)
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,…

Teledermatological visits

Rate this item
(0 votes)
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…

Rheumatologic doctor’s visits

Rate this item
(0 votes)
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.…

Virtual GP appointments

Rate this item
(0 votes)
Many sparsely populated municipalities in the Västerbotten County have difficulties recruiting medical professionals to the primary care. The problem is also evident in urban primary care facilities, but to a lesser extent. These units are thus often dependent on temporarily hired physicians, a situation which entail unnecessary high costs, affect…

Robot-assisted echocardiography

Rate this item
(0 votes)
Ultrasound examination of the heart, known as echocardiography, is of major importance to establish or rule out certain heart diseases. Echocardiography is only offered at the county's hospitals and to address this limitation, researchers from Skellefteå hospital have developed a method whereby a cardiac ultrasound examination can be executed from…

Cognitive behavioural therapy (CBT)

Rate this item
(0 votes)
Storuman cottage hospital provides CBT treatment via video to patients in several municipalities in the sparsely populated areas of Västerbotten. The therapist connects to the meeting using an ordinary webcam and the patient joins either from the closest primary healthcare facility or by using a similar equipment at home. The…

Pain rehabilitation

Rate this item
(0 votes)
Ten percent of the Swedish population suffers from chronic pain, which represents almost 60 percent of all long-term sick leaves. Pain involves suffering on many levels and can cause physical as well as psychological and social problems. Each year about 320 people, mostly in the age of 18-65, with chronic…

Speech therapy

Rate this item
(0 votes)
In the very beginning of the 21st century, the Speech Pathology Clinic at Nus developed a novel concept for remote rehabilitation of patients with voice and speech disorders. The concept originally came about as the speech therapists were too few to cover the needs of the county. Today, this work…

Haematology round

Rate this item
(0 votes)
The Pathology Department at Nus participates in about 60 rounds every week in different areas. The haematology round, held twice a month via video, is coordinated by the centre for laboratory medicine at Nus and is part of the normal routines since the late 1990s. Hospitals in the northern region…

Breast conference

Rate this item
(0 votes)
The multidisciplinary breast conference is managed from Nus and includes Skellefteå hospital. The conference started already in the late 1990s and is one of the first rounds that allowed remote participation. The conference deals with patients with breast cancer or suspected breast cancer, and all patients are discussed at the…

Dialysis rounds

Rate this item
(0 votes)
There is a lack of full-time nephrologists at the dialysis unit in Lycksele Hospital, thus specialists at Nus regularly perform rounds remotely with support from the local staff in Lycksele. The rounds are enabled through mobile videoconferencing equipment, which makes it possible to carry out rounds wherever it is best…

Renal pathology round

Rate this item
(0 votes)
For more than a decade, the Centre of Medicine at Nus carries out joint rounds in renal pathology together with Karolinska University Hospital in Stockholm. Kidney biopsy specimens from patients in Umeå are prepared and sent to the pathologist at Karolinska. Once a month, renal pathologists at Karolinska connects to…

Renal transplantation round

Rate this item
(0 votes)
Since many years, Nus and Sahlgrenska University Hospital holds joint rounds for patients from the Northern Healthcare Region who has undergone kidney transplantation at Sahlgrenska. The rounds are held every two months and currently include Östersund hospital as well. In case of clinical indications, renal biopsies are sampled from the…

Colorectal conferences

Rate this item
(0 votes)
Within the colorectal area, i.e., colon, rectal and anal cancer, multidisciplinary rounds have been carried out for a long time. The rounds engage pathologists, oncologists, surgeons, radiologists, contact nurses, and all patients from Umeå and Skellefteå are brought up on the round. Since 2009, it is possible to join the…

Radiotherapy round

Rate this item
(0 votes)
In conjunction with the construction of the radiotherapy unit at Sundsvall Hospital in 2000, a multidisciplinary round known as distributed radiotherapy was established between Nus and Sundsvall Hospital. The aim was to make use of the experience from Nus radiotherapy and support the dose planning for patients to be treated…

Regional dermatology round

Rate this item
(0 votes)
Once a month, a regional dermatology round is held by the dermatology clinic at Nus with participation from the hospitals in Östersund, Sunderbyn and Sundsvall. The round utilizes videoconference with ability to simultaneously show clinical images and focuses on complex cases where the specialists want to discuss how to manage…

Dialysis access meetings

Rate this item
(0 votes)
In the dialysis area, so-called access meetings are held via video conferencing and involve physicians and biomedical scientists from the physiology lab (fyslab), doctor and nurse from the dialysis unit and vascular surgeon and doctors from the IR lab. Activities include Nus, Skellefteå and Lycksele Hospitals. The aim of the…

Pulmonary/oncology/thorax round

Rate this item
(0 votes)
This is a regional round involving patients in Northern Sweden with tumours in the lung and thorax. Since 2009, the lung clinics at Nus, Sunderby, Östersund and Sundsvall hospitals participate in the round with professionals in the fields of oncology, thoracic surgery, radiology, pathology and pulmonary medicine. Patients are brought…

Carcinoid round

Rate this item
(0 votes)
Regional round established since many years that addresses patients from Northern Sweden with neuro-endocrine tumours. Frequent participants are Nus, Östersund Hospital and Uppsala Academic Hospital, although several other hospitals in the northern healthcare region are also invited. Among the Swedish university hospitals, the Academic Hospital is most experienced with this…

Self measurement in primary care

Rate this item
(0 votes)
A number of primary care facilities in the county provide patients with equipment to measure blood pressure and coagulation unsupervised, or with limited support from the staff. Traditional monitoring of anticoagulant therapy is based on venous blood sampling, which is time consuming for both patient and staff. The alternative of…

Sarcoma round

Rate this item
(0 votes)
In Sweden there are five sarcoma centres responsible for diagnosing and treating tumours mainly in the extremities, abdominal and trunk wall, and pelvis. In addition, they handle certain tumours of the abdomen and underlying organs as well as the spine, chest, neck and shoulder region. Sarcoma rounds are held locally…

Remote interpretation

Rate this item
(0 votes)
The Interpretation Centre in Västerbotten offers support to people with deafness and blindness, and those suffering from a hearing imparement. In the middle of the 1990s, this centre started a project to offer writing interpretation remotely. The interpreter utilizes a video conferencing system or web cam and the patient watches…
Rate this item
(0 votes)
The paediatric cardiology unit at Nus offers virtual appointments to children with suspected heart conditions at Sunderby and Gällivare hospitals. The approach started as a pilot in 2014 and will be implemented in regular activities in 2016. The procedure and technical solution is the same as in a work model…

Hand rehabilitation

Rate this item
(0 votes)
At the hand and plastic surgery unit, patients in need of rehabilitation after injury or surgery of the hand and arm are offered treatment using video conferencing in their home or at the nearest health centre. Occupational therapist and physiotherapists utilize either a video conferencing system or webcam solution, whereas…
Rate this item
(0 votes)
At the regional hospital in Lycksele, there is a maternity ward but paediatricians are only available during normal work hours. To support the unit in case of complications during child birth, specialists at the neonatal unit at Nus are available around the clock for video consultations. For this purpose, a…
Go to top