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TELE-AMBUS - Exploring and Redesigning a Cross-sector Outpatient Wound Management Model Comprising Telemedicine and Ambulatory Wound Care Interventions
The TELE-AMBUS project explores implementation of a new cross-sectoral model for chronic wound management at the Wound Diagnostic Center/Department of Dermatology, Stavanger University Hospital. In the wound model, comprising telemedicine and an outpatient wound team, the wound team receives a referral from a general practitioner (GP), travels to the patient in the municipality, evaluates the patient's wounds, transfers images to the Dermatology Department via telemedicine, and performs the first wound treatment procedure. In parallel, nursing staff are taught "on site" about the wound procedure and the use of the telemedicine app. After the visit, a multidisciplinary medical team decides on a wound diagnosis and makes a treatment plan based on the wound nurses' findings. The wound nurses and nursing staff in the municipalities communicate, via telemedicine, questions and challenges related to the patient’s wound treatment. The project and model aim to improve service quality across the primary and secondary health care sectors through more direct communication and learning including telemedicine, to strengthen patients' quality of life through early intervention, and to contribute to a more holistic approach to chronic wound management across sectors and services. The project applies observations, conversations, interviews, and economic assessments to gather rich in-depth insight and the basis for understanding why and how the new wound model contributes to a change or not. More specifically, we want to examine from a larger system perspective various factors and outcomes related to the model’s implementation across sectors, including both managers' and employees' strategies for dealing with barriers. The project responds to regional and national strategies towards stronger interconnection of health services and proximity to patients. The project's unique system approach aims to strengthen current knowledge within and outside the wound field nationally and internationally.
TELE-AMBUS - Exploring and redesigning a cross-sector outpatient wound management model comprising telemedicine and ambulatory wound care interventions
01.09.21 - 31.08.25
Research Council of Norway (RCN)