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423 Community Sector and Telecare Services Many of the telemedicine outreach services we have mentioned from primary and secondary care to patients in their homes can be regarded as telecare services Others could easily be extended in this way In this section we shall take these examples as read and concentrate instead on services involving community carers In addition to the medical and technological drivers of healthcare, telecare often has a social aspect to it as housing authorities and social service departments seek to discharge their duty of care to residents in the community Not surprisingly, elderly people are major users of telecare and the European Union has funded extensive programmes under the TIDE (telemetics in support of the disabled and elderly) initiative [165 1661.

An instrument that can t be run without a computer must be validated as one separate entity: r The instrument + computerized system needs to be validated as one unit r The analytical methods that use this instrument need their own validation r The electronic communication between the instrument and other computer systems needs to be quali ed or validated. If, for example, a LIMS is sending information on samples, analytical method, and sequence to the instrument, this must be validated. If the instrument is sending results back to the LIMS, this needs to be validated too If an error is found during the validation of an integrated system, it may be more dif cult to work out where the problem is, as we will need to look into both the instrument and the computer functions.

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The clearest example of the relationship between the medical and social elements of care is the domiciliary visit by community nurses or midwives to patients confined to their homes Although effective, this is an expensive way of delivering healthcare and prone to cutbacks These cutbacks create a tension within a health service that wants to develop care-in-the-community, and among patients who increasingly see hospitalisation as an unattractive option There are many ongoing projects to improve the efficiency of domiciliary visits For example, in Melbourne, Australia, the Royal District Nursing Service has equipped all of its nurses with laptop computers linked to mobile telephones so that data required for the visit are to hand and information obtained during the visit can be entered and transmitted to base quickly and easily [167] As a result, all authorised carers have access to up-to-date information on all patients.

Recall that one of the first points I made about CommandBands controls is that the control itself is mostly a screen real estate manager and a container of CommandBars. If we omit the RBS_FIXEDORDER style, we are allowing users to move CommandBars between bands. When they do that, it changes the

With increased efficiency the nurse can either spend more time with a patient or see more patients in a day, or both Home healthcare is one of the most rapidly growing segments of the US healthcare market [168] A pilot study [169] in Minneapolis used a purposedesigned Personal Telemedicine Unit (PTU) operating over the widely available analogue telephone network Patients had no difficulty with the technology or with televisiting The average charge for a televisit was $15 as opposed to $90 for a physical visit including travelling costs In one instance, telecare allowed a patient to stay in her own home for six months whereas a.

The Label widget is used to display text. The Entry widget is used to accept single-line text strings from a user. The Button widget is used to display various types of buttons. The Listbox widget is used to display a list of items from which a user can select one or more items. The CheckButton widget is used to display a number of options to a user as a toggle buttons. A user can select more than one option by clicking the buttons corresponding to the selected options. The RadioButton widget is also used to display a number of options to a user as toggle buttons. However, a user can select only one option at a time. The Frame widget is the container widget that is used to organize other widgets.

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