The objective of the joint participation of the Finnish consortium is to
provide new technical solutions and work processes supporting care and
prevention of chronic diseases. Concerning clinical care, the piloting units
are Sipoo Health Centre and the Cardiology Clinic of the Hospital District of
Helsinki and Uusimaa (HUS). In both units, the patients will be given
technology for reporting their health parameters for the health professionals.
Another pilot is hosted by Nokia, targeting at new mobile solutions and
business models for corporate wellness domain.
The common objective of the pilots is to assess the benefits of new models for
healthcare and health maintenance. In each case, decision support systems have
a central role. Traditionally Clinical Decision Support Systems (CDSS) have
been used exclusively for providing support for health professionals in their
work. In Care4Me we have extended decision support also to patients and
healthy citizens. The new decision support approach includes automatic
analysis of data reported by the users and automatically generated user
messages, for motivating and guiding the users to achieve their health goals.
In Sipoo, the target
group is composed of diabetes and hypertension patients. The patients are
equipped by technology for carrying measurements at home for blood pressure,
blood sugar and daily activity. A mobile phone application is provided for
easy reporting of the data to the care personnel at the health centre.
The advantage of the decision support system for the care personnel is that
they are alerted about any problems observed in the reported data. This
enables the personnel to concentrate on the patients which are in most need
In HUS Cardiology Clinic,
the target group is composed of heart failure patients. In this case the
patients are measuring their blood pressure and weight at home and reporting
these to the care personnel at the clinic. Additionally, the patients are
reporting their self-assessment of symptoms such as dizziness, weakness,
dyspnea and arrhythmia.
Both pilots – Sipoo and HUS – are clinical trials, where the effects of the
new self-care model will be assessed. There are currently 27 patients
participating the self-care programme in Sipoo and altogether 46 patients have
been enrolled for the self-care programme in the HUS trial. In both trials a
control group of similar size continuing the traditional care have been
enrolled for the study.
Corporate wellness trial
The corporate wellness pilot carried out by Nokia is targeted to a randomized
group of employees, which use a mobile application for personal health and
life style reporting and receive motivating messages and reminders generated
by the decision support service. There are currently about 600 employees
participating the trial. Additionally an open trial with Wellness Diary
application is ongoing with more than 10 000 participants (Nokia phone users
who have installed the application).
In the Sipoo, pilot the patients are given a personal web folder – a so called
Personal Health Record (PHR)– to access their personal health information.
This Medinet service, provided by
Mediconsult contains measurement data uploaded by the patient as well as
clinical information e.g. medication list and laboratory results. The
availability of clinical information is facilitated by the integration of
Medinet with the Mediatri patient record system. For regular uploading of
measurement data, the patients use the Monica mobile application provided by VTT . The
Medinet system is connected to Duodecim’s
Electronic Health Check service , which provides guidance for deciding
about the care plan.
In HUS, the patients are using the Monica application without a PHR.
Additionally a web service is available for the health professionals to
follow-up the monitoring data and to make adjustments to the personal targets.
In the Nokia trials the Wellness
Diary application is used. The mobile application also contains a server
part where data collected by the phone application is periodically
synchronised. Nokia provides an open web interface for partner companies to
access the data at the Wellness Diary server subject to the consent by the
users. This enables innovative applications integrated to the Wellness Diary
to be provided. Duodecim
is using this model to provide personal decision support services to Wellness
Besides the project pilots listed above, Prowellness
is taking Nokia’s Wellness Diary and Duodecim’s Electronic Health Check to
operational use as part of Oulun
Omahoito, the health portal of Oulu.