European researchers working on the HEALTH OPTIMUM project are using telemedicine technology to enhance healthcare across Europe while lowering its cost. “We set out to prove the sustainability of telemedical services from an organizational and economic point of view,” says HEALTH OPTIMUM project coordinator Claudio Dario. “In our two years of market validation, we found that telemedicine not only gave advantages from an economic point of view, but was very useful for the needs of patients.” For example, Dario says that before the project most head-trauma patients and possible brain-injury patients were transported by ambulance or helicopter to a neurosurgical center, but once diagnosed many patients did not need the center’s specialized care. The HEALTH OPTIMUM project restructured the entire process. An IT infrastructure was established to support remote, full-service neurosurgical consultation using a hub-and-spoke model. Medical recordkeeping practices also were reorganized to enable computed axial tomography images and lab results to move smoothly and securely between specialized centers and peripheral clinics. The new infrastructure means patients no longer need to be transported from an accident site or emergency call location to a specialized center, but instead can be brought to a regular emergency room, where the patient can be stabilized and tests and other medical data can be digitally sent to the specialists, who can decide if the patient needs specialized care. “Our analysis showed that up to 80 percent of transportations have been avoided by this system, achieving a high level of savings,” Dario says. “In addition, by speeding up expert assessment, telemedicine saves lives.”
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In a recent speech before the members of the National Academy of Sciences, U.S. President Barack Obama said the United States should invest 3 percent or more of its annual gross domestic product (GDP) in basic and applied scientific research funding. A 3 percent investment would represent the largest investment in U.S. history, an even larger share of the GDP than the U.S. invested during the space race of the 1950s and 1960s. Obama said the pursuit of discovery a half century ago fueled the U.S.’s prosperity and success, and that this new commitment will fuel the nation’s success for another 50 years. Obama presented a wish list for the future, including educational software as effective as personal tutors, advanced prosthetics that could enable users to play the piano, and an expansion of the frontiers of human knowledge. Obama plans to finish the 10-year doubling of the budgets for the National Science Foundation (NSF), the Department of Energy’s (DOE’s) Office of Science, and the National Institutes of Standards and Technology, which would add $42.6 billion to the budgets for these agencies between 2009 and 2016. Obama also wants to launch the Advanced Research Projects Agency-Energy (ARPA-E), a new DOE organization, and a joint initiative by the DOE and NSF that would inspire tens of thousands of U.S. students to pursue careers in science, engineering, and entrepreneurship in clean-energy programs. Obama also used the speech to name the members of the President’s Council of Advisors for Science and Technology, which will include Google chairman and CEO Eric Schmidt and Microsoft’s chief research and strategy office Craig Mundie.
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