• Technology is rapidly evolving
• “Synchronous” or “asynchronous”
• Reimbursement?
• Logistics?
• Patient preference / Compliance?
• Efficacy in well controlled trials
• Important new developments:
  • Wearables
  • Bluetooth for connectivity
  • Teleconference platforms
• Important bottle necks
  • Privacy and data sharing
  • Funding
• Problems
  • Reimbursement: No nomenclature
  • Logistics: Patient needs to put the equipment in their home space
  • Patient preference / Compliance: Patient might not like that their supervisor is distant
  • Privacy and data sharing: Who has access to this data? How do we keep it secure?
  • Funding is not always guaranteed
    
    
    
    
    
    

Hybrid Rehabilitation

In Belgium

• Proposal for transmural multidisciplinary rehabilitation
  • Start with GP or chest physician
  • With an important role for primary care Physio and Pharmacist
  • With contribution of other disciplines (occ-psy-diet-nurse)
  • Central assessment
  • Treatment partly outpatient, partly primary care
  • With time and financing of multidisciplinary meetings (online)
  • With group sessions of 1h in primary care
• Better access and attuned to needs of patients