- 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

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