H19 ‘ask the doctor’ of the european huntington association (EHA) – a pilot project on online patients advisory service

A. Mühlbäck, N. Hofstetter, K. Mühlbäck, A. Arnesen, E. Meijer, J. Klempr
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Abstract

Background Huntington disease (HD) is an incurable and devastating neurogenerative disease. Patients, family members and caregivers are often in need of information on HD. Although nowadays, the access to various information about HD via literature and virtual media, mostly internet, seems to be unlimited, it is important to consider that single information without basic content may be misunderstood or interpreted in an improper way. Persons in geographically isolated or less developed areas – away from centers of expertise or due to personal limitations to visit the center of expertise (no ability to drive, limited infrastructure, isolation, no social integration) may experience problems to reach professionals to obtain proper information. Methods Therefore, the European Huntington Association (EHA) launched in December 2016 a pilot project on the patient online service ‘Ask The Doctor’ that provides accurate information about HD to individual persons at the level and in the language of the user in a very confidential way. Within the project, so far 65 requests were received via an online form. Most users provide information on the country of origin, stating 15 different countries. The service communicates mostly in English, upon request of the user communication is as well done in different languages. Results The service provides needs based solutions under consideration of the individual’s resources and tries to obtain long term solutions for individuals by providing contacts in the country of origin, if required. It works with local patient’s associations, being fully an advisory service without providing any online therapy. The service ‘Ask The Doctor’ presents the results annually at the board meeting of the EHA. The EHA plans to introduce a survey obtaining information on the satisfaction level of users. Conclusion There is a significant need for such kind of service, in particular in even more languages than now.
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H19“问医生”的欧洲亨廷顿协会(EHA) -一个试点项目的在线患者咨询服务
亨廷顿病(HD)是一种无法治愈的破坏性神经变性疾病。患者、家庭成员和护理人员经常需要有关HD的信息。虽然现在,通过文学和虚拟媒体(主要是互联网)获取高清的各种信息似乎是无限的,但重要的是要考虑到没有基本内容的单一信息可能会被误解或以不恰当的方式解释。在地理上孤立或欠发达地区的人——远离专业知识中心或由于个人限制而无法访问专业知识中心(没有能力开车、基础设施有限、孤立、没有社会融合)——在联系专业人员以获得适当信息方面可能会遇到问题。因此,欧洲亨廷顿病协会(EHA)于2016年12月启动了一个关于患者在线服务“询问医生”的试点项目,该项目以非常保密的方式以用户的语言和水平向个人提供有关亨廷顿病的准确信息。在该项目中,到目前为止,通过在线表格收到了65份请求。大多数用户提供原产国信息,列出15个不同的国家。该服务主要使用英语进行通信,根据用户的要求,也可以使用不同的语言进行通信。结果该服务在考虑个人资源的情况下提供基于需求的解决方案,并在必要时通过提供原籍国的联系人,试图为个人获得长期解决方案。它与当地患者协会合作,完全是一种咨询服务,不提供任何在线治疗。“问医生”服务每年在EHA董事会会议上公布结果。EHA计划进行一项调查,收集使用者满意程度的资料。对于这类服务的需求非常大,特别是在比现在更多的语言中。
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