
Plaietile: supporting carers in the care of patients with chronic and/or complex wounds

About this good practice
WHY?
>A major PUBLIC HEALTH ISSUE
- 2.5 million patients with wounds each year in France, including 700,000 with chronic and/or complex wounds
- Chronic wounds are mainly LINKED TO AGE AND DEPENDENCY
>HEALTH PROFESSIONALS in DIFFICULTY
>Lack of inter-professional coordination & structure in care provision
FOR WHOM? Patients with chronic and/or complex wounds (more than 80% of patients treated are seniors)
AREA: Nouvelle-Aquitaine region
WHAT IS IT FOR?
Created by healthcare professionals and supported by the association ‘Plaietile Nouvelle-Aquitaine’, the project brings together VOLUNTEER DOCTORS and NURSES from the region who contribute their TELEMEDICINE EXPERTISE in addition to their usual clinical work. It forms a VIRTUAL COMMUNITY, with no change in the location or type of practice of the healthcare professional involved.
>It is set up AT THE REQUEST OF CARERS experiencing difficulties in managing patients with chronic and/or complex wounds.
Stages of care:
1.Carers facing difficulties submit a request
2.First tele-expertise opinion (expert will intervene via telemedicine; if necessary : teleconsultation (TLC))
3.Assisted TLC (if necessary, a TLC at home in the presence of the patient's usual nurse is carried out)
4.Sending of a care plan (shared with the GP)
5.Telemonitoring (follow-up arrangements decided by each expert, new TLCs/tele-expertise may be scheduled)
= Patient pathway coordination throughout the entire care episode
PERSPECTIVES: Regional deployment
Resources needed
FINANCIAL
Coordination: private funds and public subsidies (Nouvelle-Aquitaine Region & ARS)
Telemedicine acts: set by the National Health Insurance
HUMAN
24 professionals:
>Coordination: 3 part-time doctors (non-salaried), 2 salaried nurses (1 FTE) & 1 FTE secretary
>Experts & doctors: part-time
Evidence of success
- OPTIMISED CARE FOR PATIENTS with chronic and/or complex wounds
- COORDINATION between public and private stakeholders involved in wound and scar management
- Maintaining patients at HOME
- Increasing the SKILLS of care teams
March 2022 – Sept 2024:
+600 patients were integrated
+300 healthcare teams supported
+1000 telemedicine procedures (tele-expertise and home-assisted TLC)
Area covered in the region: 95% of Landes and Pyrénées-Atlantiques departments. 5%: other departments in the region
Potential for learning or transfer
PLAIETILE'S ORGANISATIONAL MODEL:
- A CENTRAL POINT OF CONTACT via a DIGITAL access platform accessible to all requesting doctors in the region
- A CENTRALISED PATHWAY COORDINATION TEAM whose role is to mobilise all the region's human and technical resources
- A MULTIDISCIPLINARY and MULTI-PROFESSIONAL COORDINATED CARE TEAM > a virtual community made up of expert doctors and nurses linked by a national cooperation protocol and practising on separate sites, sharing telemedicine time in addition to their usual activity to improve access to care in areas where the supply of wound and scar specialists is low, leading to longer delays in access to care.
- Partner referral centres and establishments that can receive patients for SPECIALISED CARE as part of a graded approach to care (specific expertise / technical facilities).
- The use of TELEMEDICINE practices such as tele-expertise, assisted TLC and tele-assistance will enable patients to remain at home and improve the care they receive.
Further information
Plaietile – How does it work? (in 2 min)
Images
Documents
Interreg Europe Good Practice_Plaietile_Association Plaietile Nouvelle Aquitaine.pdf
Website
Good practice owner
You can contact the good practice owner below for more detailed information.