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1、MediterraneanJournalofPacingandElectrophysiologyAZigBee-basedECGtransmissionforalowcostsolutioninhomecareservicesdeliveryF.Vergari,V.Auteri,C.Corsi,C.LambertiDipartimentodiElettronica,InformaticaeSistemistica(DEIS)ALMAMATERSTUDIORUM,Universita’diBolognaVialeRisorgimento,2.40136BOLOG
2、NAIntroductionTelemedicinecanmakeavailablethebenefitsofnewtechnologies,especiallyinformationandcommunications,inprovidingmedicalcare.Inparticularitcanpromoteinternationalcollaboration,facilitateintegrationofeHealthinhealthsystems,supportinterregionalinitiativesamonggroupsofcountries
3、thatspeakacommonlanguage,anddocumentthebestpracticesandreportonthem.Homecareprovidedinthepatient'shomeisoneofthemainfieldinwhichtelemedicinecaneffectivelychangethewayofprovidinghealthcare.Theavailabilityofportableandcommunicantdevices,servicesandsystems,isveryusefulforhealthpurposes
4、forfiling,exchangeandtreatmentofmedicaldata,ifregulatedbyspecificadministrative,legalandethicalrules.Itallowsfastout-of-hospitalassistanceandintegratedservicestoelderly,sick,disabled,lonelycitizensandsupporttothefamilies.Italianexperienceintelemedicineisverylimitedandprimarilyregard
5、stele-consultationinradiologyandhomecareinselectedpatientpopulations.Onlyfewapplicationfieldsarespreadallaroundthecountry,suchas118,CUPandnetworksfororgantransplantation.In2006,Italianpopulationcounted59millionofpeopleofwhich14.1%between0and14yearsand19.9%over65years.35%ofseniorciti
6、zenslivedalone.Inaddition,inthisenvironment,thecitizen/patient'sneedsarechangingsincetheywanttobemoreresponsibleoftheirownhealthcare,actingasconsumers,andtheyrequirepainlessandnon-invasivemethodsofdiagnosticandtreatments.Inthefaceofthesechanges,homecareservicescouldrepresentaneffici
7、entanswertotheseneeds.Heartdiseaseisthemaincauseofearlydisabilityandprematuredeathinwesterncountriesanditsincidenceincreaseswithage.Mostofthecardiacdeathsoccuroutsideofthehospitalandnewstrategiesareneededtoreducethetimebeforetreatmentandtodetectasearlyaspossibletheonsetofcardiaceven
8、ts.TheECGistheonlyu