A Telemedicine Service System Exploiting BT/BLE Wireless Sensors for Remote Management of Chronic Patients

The management of the increasing number of patients affected by cardiovascular, pulmonary, and metabolic chronic diseases represents a major challenge for the National Health System (NHS) in any developed country. Chronic diseases are indeed the main cause of hospitalization, especially for elderly people, leading to sustainability problems due to the huge amount of resources required. In the last years, the adoption of the chronic care model (CCM) as assistive model improved the management of these patients and reduced the related healthcare costs. The diffusion of wireless sensors, portable devices and connectivity enables to implement new information and communication technology (ICT)-based innovative applications to further improve the outcomes of the CCM. This paper presents a telemedicine platform for data acquisition, distribution, processing, presentation, and storage, aimed to remotely monitor the clinical status of chronic patients. The proposed solution is based on monitoring kits, with wireless Bluetooth (BT)/ Bluetooth low energy (BLE) sensors and a gateway (i.e., smartphone or tablet) connected to a web-based cloud application that collects and makes available the clinical information to the medical staff. The platform allows clinicians and practitioners to monitor at distance their patients, according to personalized treatment plans, and to act promptly in case of aggravations, reducing hospitalizations and improving patients' quality of life.