Lotte Dinesen – Clinical Research Fellow in E-health and Telemedicine

November 5, 2014 | Dr Lotte

I’d like to take this opportunity to introduce myself. My name is Lotte Dinesen, I’m a consultant in General Internal Medicine, and currently a Clinical Research Fellow in e-health and telemedicine for frail individuals for the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) and National Institute for Health Research (NIHR) for North West London. I am researching the use of electronic data to support decision-making, and improve care and outcomes for frail individuals as part of my Doctor of Medicine by Research (MD (Res)) at NIHR CLAHRC – part of Imperial College London. I am very pleased to say that Aridhia have supported my research as part of their community programme.

Currently, there is very limited data on health care, disease prevention, health promotion and individuals’ awareness of health within frailty and specifically how electronic data might help support these areas. So the research I’m undertaking aims to explore the opportunity for improving frail patients understanding of their disease and improve the outcome of their chronic diseases (such as heart failure, chronic obstructive lung disease and diabetes) and more importantly try to predict frailty.

With the advancement of computer technologies, it’s now possible to capture and store information from real time assessments, health behaviour and self-assessments, which creates lots of opportunities to use these datasets to enhance the safety, quality and efficacy of health care, and deliver individualised care.

Adopting this new data-driven approach, I hope to create a tool for assessing the frailty of an individual by scoring metrics that include physical, psychological, socio-economic and environmental aspects, and explore the potential for collating this information within a digital platform (e-health). The platform will be designed to act as a communication tool between clinical teams and patients, to support continuity of clinical care and individual patient requirements for chronic disease management.

From a wider context, this research will examine how Hospital Episode Statistics (HES) data compares to a clinical score and a more patient centred score and how this affects mortality, admission to hospital and occupied bed days, looking at how these scores can be applied to an electronic platform to improve outcomes for frail individuals. Using data in this way has the potential to play a vital role in meeting the challenges faced by healthcare systems, by improving the quality of care as well as patient safety. Outputs from the project will include journal and conference publications, as well as supporting NIHR CLAHRC NWL projects.

Over the next couple of months, I look forward to sharing my progress with you through regular blog posts.


 

lotte

Lotte is a consultant in General Internal Medicine, and currently is a Clinical Research Fellow in e-health and telemedicine in chronic diseases for CLAHRC NIHR North West London with Imperial College London.

Lotte graduated from University of Copenhagen in 2001, and has completed a 6 year SpR rotation in North West London in 2013. She has undergone a comprehensive training in gastroenterology and general internal medicine. She has furthered her experience with 2 fellowships one at The Royal Prince Alfred Hospital in Sydney, Australia (Oct 2010- Oct 2011) and one at John Radcliffe Hospital in Oxford (Aug 2006- Sept 2007).

Having worked first and foremost in Gastroenterology but also in General Internal Medicine and Acute Medicine, she has not only acquired a wealth of clinical knowledge, but also gained the ability to apply this knowledge to make effective clinical decisions. This has enabled her to contribute to individual patient care and to address both the chronic and psychosocial aspects of patient care. This was demonstrated when she developed and lead a patient day care centre where she taught medical staff (nurses, junior doctors and GPs) and patients additionally, Lotte created a computer based teaching aid and remote learning initiate in the form of an Inflammatory Bowel Disease (IBD) website for patients and GPs, to teach and empower them in dealing with IBD. Her academic research involves having authored 17 original articles published in national and international peer reviewed journals as well as authored three book chapters. She has presented her research in many national and international meetings.

During her training Lotte has been involved in many major research projects in Gastroenterology and General Internal Medicine (GIM) with the aim of assessing current standards of practise that will lead to improvements in quality of care. Lotte has also been actively involved in many national and international studies and has been a collaborator in many multicenter clinical trials (phase I, II, and III). In addition, she has participated actively in the International IOIBD multiplex family study, as pioneered the DCCD (Danish Crohn and colitis database).

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