WPC) ~6*8 VsIX83:S jgLEYڞFg/2W?_ ug|mEױ D3@FH”&PJ _5z QH}5'{vkWa4[ !0 p"ˣ0"SJhvBF/Ͷ#Iπ.E1*d4QX|c:ov[nv 6caOɦya;PBx` 0JN E#lJw/@T%Nwtuh=YSs2G*i7kRBu5 ^{{|ii1σO 'b@k$A83 \:уS9lsu5B@i! VI͇##l>V41lɓ\{r:%†9WmEkT xbߌ s(T%G1oUN %8 0> #5( 4&Z m\>sw^ 4 B-Z 0lk 0DD/_$n 0 ( (HjpJ$,,,,XBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBN 1 0---- 0@@ 0S"S" 0ur%r% 0%% 0&& 0O'O' 1u(((( B(((((((((((((((( 72(((( 1(((((((((((((((((((((U:y)y)y)y)M)&d9 Z6Times New Roman RegularX(f$,..,TRW6&A4W6&A4 6&A4 6&A4T ? 0?vvbX0#ggdd  8dd8ISUS,.     ^^bAdobe PDF0 W:\WP2000\SKJRI~IZ.WPTUW:\WP2000\SkjritunY2k-nytt.wpt#aPEt/Erirs?g3|x)Hairline d8DocumentManagement::ModifiedBooleanTRUE(D2$ f!,..,X2XXXTRW6&A4X3' Letter 6&A43'LetterT ? XX20?vvbX0#ggdd  8dd8ISUS,.     ^^b    0  0  (#$  0   : e),..,X2XXX? XX20?vvbX0#ggdd  ISUS,.   _>? Ҁ %_  g+,..,X2XXX? XX20?vvbX0#ggdd  ISUS,.   d  ݀http://www.who.int/bulletin/volumes/90/5/11-099408/en/($  a',..,X2XXX? XX20?vvbX0#ggdd  ISUS,.   _Ԁhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC1865411/http://ccforum.com/content/16/4/R127    http://www.ncbi.nlm.nih.gov/pubmed/20687083ikmo!%Eu{}1. a. 1.StafliWir undir t?luliW1.a.1.(3$ f!,..,X2XXXTRW6&A4X3' Letter 6&A43'LetterT ? XX20?vvbX0#ggdd  8dd8ISUS,.     ^^b  (3$ f!,..,X2XXXTRW6&A4X3' Letter 6&A43'LetterT ? XX20?vvbX0#ggdd  8dd8ISUS,.     ^^b  (3$ f!,..,X2XXXTRW6&A4X3' Letter 6&A43'LetterT ? XX20?vvbX0#ggdd  8dd8ISUS,.     ^^b   d (M0J$2  0  .3  0 ` (0$0  2   d  a   d.3  0` "" d(u$0  0` (#(#` `  2  a  .3  0` (#` (#(`$0  0` (#(#0 ` (#` (#0 (# (#"h2  0  .3  0(#(#3#37=CIQYag1.a.i.(1)(a)(i)1)a) dqi) gEu{}a. 1. a.T?luliWur undir stafliWa.1.a.1)a)4cp Z "Times Regular f!,..,X2XXXTRW6&A4X3' Letter 6&A43'LetterT ? XX20?vvbX0#ggdd  8dd8ISUS,.     ^^b  _ >?  _ikmo(%03q 9?N144.lggjafarYing2014!2015.##;;12.uppprentun. ( Xingskjal27"27.ml.1^J\\ Flutningsmenn.\^J\Ԉ    ^  TillagatilYingslyktunar# ^+#   J  umaWgerWatluntilaWeflafjarheilbrigWisYj;nustu.     Flm.:Bjrt:lafsd;ttir,BrynhildurPtursd;ttir,GuWmundurSteingrmsson, K #  :ttarrPropp,PllValurBjrnsson,BrynhildurS.Bjrnsd;ttir,    OddnUG.HarWard;ttir,HelgiHrafnGunnarsson,J;nX;r:lafsson,    smundurFriWriksson,SigrWurIngibjrgIngad;ttir,   SiljaDggGunnarsd;ttir,UnnurBrKonrWsd;ttir,J;nGunnarsson, wO  lfheiWurIngad;ttir,BjarkeyOlsenGunnarsd;ttir. B  9  AlYingilyktaraWfelaheilbrigWisrWherraaWsetjaframaWgerWatluntileflingarfjarheil   brigWisYj;nustusvobj;Wamegilandsmnnum,hvarsemYeirerusveitsettir,fjlbreytta, {  skilvirkaogruggaheilbrigWisYj;nustu. nF   RWherraupplUsiAlYingifyrir1.ma2015umtmasettaaWgerWatlun. 9 #dgg  GreinargerW.#ggde   w   FjarheilbrigWisYj;nusta(e.telehealth)erUmisYj;nustasemveittermeWfjarskiptumog r rafrnumhtti.SlkYj;nustahefurruttsrtilrmsvWaumheimundanfarnaratugimeW e= g;Wumrangri.tlamaWvinningurafflugrifjarheilbrigWisYj;nustuhrlandiverWi 0 umtalsverWur.MeWhennierunntaWmtabeturYrfumf;lksaukYesssemhnbtiraWgengi  landsmannaaWruggriheilbrigWisYj;nustu.XbregstfjarheilbrigWisYj;nustaviWmanneklu,  srstaklegastWumYarsemstarfsmannaskiptierutW.Xj;nustuformiWeykurhagkvmni i rekstriogeflirskilvirkninUtingustarfsf;lks.FjarheilbrigWisYj;nustadregurrkostnaWi \4 vegnaferWanotendasemogheilbrigWisstarfsf;lks.Xstyrkirhnnkvmaskrninguheil ' brigWisupplUsinga.FjarheilbrigWisYj;nustaermjgkj;sanlegurkosturtilaWeflaheilbrigWis  Yj;nustuhrlandiogereinnigrangursrkleiWtilaWeflalUWheilsu.    DmiumeinfaldatgfufjarheilbrigWisYj;nustuerrWgjfheilbrigWisstarfsmanna `  gegnumsmaogdmiumfl;knafjarheilbrigWisYj;nustuerskurWaWgerWmeWhjlpvlmenna S+! semstUrterafsrfrWingumsemstaddireruhversnumheimshlutanum. "   MeWfjarheilbrigWisYj;nustumveitaf;lkifrWsluogsrhfWarWgjfogleiWsgn.Til # dmisertkninnotuWtilaWleitasrfrWirWgjafar,t.d.hjlknisemerfjarstadduren  $ tengdurgegnumfjarskiptiviWtkisemmetalkamsstandsjklings.Tkninameinnig !W% notaheimahjkrunYarsemeinstaklingierveittaWstoWvarWandilyf,aWstoWviWsrameWferW J""& eWaaWrameWferWeftiraWgerWirsjkrahsi.NUtingvefmyndavlahefuraukistundanfarin #' rogsnjallsmarerutildmisnUttirtilaWfylgjastmeWogveitarWgjfeftirskurWaWgerWir. #( AllarYessarleiWirhafavWalofaWmjgg;WuogerfullstWatilaWtlaaWhrlandigeti $ ) nUtingfjarheilbrigWisYj;nustuveriWmjgkj;sanlegurkosturtilaWeflaYj;nustunasemfyrir v%N!* er,bWivettvangiheilsugsluogsjkrahsa. A&"+   FjarheilbrigWisYj;nustahefurveriWYr;uWvWaumheimundanfarnaratugiogranns;knir  '", sUnaaWvinningurinnsnUraWlfsgWumogheilsueinstaklingannasemnj;taYj;nustunnar, '#- YekkinguogfrniheilbrigWisstarfsf;lksoglkkunkostnaWarviWheilbrigWisYj;nustu. (z$. 9 _     &  Ranns;knirsUnaaWfjarheilbrigWisYj;nustaleiWirtilbttrarsrfrWirWgjafarogstuWnings ( tilheilbrigWisstarfsf;lks'(ԀsemgerirYvkleiftaWveitasrhfWaYj;nustutildmissvWum  YarsemaWganguraWsrfrWiYekkinguertakmarkaWur(AlkmimogFigueirao.fl.,2012)og  einnighYr;uWumgjrgsludeildumsjkrahsaYarsemrafrnsamskiptierunUtttilaW a aukaaWgengiaWsrYekkinguogsrhfWrimeWferW(WilcoxogAdhikari,2012). T,   Ranns;knirsUnaeinnigaWmeWferWviWlangvinnumsjkd;mum,t.d.hjartasjkd;mum,  skilarbetrirangriYegarsjklingartengjastrafrnumeftirlitsbnaWi,einkumYegarumer  aWrWaeinstaklingasembadreifWumbyggWumYarsemaWganguraWsrhfWriYj;nustu   ertakmarkaWur(Clark,Inglis,Finlay,McAlister,ClelandogStewart,2007).  X   EinnighefurkomiWlj;saWeftirlitogrWgjfgegnumsmahefurfrmeWsraukin K #  lfsgWifyrirskj;lstWingana,minnikostnaWvegnaheilbrigWisYj;nustu,auknaYekkinguog    getueinstaklingannatilsjlfshjlpar,minnihttuinnlgnsjkrahsogauknarlkur    meWferWsembyggistgagnreyndriYekkingu(Inglis,Clark,McAlister,Ball,Lewinter,   Cullington,StewartogCleland,2010). wO    HeilbrigWisstarfsf;lkhefurundanfarnaratugikynntstj;rnvldumgildifjarskiptatkni B  heilbrigWis-ogvelferWarYj;nustu.VWaumheimhafaumratugaskeiWveriWYr;aWar    aWferWirtilaWveitaruggaogskilvirkaheilbrigWisYj;nustugegnumsmasemerhentugasta   formfjarskiptatkni.StuWningurogrWgjfgegnumsmaer;metanlegur,btirgWimeW {  ferWar,btiraWgengiaWYj;nustuogdregurreinangrun. nF   0seinnitWhafavefmyndavlarkomiWaWg;WugagniviWmargskonarYj;nustu,t.d. 9 geWheilbrigWisYj;nustu.GerWarhafaveriWtilraunirmeWnUtingusnjallsmatilaWfylgjastmeW  ogveitarWgjfeftirskurWaWgerWir.AllarYessarleiWirlofamjgg;WuogerfullstWatil  aWtlaaWhrlandigetinUtingfjarskiptatkniveriWmjgkj;sanlegurkosturtilaWefla r Yj;nustunasemfyrirer. e=  HeilbrigWisYj;nustafyrirdreifWaribyggWir.   GrnlandogBretland.    GrnlandierusrstkfjarheilbrigWisYj;nustutkilykiltkilkningaogsjkd;ms i greiningafmennumogeinangruWumsvWum.XauerustaWsetthverjusvWimeW50ba \4 ogeruauWveldnotkun.SvokallaWirfjarendareruYannigstaWsettirumalltlandogllum ' erindumgegnumYerstUrttilNuukogNarsarsuaqWurenbeiWniersendfram.strri  ogfjlmennaristWumerulknarsemsinnaf;lkistaWnumsemoggegnumfjarfunda  bnaW.HefurYaWleitttilbetrinUtingartmaogaukinnarafkastagetu.KostnaWurvegna `  ferWamillistaWaminnkaWiverulegaeftiraWfjarheilbrigWistkninvartekinnotkun. S+!   0BretlandihefurfjarheilbrigWisYj;nustaeinnigveriWnUttmeWg;Wumrangri.Tildmis " komlj;saWfjarheilbrigWisYj;nustaYarvarWandimeWferWeftirbrunaskilaWiaukinniskil # virkniogbiWtmistyttistverulega.  $ 0sland. J""&   FjarskiptatknihefurframtilYessaaWeinhverjuleytiveriWnUttgeWlkningumhr #' landienYaWfrumkvWihefuraWmestuveriWeinstakrasrfrWingaoglj;steraWkerfis #( bundiWerhgtaWnUtatknintmansmunbeturtilYessaWmtaYrfumf;lkstilslar-og $ ) geWlkninga.XarliggjamikilvgtkifritilaWsinnaYrfogaukahagrWiheilbrigWis v%N!* Yj;nustu A&"+   heilsugslustWKirkjubjarklausturshefurundanfrnummissirumveriWstarfrkt  '",  fjarheilbrigWisYj;nusta,meWYartilgerWumtkjumogaWferWum,meWeinkarg;Wumrangri. '#- ?N       &   0rannarshefuroftekkiveriWhgtaWmannastWuhraWslknisKirkjubjarklaustri ( aWfulluoghafaskammtmarrWi'(w,ԀveriWdUrogmunYaWekkiveraeinsdmi0slandi.  Skaftrhreppurerfmennt,einangraWogvWfeWmthraW,bafjldium450mannsenyfir  sumarmnuWimargfaldastbafjldinn.NstaYorp,VkMUrdal,er70kmfjarlgW. a HeilbrigWisstofnunSuWurlandser210kmfjarlgWvesturttogLandsptalinnertplega T, 300kmfjarlgW.HeilbrigWisstofnunSuWausturlandserrttrmlega&  200kmfjarlgW  austurtt.'R/    &  FjarheilbrigWisYj;nustutkiW?Agnes erstaWsettheilsugslustWinniKirkjubjar   klaustri' /ogeftirYvsemerbestvitaWerYaWeinaslkatkiWhrlandi.TkiWsamanstendur  X meWalannarsafeyrna-,hls-ogaugnskoWunartki,hjartalnuriti,ndunarmli,rafrnni K #  hlustunarppu,lfsmarkamlisemskrirjafn;Wumpls,bl;WYrUsting,hitaogsrefnismettun,    aukstafrnnarkvikmyndavlarsemgerirmgulegtaWsinnasjklingumrauntma.Lknar    oghjkrunarfrWingarKirkjubjarklaustrimyndasamhentteymiognUtatkninatil   hgWaraukaogryggisfyrirsjklingasinna.XannigerYeimkleiftaWsendafl;knarupp wO  lUsingarumstandsjklingsflj;ttogauWveldlegatilsrfrWilknasemerufjarstaddir. B  EinnigermguleikimeWnUtingusnjallsmaaWsendafrvettvangiupplUsingartkiWsjlft.      KirkjubjarklaustrierlknirheilsugslustWinniaWrahverjaviku,Y24klst.vakt,   enhjkrunarfrWingurertilstaWarallavirkadagarsinsdagvinnutma.Xvikusemlknir {  heilsugslunnarerfjarverandierhjkrunarfrWingurvakt24klst.oggeturhaftstuWning/ nF samrWviWfastalknistWvarinnar(yfirlkni)eWaYnstaheilsugslulknisemerVk 9 ognUtirfjarheilbrigWisYj;nustutkiYeimsamskiptumeftirYvsemYarfirsjklingannasegja  tilum.Wur,YegarlknirvarekkistaWsetturstWinni,f;rusamskiptimillilknisog  hjkrunarfrWingsmikiWtilgegnumsmaogfaxtkieWaaWsjklingarYurftuaWleitatil r HeilsugslunnarVkMUrdal.NeruYessisamskiptimunnkvmariogreiWanlegrien e= WurYegarfjarheilbrigWisYj;nustutkiWvarekkistaWnum. 0   FjarheilbrigWisYj;nustaerekkinUafnlinni.AWrarYj;WirhafanWmiklumrangrimeW  notkunhennaroglj;steraW0slendingarsembast;rulandimeWdreifWarbyggWirhafa  margtaWvinnameWflugrifjarheilbrigWisYj;nustu.Ranns;knirhafasUntaWmeWnotkun i aWferWumogtknifjarheilbrigWisYj;nustueykstryggisjklinga,gWiYj;nustunnarverWa \4 meiriogsWastenekkisstverWurhagkvmnirekstrimeiri. '   MeWtillguYessarierlagttilaWrWherragrpitilaWgerWatilaWstyrkjafjarheilbrigWis  Yj;nustuogaWhannkynniAlYingieigisWaren1.mank.tmasettaaWgerWatlunumtil  hvaWaaWgerWaverWurgripiWoghvenr.EfYaWerviljiAlYingisaWmtafjlbreyttriYrf `  f;lksfyrirheilbrigWisYj;nustu,samtmisYvaWgeraf;lkikleiftaWbaogstarfaumallt S+! 0sland,eraWferWafrWifjarheilbrigWisYj;nustakj;sanlegurkosturtilYessaWkomatilm;ts " viWYrforsendurhagkvmanogrugganhtt. #  Heimildir:  !W%   #ngggAlkmim,M.B.,Figueira,R._M._,_Marcolino_,M._S._,_Cardoso_,C._S._,_Abreu_,M.P._D._,_Cunha_,L._R._, J""& _Cunha_,D.F._D._,_Antunes_,A._P._,_Resende_,A.G.D._A._,_Resende_,E.S._and_Ԁ_Others_Ԁ(2012). "' _Improving_Ԁ_patient_Ԁ_access_Ԁ_to_Ԁ_specialized_Ԁ_health_Ԁ_care_:the_Telehealth_Ԁ_Network_Ԁof_Minas_Ԁ_Gerais_, #( _Brazil_._Bulletin_Ԁofthe_World_Ԁ_Health_Ԁ_Organization_,90(5),bls.37!378.S;tt12.september2014:#ggng> Z$2 ) 4 *  5  http://www.who.int/bulletin/volumes/90/5/11-099408/en/6DD  7 E  % * _Clark_,_RA_.,_Inglis_,_SC_.,_McAlister_,_FA_.,_Cleland_,_JGF_.og_Stewart_,_JG_.(2007)._Telemonitoring_Ԁ_or_Ԁ_structured_ %!+ _telephone_Ԁ_support_Ԁ_programmes_Ԁfor_patients_Ԁ_with_Ԁ_chronic_Ԁ_heart_Ԁ_failure_:_systematic_Ԁ_review_Ԁ_and_Ԁmeta j&B", analysis._BMJ_,_May_Ԁ(5),334(7600),942._doi_:10.1136/bmj.39156.536968.55.S;tt12.september2014: '"- 4 *  5  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1865411/6lJJ  7 J '#. _Inglis_,_SC_.,_Clark_,_RA_.,_McAlister_,_FA_,Ball,_J._,_Lewinter_,_C._,_Cullington_,_D._,_Stewart_,S.og_Cleland_,_JG_. z(R$/ (2010)._Structured_Ԁ_telephone_Ԁ_support_Ԁ_or_Ԁ_telemonitoring_Ԁ_programmes_Ԁfor_patients_Ԁ_with_Ԁ_chronic_Ԁ_heart_Ԁ_failure_. *)%0 _Cochrane_Ԁ_Database_Ԁ_Syst_Ԁ_Rev_.2010_Aug_Ԁ4;(8):CD007228._doi_:10.1002/14651858.CD007228.pub2.S;tt )%1  12.september2014:4  +   5  http://www.ncbi.nlm.nih.gov/pubmed/206870836PP  7 P *b&2 _Wilcox_,&   _M.E._Ԁog_Adhikari_,_N.K.J._Ԁ(2012).The_effect_Ԁof_telemedicine_Ԁ_in_Ԁ_critically_Ԁill_patients_:_systematic_ ( _review_Ԁ_and_Ԁmetaanalysis._Critical_Ԁ_Care_Ԁ2012,16:R127doi:10.1186/cc11429.S;tt12.september2014:  4 *  5  http://ccforum.com/content/16/4/R12766TJT  7 [eT#,>#'(Q `