This presentation will show how Ifremmont solves the lack of medical assistance for isolated patients, in particular those in mountain regions. Tools, originally built for climbers and mountain cabins, appears very efficient and necessary for large urban regions as well. They are now considered as a solution to give a chance for patients with chronic disease and elder people to stay home safely under control rather than to be moved to hospital. This goes the direction of the p-health concept (personalized medicine). We will cover other experiences in Africa and Asia as well as projects on getting faster in taking care of patients with possible stroke