Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems
المؤلفون المشاركون
Lamura, Giovanni
Melchiorre, Maria Gabriella
Barbabella, Francesco
Papa, Roberta
Quattrini, Sabrina
Lainscak, Mitja
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-23، 23ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-04-08
دولة النشر
مصر
عدد الصفحات
23
التخصصات الرئيسية
الملخص EN
Introduction.
eHealth applications have the potential to provide new integrated care services to patients with multimorbidity (MM), also supporting multidisciplinary care.
The aim of this paper is to explore how widely eHealth tools have been currently adopted in integrated care programs for (older) people with MM in European countries, including benefits and barriers concerning their adoption, according to some basic health system characteristics.
Materials and Methods.
In 2014, in the framework of the ICARE4EU project, expert organizations in 24 European countries identified 101 integrated care programs.
Managers of the selected programs completed an online questionnaire on several dimensions, including the use of eHealth.
We analyzed data from this questionnaire, in addition to qualitative information from six innovative programs which were studied in depth through case study methodology, according to characteristics of national health systems: a national health model (financing system), overall strength of primary care (PC) (structure/service delivery process), and level of (de)centralization of health system (executive powers in a country).
Results.
85 programs (out of 101) adopted at least one eHealth tool, and 42 of these targeted explicitly older people.
In most cases, Electronic Health Records (EHRs) were used and some benefits emerged like improved care management and integration, although inadequate funding mechanisms represented a major barrier.
The analysis by health system characteristics showed a greater adoption of eHealth applications in decentralized countries, in countries with a National Health Service (NHS) model, and in countries with a strong/medium level of PC development.
Conclusions.
Although in the light of some limitations, findings indicate a relation between implementation of care programs using eHealth tools and basic characteristics of health systems, with decentralization of a health system, NHS model, and strong/medium PC having a key role.
However adaptations of European health systems seem necessary, in order to provide a more innovative and integrated care.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Melchiorre, Maria Gabriella& Papa, Roberta& Quattrini, Sabrina& Lamura, Giovanni& Barbabella, Francesco& Lainscak, Mitja. 2020. Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems. BioMed Research International،Vol. 2020, no. 2020, pp.1-23.
https://search.emarefa.net/detail/BIM-1137914
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Melchiorre, Maria Gabriella…[et al.]. Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems. BioMed Research International No. 2020 (2020), pp.1-23.
https://search.emarefa.net/detail/BIM-1137914
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Melchiorre, Maria Gabriella& Papa, Roberta& Quattrini, Sabrina& Lamura, Giovanni& Barbabella, Francesco& Lainscak, Mitja. Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-23.
https://search.emarefa.net/detail/BIM-1137914
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1137914
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر