IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: chronic disease management

Sept. 6, 2016 Europe Practice
Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Developing an integrated e-health system in Croatia to drive care improvements

An electronic Central Health Information System (CEZIH) was introduced by the government to connect stakeholders and provide real-time data on patients and providers; a strong government commitment and top-down leadership established the necessary conditions for the widespread adoption of e-health; data collected through the e-health system helped drive performance improvements; a new payment model for primary care providers was introduced and realigned financial incentives encouraged positive changes in clinical practice; ongoing trainings supported providers to uptake and capitalize on new technologies; a patient e-portal helped engage patients in their own care.

chronic disease management, data collection, e-health, incentives, integrated information system
Jan. 13, 2020 Global Publication
Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

A Collaborative Platform for Management of Chronic Diseases via Guideline-Driven Individualized Care Plans

Older age is associated with an increased accumulation of multiple chronic conditions. The clinical management of patients suffering from multiple chronic conditions is very complex, disconnected and time-consuming with the traditional care settings. Integrated care is a means to address the growing demand for improved patient experience and health outcomes of multimorbid and long-term care patients. Care planning is a prevalent approach of integrated care, where the aim is to deliver more personalized and targeted care creating shared care plans by clearly articulating the role of each provider and patient in the care process. This paper presents a method and corresponding implementation of a semi-automatic care plan management tool, integrated with clinical decision support services which can seamlessly access and assess the electronic health records (EHRs) of the patient in comparison with evidence based clinical guidelines to suggest personalized recommendations for goals and interventions to be added to the individualized ...

chronic disease management, clinical decision model, evidence-based medicine, guidelines for health professionals, integrated care, supports