ENS4Care: Evidence Based Guidelines for Nurses and Social Care Workers for the deployment of eHealth services

The EU-funded Ens4Care project has developed five guidelines for European nurses and social workers on how to use eHealth for promoting a healthy lifestyle and prevention, clinical practice, skills development for advanced roles, integrated care and nurse ePrescribing. 

The 2-year-project, that was launched in December 2013, funded by the EU and coordinated by the European Federation of Nurses Associations (EFN) together with 24 partners from all over Europe, including a mix of different professional associations in nursing and social care, nursing regulators and unions, informal carers, patients, researchers and research communities, civil society representatives and industry. They have collected a total of 122 existing good practices of using eHealth tools by nurses and social workers at both national and regional levels, with aim to inform not only the health and care sector, but also policy-makers. 

How are “e-patients” transforming healthcare?

One of the best known e-patients, “e-patient Dave”,Dave deBronkart explains in this video how patients are achieving more power in their relationships with doctors and researchers because of the distribution of education and information on the Internet and connections made in social media during the Conference of the European Society for Medical Oncology #ESMO14 celebrated in Madrid in 2014.

See all videos from: Dave DeBronkart

How are “e-patients” transforming healthcare?

One of the best known e-patients, “e-patient Dave”,Dave deBronkart explains in this video how patients are achieving more power in their relationships with doctors and researchers because of the distribution of education and information on the Internet and connections made in social media during the Conference of the European Society for Medical Oncology #ESMO14 celebrated in Madrid in 2014.

See all videos from: Dave DeBronkart

Report on the Global Knowledge Commons for Innovations in mHealth and eHealth

The International Society for Telemedicine & eHealth publishes (in an electronic form) the Report of the Innovation Working Group (IWG) Task Force on the Global Knowledge Commons for m-eHealth Innovations.

The report addresses the key challenge facing digital health, which is that of converting our collective knowledge into a global public good, accessible to all, thus enabling each actor in the ecosystem to benefit from what others know. The document postulates that a Global Knowledge Commons (GKC) for innovation in health or simply "the Commons", would be composed of three main constituents:

• A database of projects, products and services;
• A "Who is who in eHealth" - individual experts and institutions; and
• Reusable m-eHealth knowledge objects, in various formats, such as articles, presentations, videos, etc.

The Commons would leverage existing repositories of the digital health space, and lead to five significant beneficial outcomes:

• Digital intelligence at-a-glance through dash-boards by geography, application area and ...

Using Information Communication Technology in Models of Integrated Community-Based Primary Health Care: Exploring ICT in the iCOACH Study

Information and communication technology (ICT) is a promising enabler to support delivery of integrated care by inter-disciplinary teams by supporting information sharing across professional and  organizational boundaries; arguably a crucial aspect of successful models of integrated care

The determinants of access to information on the Internet and knowledge of health related topics in European countries

The aim of this study is to analyze the determinants of access to health-related information on the Internet and their influence on perceived knowledge of health-related topics in European countries. Referring to the European citizens’ digital health literacy survey and applying structural equation modelling hypotheses, the obtained results showed that assumption of acceptance of information and capacity level are the main determinants which have the biggest influence on the perception of access to health-related information on the Internet. The access to health-related information negatively determined the perceived level of knowledge about health-related topics, which reveals that people making more use of the information are more critical in assessing the level of their knowledge. People who evaluated their health status as poor stated that they knew about health-related topics less. Therefore, the high level of access to health-related information does not mean that people would assume having more knowledge about health-related ...

Tomorrow’s World: Is Digital Health the Disruptive Innovation that will Drive the Adoption of Integrated Care Systems?

The idea of this study is that disruptive digital innovations can play a significant role in curbing the long-term rise in the costs of health and care, empower and engage service users, and enable better care outcomes and experiences.
In many ways, the strategy has similar objectives to the integrated care movement in the need to design and implement new ways of care delivery. Indeed, the role of information, communication and technology is commonly regarded as one of the essential ingredients in enabling the success of integrated care. It has the most uncommon dual property in this regard. It is simultaneously the grease that allows integrated care systems to operate as smoothly as they can through good communication of information between care professionals and services users, but it is also the glue that binds care systems together.

Digital Health Transformation of Integrated Care in Europe: Overarching Analysis of 17 Integrated Care Programs

Digital health tools comprise a wide range of technologies to support health processes. The potential of these technologies to effectively support health care transformation is widely accepted. However, wide scale implementation is uneven among countries and regions. Identification of common factors facilitating and hampering the implementation process may be useful for future policy recommendations.

The aim of this study was to analyze the implementation of digital health tools to support health care and social care services, as well as to facilitate the longitudinal assessment of these services, in 17 selected integrated chronic care (ICC) programs from 8 European countries.

Patient-Centered Methods for Designing and Developing Health Information Communication Technologies: A Systematic Review

Chronic disease management and maintaining healthy behaviors to prevent disease are important lifelong considerations. Adherence to prescribed management and behaviors often falls short of physician recommendations, which can result in negative health outcomes. Information communication technologies (ICTs) offer an approach to combat this issue. However, uptake and sustainability of ICTs have mixed results. One reason could be that technologies are often created without an understanding of the complexities of patient needs. Therefore, the intent of this study is to explore the current landscape of patient-centered design and development of health ICTs through a systematic review.

WHO Guideline: recommendations on digital interventions for health system strengthening

The key aim of this guideline is to present recommendations based on a critical evaluation of the evidence on emerging digital health interventions that are contributing to health system improvements, based on an assessment of the benefits, harms, acceptability, feasibility, resource use and equity considerations. For the purposes of this version of the guideline, the recommendations examine the extent to which digital health interventions, primarily available via mobile devices, are able to address health system challenges along the pathway to UHC. By reviewing the evidence of different digital interventions against comparative options, as well as assessing the risks, this guideline aims to equip health policy-makers and other stakeholders with recommendations and implementation considerations for making informed investments into digital health interventions.

Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems

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.

GPCC at SASUF 2020: Person-centred eHealth in healthcare

The University of Gothenburg Centre for Person-Centred Care (GPCC) is providing this workshop "Person-centred eHealth in healthcare", on 25 November 2020, within the South Africa - Sweden University Forum 2020 event, online.

The goal with this event is to discuss innovative strategies to integrate person-centred care in healthcare. These discussions about person-centred care in Sweden and South Africa intend to give new perspectives regarding new technologies that have the purpose to contribute to the development of person-centred care approaches. *This session will be recorded*.

Programme

(Central European Time)

9:00-9:05, Welcome, Stefan Nilsson, Associate professor & Ensa Johnson, PhD

9:05-9:20, Biomarkers as evaluation of a digital tool – Is it possible?, Jonas Bergquist, Professor

9:20-9:35,South African children with cancer sharing their lived experience in coping with their illness and treatment, Karen van Zijl, PhD & CHOC social workers

9:35-9:50, Person-centred care and Universal Design as theoretical ...

ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal

The Allergic Rhinitis and Its Impact on Asthma (ARIA) initiative started more than 20 years ago and has developed and disseminated evidence-based guidelines and projects in the field of allergic rhinitis. This initiative is currently focused on providing patient-centred guidelines that contribute to an integrated care pathway between the various levels of care and take advantage of digital solutions, and the introduction of integrated care pathways in clinical practice has been recommended. In this article we describe the adaptation for Portugal of the ARIA Integrated Care Pathways document. After a brief review of the epidemiology and impact of allergic rhinitis in Portugal and the activities carried out in Portugal within the ARIA initiative, we describe the broad knowledge base used for the development of recommendations for the pharmacological treatment of allergic rhinitis, and these recommendations are based on the GRADE methodology, real world evidence acquired by mobile technology (mHealth) and ...

Implementing Mobile Health?Enabled Integrated Care for Complex Chronic Patients: Intervention Effectiveness and Cost-Effectiveness Study

Integrated care can generate health and social care efficiencies through the defragmentation of care and adoption of patient-centered preventive models. eHealth can be a key enabling technology for integrated care.

Meaningful use of a digital platform and structured telephone support to facilitate remote person-centred care - a mixed-method study on patient perspectives

Process evaluations are useful in clarifying results obtained from randomised controlled trials (RCTs). Traditionally, the degree of intervention usage in process evaluations is monitored by measuring dose or evaluating implementation fidelity. From a person-centred perspective, such evaluations should be supplemented with patients’ experiences of meaningful use, given that intervention use should be agreed upon between interested parties and tailored to each patient. This study aimed to elucidate patients’ experiences of a remote person-centred care (PCC) intervention by deepening the understanding of, if, how and for whom the intervention contributed to meaningful use.