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...
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| Published in | Computational and structural biotechnology journal Vol. 17; pp. 869 - 885 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.01.2019
Elsevier Research Network of Computational and Structural Biotechnology |
| Subjects | |
| Online Access | Get full text |
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| Abstract | 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians.
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| AbstractList | 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. Older center dot 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 dearly articulating the role of each provider and patient in the care process. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. Keywords: Integrated care, Chronic disease management, Clinical decision support systems, Evidence based clinical guidelines 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. Unlabelled Image 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians.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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. 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. In this paper, we present 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 care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians. [Display omitted] |
| Author | Laleci Erturkmen, Gokce B. Teoman, Alper Bouaud, Jacques de Manuel, Esteban Gonzalez, Nicolas Verdoy, Dolores Beach, Marie Lindman, Pontus Zhao, Lei Kalra, Dipak von Tottleben, Malte Klein, Gunnar O. Despotou, George Marguerie, Christopher Chen, Rong de Blas, Antonio Yuksel, Mustafa Arvanitis, Theodoros N. Sarigul, Bunyamin Traore, Lamine Lim Choi Keung, Sarah N. Lilja, Mikael Sadou, Eric |
| AuthorAffiliation | c Medixine, Finland k empirica Gesellschaft fÜr Kommunikations- und Technologieforschung mbH, Bonn, Germany m Örebro University School of Business, Informatics, Örebro, Sweden h Kronikgune, Research Center in Chronicity, Spain d Cambio Healthcare Systems, Sweden b Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK a SRDC Software Research Development and Consultancy Corp, Ankara, Turkey l South Warwickshire NHS Foundation Trust, UK i Osakidetza, Spain n European Institute for Innovation through Health Data, Belgium g Inserm, Sorbonne Université, Univ Paris 13, Laboratoire d'Informatique Médicale et d'Ingénierie des Connaissances pour la e-Santé, LIMICS, F-75011 Paris, France j Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, Umeå, Sweden e Health Informatics Center, Karolinska Institutet, Sweden f AP-HP, Delegation for Clinical Research and Innovation, Paris, France |
| AuthorAffiliation_xml | – name: k empirica Gesellschaft fÜr Kommunikations- und Technologieforschung mbH, Bonn, Germany – name: g Inserm, Sorbonne Université, Univ Paris 13, Laboratoire d'Informatique Médicale et d'Ingénierie des Connaissances pour la e-Santé, LIMICS, F-75011 Paris, France – name: m Örebro University School of Business, Informatics, Örebro, Sweden – name: c Medixine, Finland – name: f AP-HP, Delegation for Clinical Research and Innovation, Paris, France – name: n European Institute for Innovation through Health Data, Belgium – name: h Kronikgune, Research Center in Chronicity, Spain – name: e Health Informatics Center, Karolinska Institutet, Sweden – name: d Cambio Healthcare Systems, Sweden – name: b Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK – name: i Osakidetza, Spain – name: j Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, Umeå, Sweden – name: l South Warwickshire NHS Foundation Trust, UK – name: a SRDC Software Research Development and Consultancy Corp, Ankara, Turkey |
| Author_xml | – sequence: 1 givenname: Gokce B. orcidid: 0000-0002-6201-3849 surname: Laleci Erturkmen fullname: Laleci Erturkmen, Gokce B. email: gokce@srdc.com.tr organization: SRDC Software Research Development and Consultancy Corp, Ankara, Turkey – sequence: 2 givenname: Mustafa surname: Yuksel fullname: Yuksel, Mustafa organization: SRDC Software Research Development and Consultancy Corp, Ankara, Turkey – sequence: 3 givenname: Bunyamin surname: Sarigul fullname: Sarigul, Bunyamin organization: SRDC Software Research Development and Consultancy Corp, Ankara, Turkey – sequence: 4 givenname: Theodoros N. surname: Arvanitis fullname: Arvanitis, Theodoros N. organization: Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK – sequence: 5 givenname: Pontus surname: Lindman fullname: Lindman, Pontus organization: Medixine, Finland – sequence: 6 givenname: Rong surname: Chen fullname: Chen, Rong organization: Cambio Healthcare Systems, Sweden – sequence: 7 givenname: Lei surname: Zhao fullname: Zhao, Lei organization: Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK – sequence: 8 givenname: Eric surname: Sadou fullname: Sadou, Eric organization: Inserm, Sorbonne Université, Univ Paris 13, Laboratoire d'Informatique Médicale et d'Ingénierie des Connaissances pour la e-Santé, LIMICS, F-75011 Paris, France – sequence: 9 givenname: Jacques surname: Bouaud fullname: Bouaud, Jacques organization: AP-HP, Delegation for Clinical Research and Innovation, Paris, France – sequence: 10 givenname: Lamine surname: Traore fullname: Traore, Lamine organization: Inserm, Sorbonne Université, Univ Paris 13, Laboratoire d'Informatique Médicale et d'Ingénierie des Connaissances pour la e-Santé, LIMICS, F-75011 Paris, France – sequence: 11 givenname: Alper surname: Teoman fullname: Teoman, Alper organization: SRDC Software Research Development and Consultancy Corp, Ankara, Turkey – sequence: 12 givenname: Sarah N. surname: Lim Choi Keung fullname: Lim Choi Keung, Sarah N. organization: Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK – sequence: 13 givenname: George orcidid: 0000-0003-3437-6412 surname: Despotou fullname: Despotou, George organization: Institute of Digital Healthcare, WMG, University of Warwick, Coventry, UK – sequence: 14 givenname: Esteban surname: de Manuel fullname: de Manuel, Esteban organization: Kronikgune, Research Center in Chronicity, Spain – sequence: 15 givenname: Dolores surname: Verdoy fullname: Verdoy, Dolores organization: Kronikgune, Research Center in Chronicity, Spain – sequence: 16 givenname: Antonio surname: de Blas fullname: de Blas, Antonio organization: Osakidetza, Spain – sequence: 17 givenname: Nicolas surname: Gonzalez fullname: Gonzalez, Nicolas organization: Osakidetza, Spain – sequence: 18 givenname: Mikael surname: Lilja fullname: Lilja, Mikael organization: Department of Public Health and Clinical Medicine, Unit of Research, Education, and Development, Östersund Hospital, Umeå University, Umeå, Sweden – sequence: 19 givenname: Malte surname: von Tottleben fullname: von Tottleben, Malte organization: empirica Gesellschaft fÜr Kommunikations- und Technologieforschung mbH, Bonn, Germany – sequence: 20 givenname: Marie surname: Beach fullname: Beach, Marie organization: South Warwickshire NHS Foundation Trust, UK – sequence: 21 givenname: Christopher surname: Marguerie fullname: Marguerie, Christopher organization: South Warwickshire NHS Foundation Trust, UK – sequence: 22 givenname: Gunnar O. surname: Klein fullname: Klein, Gunnar O. organization: Örebro University School of Business, Informatics, Örebro, Sweden – sequence: 23 givenname: Dipak surname: Kalra fullname: Kalra, Dipak organization: European Institute for Innovation through Health Data, Belgium |
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| Cites_doi | 10.1093/ageing/afs100 10.1056/NEJMra050100 10.1186/1748-5908-7-50 10.1055/s-0042-102056 10.1186/1748-5908-6-87 10.1136/amiajnl-2011-000094 10.1136/bmj.38398.500764.8F 10.1016/j.ijmedinf.2007.04.012 |
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| SubjectTerms | Bioinformatics Chronic disease management Clinical decision support systems Computer Science Evidence based clinical guidelines Integrated care Medicin och hälsovetenskap |
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| Title | A Collaborative Platform for Management of Chronic Diseases via Guideline-Driven Individualized Care Plans |
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