Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries.

Tópicos

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Resumo

JECTIVES: The deployment and adoption of Integrated Personal Health and Care Services in Europe has been slow and fragmented. There have been many initiatives and projects of this kind in different European regions, many of which have not gone beyond the pilot stage. We investigated the necessary conditions for mainstreaming these services into care provision.METHODS: We conducted a qualitative analysis of 27 Telehealth, Telecare and Integrated Personal Health System projects, implemented across 20 regions in eight European countries. The analysis was based on Suter's ten key principles for successful health systems integration.RESULTS: Out of the 27 cases, we focussed on 11 which continued beyond the pilot stage. The key facilitators that are necessary for successful deployment and adoption in the European regions of our study are reorganisation of services, patient focus, governance mechanisms, interoperable information systems, policy commitment, engaged professionals, national investments and funding programmes, and incentives and financing.CONCLUSION: In those cases which provided evidence of success beyond the pilot stage, we observed a promising trend: awareness and introduction of Integrated Personal Health and Care Services in European regions has increased. Further research will reveal the weight of each facilitator and which combinations of facilitators lead to rapid adoption.

Resumo Limpo

jectiv deploy adopt integr person health care servic europ slow fragment mani initi project kind differ european region mani gone beyond pilot stage investig necessari condit mainstream servic care provisionmethod conduct qualit analysi telehealth telecar integr person health system project implement across region eight european countri analysi base suter ten key principl success health system integrationresult case focuss continu beyond pilot stage key facilit necessari success deploy adopt european region studi reorganis servic patient focus govern mechan interoper inform system polici commit engag profession nation invest fund programm incent financingconclus case provid evid success beyond pilot stage observ promis trend awar introduct integr person health care servic european region increas research will reveal weight facilit combin facilit lead rapid adopt

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