The Digital Transition of Healthcare: A Pilot Experience
DOI:
https://doi.org/10.24950/rspmi.2589Palavras-chave:
Digital Health, eHealth Strategies, Patient-Centered CareResumo
The healthcare context is undergoing a significant transformation, facing a series of complex and unprecedented challenges. This transformation is triggered by accessibility constraints to healthcare services, increased expectations from patients and sing financial burdens. Rather than being seen as unsolvable obstacles, these challenges can be perceived as powerful stimuli, encouraging the search for innovative and creative solutions, especially in a context where new digital technologies applicable to healthcare are emerging. In the context of this article, which shares a transformative vision
of healthcare provision, we describe a pilot program developed for the Heart Failure ambulatory of the Internal Medicine Department at the Braga Local Health Unit (ULS-Braga). This proposal encompasses not only treatment, but also proactive health promotion, based on an approach that incorporates cutting-edge digital technology. The overall aim is to significantly expand the scope of outpatient services and provide innovative home care, bringing it closer to the specific needs of (healthy and sick) individuals.
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Maindal H T, Sokolowski I, Vedsted P. Translation, adaptation and validation of the American short form Patient Activation Measure (PAM13) in a Danish version. BMC Public Health. 2009; 9:209. doi: 10.1186/1471-2458-9-209
Kennedy A, Reeves D, Bower P, Lee V, Middleton E, Richardson G, et al. The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial. J Epidemiol Community Health. 2007;61:254-61. doi: 10.1136/jech.2006.053538.
Health Promotion Board. [accessed May 2024] Available at: https://www.hpb.gov.sg/
Osborne RH, Elsworth GR, Whitfield K. The Health Education Impact Questionnaire (heiQ): an outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions. Patient Educ Couns. 2007;66:192-201. doi:
Reid RJ, Fishman PA, Yu O, Ross TR, Tufano JT, Soman MP, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care. 2009;15:e71-87.
Chinitz D, Meislin R, Alster-Grau I. Values, institutions and shifting policy paradigms: expansion of the Israeli National Health Insurance Basket of Services. Health Policy. 2009;90:37-44. doi: 10.1016/j.healthpol.2008.08.010.
Mehrotra A, Huskamp HA, Souza J, Uscher-Pines L, Rose S, Landon BE, et al. Rapid Growth In Mental Health Telemedicine Use Among Rural Medicare Beneficiaries, Wide Variation Across States. Health Aff. 2017;36:909-917. doi: 10.1377/hlthaff.2016.1461.
Arora S, Kalishman SG, Thornton KA, Komaromy MS, Katzman JG, Struminger BB, et al. Project ECHO: A Telementoring Network Model for Continuing Professional Development. J Contin Educ Health Prof. 2017;37:239-44. doi: 10.1097/CEH.0000000000000172. Erratum in: J Contin Educ Health Prof.2018;38:78.
Lund C, Tomlinson M, De Silva M, Fekadu A, Shidhaye R, Jordans M, et al.. PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med. 2012;9:e1001359. doi: 10.1371/journal.pmed.1001359.
Ross J, Stevenson F, Lau R, Murray E. Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implement Sci. 2016;11:146. doi: 10.1186/s13012-016-0510-7.
Kaipio J, Lääveri T, Hyppönen H, Vainiomäki S, Reponen J, Kushniruk A, et al. Usability problems do not heal by themselves: National survey on physicians' experiences with EHRs in Finland. Int J Med Inform. 2017;97:266-81. doi: 10.1016/j.ijmedinf.2016.10.010.
Kivekäs I, Puustinen L, Rautiainen P, Aarnisalo A, Seppä J, Laranne J. A Mobile App for Home Screening of Otologic Diseases: A Randomized Controlled Trial. Otolaryngol Head Neck Surg. 2019;160:452-8.
Agbo CC, Mahmoud QH, Eklund JM. Blockchain Technology in Healthcare: A Systematic Review. Healthcare. 2019;7:56. doi: 10.3390/healthcare7020056.
Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019;25:44-56. doi: 10.1038/s41591-018-0300-7.
Fraser H, Coiera E, Wong D. Safety of patient-facing digital symptom checkers. Lancet. 2018;392:2263-4. doi: 10.1016/S0140-6736(18)32819-8.
Määttä J, Lindell R, Hayward N, Martikainen S, Honkanen K, Inkala M, et al. Diagnostic Performance, Triage Safety, and Usability of a Clinical Decision Support System Within a University Hospital Emergency Department: Algorithm Performance and Usability Study. JMIR Med Inform. 2023;11:e46760. doi: 10.2196/46760.
Stewart M, Meredith L, Brown JB, Galajda J. The influence of older patient-physician communication on health and health-related outcomes. Clin Geriatr Med. 2000;16:25-36, vii-viii. doi: 10.1016/s0749-0690(05)70005-7.
Inglis SC, Clark RA, McAlister FA, Ball J, Lewinter C, Cullington D, et al. Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Syst Rev. 2010:CD007228. doi: 10.1002/14651858.CD007228.
Jovicic A, Holroyd-Leduc JM, Straus SE. Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomized controlled trials. BMC Cardiovasc Disord. 2006;6:43. doi: 10.1186/1471-2261-6-43.
Pandor A, Thokala P, Gomersall T, Baalbaki H, Stevens JW, Wang J, et al. Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health Technol Assess. 2013;17:1-207, v-vi. doi: 10.3310/hta17320.
Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, et al. 2009 Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation. J Am Coll Cardiol. 2009;53:e1-e90. doi: 10.1016/j.jacc.2008.11.013. Erratum in: J Am Coll Cardiol. 2009;54:2464.
Steen S, Sjöberg T, Pierre L, Liao Q, Eriksson L, Algotsson L. Transplantation of lungs from a non-heart-beating donor. Lancet. 2001;357:825-9. doi: 10.1016/S0140-6736(00)04195-7.
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Direitos de Autor (c) 2024 Medicina Interna
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Direitos de Autor (c) 2023 Medicina Interna
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