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  1. Can integrated care help in meeting the challenges posed on our health care systems by COVID-19? Some preliminary lessons learned from the european VIGOUR project
    Autor*in: Lindner S.; Kubitschke L.; Lionis C.; Anastasaki M.; Kirchmayer U.; Giacomini S.; De Luca V.; Iaccarino G.; Illario M.; Maddalena A.; Maritati A.; Conforti D.; Roba I.; Musian D.; Cano A.; Granell M.; Carriazo A. M.; Lama C. M.; Rodriguez S.; Guligowska A.; Kostka T.; Konijnendijk A.; Vitullo M.; Garcia-Rudolph A.; Sanchez J. S.; Maggio M.; Liotta G.; Tziraki C.; Roller-Wirnsberger R.
    Erschienen: 2020

    The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different... mehr

     

    The COVID-19 pandemic puts health and care systems under pressure globally. This current paper highlights challenges arising in the care for older and vulnerable populations in this context and reflects upon possible perspectives for different systems making use of nested integrated care approaches adapted during the work of the EU-funded project VIGOUR (“Evidence based Guidance to Scale-up Integrated Care in Europe”, funded by the European Union’s Health Programme 2014–2020 under Grant Agreement Number 826640).

     
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    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Aufsatz aus einer Zeitschrift
    Format: Online
    Schlagworte: Health care; Integrated care; Pandemic management; Social care; Vulnerable patients
    Lizenz:

    info:eu-repo/semantics/openAccess
  2. Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases
    Autor*in: Tziraki C.; Grimes C.; Ventura F.; O'caoimh R.; Santana S.; Zavagli V.; Varani S.; Tramontano D.; Apostolo J.; Geurden B.; De Luca V.; Tramontano G.; Romano M. R.; Anastasaki M.; Lionis C.; Rodriguez-Acuna R.; Capelas M. L.; Dos Santos Afonso T.; Molloy D. W.; Liotta G.; Iaccarino G.; Triassi M.; Eklund P.; Roller-Wirnsberger R.; Illario M.
    Erschienen: 2020

    Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare... mehr

     

    Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key 'bottlenecks': inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.

     
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    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Aufsatz aus einer Zeitschrift
    Format: Online
    Schlagworte: integrated; multimorbidity; non-communicable chronic diseases (NCCDs); palliative care; public health
    Lizenz:

    info:eu-repo/semantics/openAccess
  3. ICT-supported interventions targeting pre-frailty: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study
    Autor*in: O'Caoimh R.; Molloy D. W.; Fitzgerald C.; Van Velsen L.; Cabrita M.; Nassabi M. H.; de Vette F.; van Weering M. D.; Jansen-Kosterink S.; Kenter W.; Frazer S.; Rauter A. P.; Turkman A.; Antunes M.; Turkman F.; Silva M. S.; Martins A.; Costa H. S.; Albuquerque T. G.; Ferreira A.; Scherillo M.; De Luca V.; Abete P.; Colao A.; Garcia-Rudolph A.; Sanchez-Carrion R.; Sanchez J. S.; Gomez Aguilera E. J.; Illario M.; Hermens H.; Vollenbroek-Hutten M.
    Erschienen: 2018

    As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early... mehr

     

    As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early intervention is desirable and pre-frailty, before onset of functional decline, may represent a suitable transition stage to target, albeit evidence for reversibility and appropriate interventions are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. This work describes 25 healthcare related findings from the recently completed PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project, funded under the 2013–2016 European Union Framework Programme 7 (grant #610359). PERSSILAA developed a comprehensive Information and Communication Technologies (ICT)-supported platform to screen, assess, intervene and then monitor community-dwellers in two regions (Enschede in the Netherlands and Campania in Italy) in order to address pre-frailty and promote active and healthy ageing, targeting three important pre-frailty subdomains: nutrition, cognition and physical function. Proposed definitions of pre-frailty, ICT-based approaches to screen and monitor for the onset of frailty and targeted management strategies employing technology across these domains are described. The potential of these 25 healthcare recommendations in the development of future European guidelines on the screening and prevention of frailty is explored.

     
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    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Aufsatz aus einem Sammelband
    Format: Online
    Schlagworte: Frailty; Guideline; Healthcare recommendation; Information and communication technology; Pre-frailty
  4. Frailty as the future core business of public health: Report of the activities of the A3 action group of the european innovation partnership on active and healthy ageing (EIP on AHA)
    Autor*in: Liotta G.; Ussai S.; Illario M.; O'caoimh R.; Cano A.; Holland C.; Roller-Winsberger R.; Capanna A.; Grecuccio C.; Ferraro M.; Paradiso F.; Ambrosone C.; Morucci L.; Scarcella P.; De Luca V.; Palombi L.
    Erschienen: 2018

    Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at... mehr

     

    Background: The prevalence of frailty at population-level is expected to increase in Europe, changing the focus of Public Health. Here, we report on the activities of the A3 Action Group, focusing on managing frailty and supporting healthy ageing at community level. Methods: A three-phased search strategy was used to select papers published between January 2016 and May 2018. In the third phase, the first manuscript draft was sent to all A3-Action Group members who were invited to suggest additional contributions to be included in the narrative review process. Results: A total of 56 papers were included in this report. The A3 Action Group developed three multidimensional tools predicting short–medium term adverse outcomes. Multiple factors were highlighted by the group as useful for healthcare planning: malnutrition, polypharmacy, impairment of physical function and social isolation were targeted to mitigate frailty and its consequences. Studies focused on the management of frailty highlighted that tailored interventions can improve physical performance and reduce adverse outcomes. Conclusions: This review shows the importance of taking a multifaceted approach when addressing frailty at community level. From a Public Health perspective, it is vital to identify factors that contribute to successful health and social care interventions and to the health systems sustainability.

     
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    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Aufsatz aus einer Zeitschrift
    Format: Online
    Schlagworte: Community care; Frailty; Healthcare planning; Narrative review; Older adult; Public health
  5. European Specifications for Value-based Pre-Commercial Procurement of Innovative ICT for Empowerment and Self-management of Diabetes Mellitus Patients
    Autor*in: De Luca V.; Birov S.; Beyhan O.; Robinson S.; Sanchez-Nanclares G.; Del Pilar L�pez Acu�a M.; Fernandes A.; Hammerschmidt R.; Annuzzi G.; Iaccarino G.; Illario M.
    Erschienen: 2019

    Current demographic changes require a paradigm shift in the delivery of health and social services. Wide-scale implementation of validated ICT support to clinicians and patients is essential to ensure the quality of services to future generations of... mehr

     

    Current demographic changes require a paradigm shift in the delivery of health and social services. Wide-scale implementation of validated ICT support to clinicians and patients is essential to ensure the quality of services to future generations of citizens. Healthcare providers from four European regions - Turkey, Portugal, Campania and Murcia- have joined forces to procure an innovative ICT solution for patient empowerment and self-management for patients with diabetes mellitus. The procurement is in the form of a joint pre-commercial procurement (PCP) of Research & Development, with participation by EU industry in competitive phases of development. The PCP is part of the EU-funded project ProEmpower, which is currently in the prototype testing phase. The challenge faced by the procurers was to jointly define specifications for the envisioned solution that reflect the needs of all four regions. After an intensive year of consultations with procurers' experts - clinicians, IT staff, procurement specialists - ProEmpower launched a call for tender with the defined specifications, which reflect the unmet needs across the procuring regions with regards to improving management of diabetes mellitus supported by ICT. This paper presents the ProEmpower specifications, which can be easily adapted to the local conditions of any procuring region in Europe and beyond. The specifications thus represent a valuable source for any new development of ICT-supported diabetes management.

     
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    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Konferenzveröffentlichung
    Format: Online
    Schlagworte: Diabetes Mellitu; ICT; Management; Pre-Commercial Procurement; Technical Specifications
  6. The Italian reference sites of the European innovation partnership on active and healthy ageing: Progetto Mattone Internazionale as an enabling factor
    Autor*in: Illario M.; De Luca V.; Tramontano G.; Menditto E.; Iaccarino G.; Bertorello L.; Palummeri E.; Romano V.; Moda G.; Maggio M.; Barbolini M.; Leonardini L.; Addis A.
    Erschienen: 2017

  7. Healthcare recommendations from the personalised ict supported service for independent living and active ageing (PERSSILAA) study
    Autor*in: O'Caoimh R.; Molloy D. W.; Fitzgerald C.; Van Velsen L.; Cabrita M.; Nassabi M. H.; De Vette F.; Weering M. D. -V.; Jansen-Kosterink S.; Kenter W.; Frazer S.; Rauter A. P.; Turkman A.; Antunes M.; Turkman F.; Silva M. S.; Martins A.; Costa H. S.; Albuquerque T. G.; Ferreira A.; Scherillo M.; De Luca V.; Illario M.; Garcia-Rudolph A.; Sanchez-Carrion R.; Sanchez J. S.; Aguilera E. J. G.; Hermens H.; Vollenbroek-Hutten M.
    Erschienen: 2017

    In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional... mehr

     

    In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional decline, is suggested to be reversible but interventions targeting this risk syndrome are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. The PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project (2013-2016 under Framework Programme 7, grant #610359) developed a comprehensive Information and Communication Technologies (ICT) supported platform to screen, assess, manage and monitor pre-frail community-dwelling older adults in order to address pre-frailty and promote active and healthy ageing. PERSSILAA, a multi-domain ICT service, targets three pre-frailty: nutrition, cognition and physical function. The project produced 42 recommendations across clinical (screening, monitoring and managing of pre-frail older adults) technical (ICT-based innovations) and societal (health literacy in older adults, guidance to healthcare professional, patients, caregivers and policy makers) areas. This paper describes the 25 healthcare related recommendations of PERSSILAA, exploring how they could be used in the development of future European guidelines on the screening and prevention of frailty.

     
    Export in Literaturverwaltung
    Quelle: BASE Fachausschnitt AVL
    Sprache: Englisch
    Medientyp: Konferenzveröffentlichung
    Format: Online
    Schlagworte: Clinical; Frailty; Guideline; Healthcare recommendation; Information and communication technology; Pre-frailty