ArticleInternational journal of integrated care
Integrated care services: lessons learned from the deployment of the NEXES project.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02618746 (Home Rehabilitation Via Telemonitoring of Vital Signs to Prevent Exacerbations in Patients With Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Home Rehabilitation Via Telemonitoring of Vital Signs to Prevent Exacerbations in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- The Empirical Foundations of Telemedicine Interventions in Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016Pooled it
- A Practice-Proven Adaptive Case Management Approach for Innovative Health Care Services (Health Circuit): Cluster Randomized Clinical Pilot and Descriptive Observational Study.Journal of medical Internet research · 2023Trial
- Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial.NPJ primary care respiratory medicine · 2015Trial
- The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.Cost effectiveness and resource allocation : C/E · 2024Article
- Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review.Journal of medical Internet research · 2023Article
- The Assessment of Medical Device Software Supporting Health Care Services for Chronic Patients in a Tertiary Hospital: Overarching Study.Journal of medical Internet research · 2023Article
- Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.International journal of environmental research and public health · 2022Article
- Prospective cohort study for assessment of integrated care with a triple aim approach: hospital at home as use case.BMC health services research · 2022Article
- Integrating Primary and Secondary Care to Enhance Chronic Disease Management: A Scoping Review.International journal of integrated care · 2021Article
- Key stakeholder experiences of an integrated healthcare pilot in Australia: a thematic analysis.BMC health services research · 2020Article
- Spanish Validation of the "User Reported Measure of Care Coordination" Questionnaire for Older People with Complex, Chronic Conditions.International journal of environmental research and public health · 2020Article
- Evaluating Mobile Apps and Biosensing Devices to Monitor Physical Activity and Respiratory Function in Smokers With and Without Respiratory Symptoms or Chronic Obstructive Pulmonary Disease: Protocol for a Proof-of-Concept, Open-Label, Feasibility Study.JMIR research protocols · 2020Article
- Multimorbidity as a predictor of health service utilization in primary care: a registry-based study of the Catalan population.BMC family practice · 2020Article
- Digital Health Transformation of Integrated Care in Europe: Overarching Analysis of 17 Integrated Care Programs.Journal of medical Internet research · 2019Article
- Integrated people-centred primary health care in Greece: unravelling Ariadne's thread.Primary health care research & development · 2019Article
- Evaluation of integrated care services in Catalonia: population-based and service-based real-life deployment protocols.BMC health services research · 2019Article
- Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment.International journal of integrated care · 2018Article
- Protocol for regional implementation of community-based collaborative management of complex chronic patients.NPJ primary care respiratory medicine · 2017Review
- IT-supported integrated care pathways for diabetes: A compilation and review of good practices.International journal of care coordination · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 8 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus.
settingOne health care sector in Spain (Barcelona) (n = 11.382); six municipalities in Norway (Trondheim) (n = 450); and one hospital in Greece (Athens) (n = 388).
methodThe four services were: (i) Home-based long-term maintenance of rehabilitation effects (n = 337); (ii) Enhanced Care for frail patients, n = 1340); (iii) Home Hospitalization and Early Discharge (n = 2404); and Support for remote diagnosis (forced spirometry testing) in primary care (Support) (n = 8139). Both randomized controlled trials and pragmatic study designs were combined. Two technological approaches were compared. The Model for Assessment of Telemedicine applications was adopted.
resultsThe project demonstrated: (i) Sustainability of training effects over time in chronic patients with obstructive pulmonary disease (p < 0.01); (ii) Enhanced care and fewer hospitalizations in chronic respiratory patients (p < 0.05); (iii) Reduced in-hospital days for all types of patients (p < 0.001) in Home Hospitalization/Early Discharge; and (iv) Increased quality of testing (p < 0.01) for patients with respiratory symptoms in Support, with marked differences among sites.
conclusionsThe four integrated care services showed high potential to enhance health outcomes with cost-containment. Change management, technological approach and legal issues were major factors modulating the success of the deployment. The project generated a business plan to foster service sustainability and health innovation. Deployment strategies require site-specific adaptations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.