ArticleBioMed research international2020
Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems.
Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of eHealth literacy interventions: a systematic review and meta-analysis of experimental studies.BMC public health · 2025Pooled it
- Facilitators, barriers, and recommendations for the implementation of a digital-based case management program: the perspective of Portuguese stakeholders.BMC health services research · 2025Article
- Care models for individuals with chronic multimorbidity: lessons for low- and middle-income countries.BMC health services research · 2024Article
- Prescription Precision: A Comprehensive Review of Intelligent Prescription Systems.Current pharmaceutical design · 2024Review
- Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review.Journal of medical Internet research · 2023Article
- Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data.Healthcare (Basel, Switzerland) · 2022Article
- Characteristics Associated With Financial or Non-financial Barriers to Healthcare in a Universal Health Insurance System: A Longitudinal Analysis of Korea Health Panel Survey Data.Frontiers in public health · 2022Article
- Global research on syndemics: a meta-knowledge analysis (2001-2020).F1000Research · 2022Article
- Sixteen years of eHealth experiences in Iran: a qualitative content analysis of national policies.Health research policy and systems · 2021Article
- eHealth Literacy: From Theory to Clinical Application for Digital Health Improvement. Results from the ACCESS Training Experience.International journal of environmental research and public health · 2021Article
- Telehealth and digital developments in society that persons 75 years and older in European countries have been part of: a scoping review.BMC health services research · 2021Article
- Polish Nurses' Attitude to e-Health Solutions and Self-Assessment of Their IT Competence.Journal of clinical medicine · 2021Article
- Article
- Conceptual Development of a Patient-Centered Consultation Framework for Multimorbidity Management in Primary Care (CARESTEP).Journal of primary care & community healthArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductioneHealth applications have the potential to provide new integrated care services to patients with multimorbidity (MM), also supporting multidisciplinary care. The aim of this paper is to explore how widely eHealth tools have been currently adopted in integrated care programs for (older) people with MM in European countries, including benefits and barriers concerning their adoption, according to some basic health system characteristics. MATERIALS AND
methodsIn 2014, in the framework of the ICARE4EU project, expert organizations in 24 European countries identified 101 integrated care programs. Managers of the selected programs completed an online questionnaire on several dimensions, including the use of eHealth. We analyzed data from this questionnaire, in addition to qualitative information from six innovative programs which were studied in depth through case study methodology, according to characteristics of national health systems: a national health model (financing system), overall strength of primary care (PC) (structure/service delivery process), and level of (de)centralization of health system (executive powers in a country).
results85 programs (out of 101) adopted at least one eHealth tool, and 42 of these targeted explicitly older people. In most cases, Electronic Health Records (EHRs) were used and some benefits emerged like improved care management and integration, although inadequate funding mechanisms represented a major barrier. The analysis by health system characteristics showed a greater adoption of eHealth applications in decentralized countries, in countries with a National Health Service (NHS) model, and in countries with a strong/medium level of PC development.
conclusionsAlthough in the light of some limitations, findings indicate a relation between implementation of care programs using eHealth tools and basic characteristics of health systems, with decentralization of a health system, NHS model, and strong/medium PC having a key role. However adaptations of European health systems seem necessary, in order to provide a more innovative and integrated care.
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