An adaptive case management system to support integrated care services: Lessons learned from the NEXES project

Journal of Biomedical Informatics
Isaac CanoJosep Roca

Abstract

Extensive deployment and sustainability of integrated care services (ICS) constitute an unmet need to reduce the burden of chronic conditions. The European Union project NEXES (2008-2013) assessed the deployment of four ICS encompassing the spectrum of severity of chronic patients. The current study aims to (i) describe the open source Adaptive Case Management (ACM) system (Linkcare®) developed to support the deployment of ICS at the level of healthcare district; (ii) to evaluate its performance; and, (iii) to identify key challenges for regional deployment of ICS. We first defined a conceptual model for ICS management and execution composed of five main stages. We then specified an associated logical model considering the dynamic runtime of ACM. Finally, we implemented the four ICS as a physical model with an ICS editor to allow professionals (case managers) to play active roles in adapting the system to their needs. Instances of ICS were then run in Linkcare®. Four ICS provided a framework for evaluating the system: Wellness and Rehabilitation (W&R) (number of patients enrolled in the study (n)=173); Enhanced Care (EC) in frail chronic patients to prevent hospital admissions, (n=848); Home Hospitalization and Early Discharge ...Continue Reading

Associated Clinical Trials

References

Mar 1, 2000·Methods : a Companion to Methods in Enzymology·D S Linthicum, S Subramaniam
Apr 22, 2006·Bulletin of the World Health Organization·Anselm Schneider
Feb 10, 2009·Respiratory Medicine·D CastilloUNKNOWN FARMAEPOC group
Apr 8, 2009·Genome Medicine·Charles AuffrayLeroy Hood
Aug 19, 2009·PLoS Medicine·Lorraine Catwell, Aziz Sheikh
Nov 15, 2011·The European Respiratory Journal·Felip BurgosUNKNOWN e-Spir@p Group
May 3, 2012·Nature Reviews. Genetics·Peter B JensenSøren Brunak
May 24, 2012·International Journal of Technology Assessment in Health Care·Kristian KidholmMickael Bech
Jan 24, 2014·Respiratory Medicine·A Barberan-GarciaUNKNOWN NEXES Consortium
Dec 5, 2014·Journal of Translational Medicine·Isaac CanoUNKNOWN Synergy-COPD consortium
Dec 5, 2014·Journal of Translational Medicine·Josep RocaUNKNOWN Synergy-COPD consortium

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Citations

Jun 3, 2016·NPJ Primary Care Respiratory Medicine·Claudia VargasJosep Roca
Dec 12, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Josep RocaIsaac Cano
Jul 9, 2016·The European Respiratory Journal·Nicolino AmbrosinoUNKNOWN ERS Tele-Monitoring of Ventilator-Dependent Patients Task Force
Jul 19, 2018·BMC Health Services Research·Anael Barberan-GarciaJosep Roca
Aug 22, 2018·International Journal of Integrated Care·Carme HernándezJosep Roca
Aug 2, 2017·Journal of Telemedicine and Telecare·Kristian KidholmAnthony C Smith
Jul 16, 2017·NPJ Primary Care Respiratory Medicine·Isaac CanoJosep Roca
Jul 13, 2021·Frontiers in Oncology·Anael Barberan-GarciaGraciela Martínez-Pallí

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