出版社：Utrecht University, Maastricht University, Groningen University
摘要：In the EU there are 10 million people with heart failure, 20 million people with chronic obstructive pulmonary diseases, and 60 million people with diabetes. These three conditions cost the EU healthcare systems around 125 billion a year and cost is rising with an ageing population. Care coordination and telehealth (CC&TH) services are an effective way to treat these patients in their homes. However, the adaptation of these services is relatively slow. A primary reason that is hindering the adaptation is the integration of these services into the care delivery structures of exiting routine care practices. So far, CC&TH has been directed at improving health outcomes, administrative efficiency and cost effectiveness. The Advancing Care Coordination & Telehealth Deployment (ACT) Programme is the first to explore the organisational and structural processes needed to successfully implement care coordination and telehealth (CC&TH) services on a large scale. This EU-funded programme includes a consortium of clinical experts, universities, industry partners, and authorities from 5 leading healthcare EU regions. The objective of the ACT programme is to analyse what needs to be done to effectively integrate CC&TH services and identify best practices in Europe. For this purpose an evaluation engine for CC&TH deployments has been developed. The ACT programme collected data from the regions to assess the programs and determine best practices. The areas assessed by the ACT programme are stratification, care coordination and workflow optimization, patient adherence & staff engagement, and efficiency & efficacy. Indicators for these areas have been defined from literature and by the consortium. Indicator data were collected at baseline (month 6) and during several iterations (month 14, 18 and 24). Data analysis was led by the domain experts of the assessment areas. We collected a wealth of data during the ACT project. It is a unique collection that encompasses not only the outcomes, but also the full context of the deployment. The analyses performed by the domain experts have been implemented in the evaluation engine, where it runs on data stored and collected by the evaluation engine. The engine provides raw data and interactive descriptive visualizations of program details, stakeholder perceptions, and
关键词：integrated care ; scaling-up ; monitoring ; assessment ; best practices
