出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction : We present a tool to systematically describe and compare the content of innovative models of Integrated Care supported by digital technologies. It is based on a set of common building blocks with an organisation and information perspective, named “Smart Functionalities” [1, 2]. Methods : We worked out a set of commonalities in the services that may determine the organisational innovation in the models of care and cure, beyond the intrinsic diversity of the local Initiatives towards Integrated Care [3, 4]. We described 23 classes of Smart Functionalities, organised in 9 areas, which belong to 3 pillars [2]: COL - Supporting the COLLABORATION among the actors of the care process ACT - ACTIVATION of patient and caregiver and promotion of independent living DEC - Strategic, managerial and clinical DECISIONS For each initiative, a group of stakeholders (e.g. health managers, health professionals, technologists, patients associations, suppliers) may express a score about the relevance of each class and converge to a common view through iterative discussions and assessments. Results : We applied the approach to the models behind the tenders in the STOPandGO project [5], producing tables and radar diagrams for their comparison [6]. We demonstrated that each of the 9 areas of functionalities is highly relevant in at least one tender, and thus the project covers well the whole spectrum of Integrated Care. In average, the most relevant areas across the initiatives resulted 1) telehealth and telecare and 2) the structured sharing of data among the professionals. Discussions : We tested a collaborative, iterative process, alternating analytic individual scoring, comparative summaries and systematic discussions. The tool does not force predefined solutions but provide hints to stimulate the discussion among the participants, to customise the complex models according to a local context; the Smart Functionalities allow to mediate among cultures and roles of the stakeholders without confounding technological details.
关键词：innovative care models ; local initiatives ; eiponaha ; good practices
