A collaborative platform for management of chronic diseases via guideline-driven individualized care plans
Laleci Erturkmen, Gokce Banu Yuksel, Mustafa Sarigul, Bunyamin Arvanitis, Theodoros N. Lindman, Pontus Chen, Rong Zhao, Lei Sadou, Eric Bouaud, Jacques Traore, Lamine
Laleci Erturkmen, Gokce Banu
Yuksel, Mustafa
Sarigul, Bunyamin
Arvanitis, Theodoros N.
Lindman, Pontus
Chen, Rong
Zhao, Lei
Sadou, Eric
Bouaud, Jacques
Traore, Lamine
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Affiliation
SRDC Software Research Development and Consultancy Corp, Ankara, Turkey; WMG, University of Warwick; Medixine, Finland; Cambio Healthcare Systems, Sweden; Karolinska Institutet, Sweden; Sorbonne Université, Paris, France; AP-HP, Delegation for Clinical Research and Innovation, Paris, France; Kronikgune, Research Center in Chronicity, Spain; Osakidetza, Spain; Östersund Hospital, Umeå University, Umeå, Sweden; empirica Gesellschaft fÜr Kommunikations- und Technologieforschung mbH, Bonn, Germany; South Warwickshire University NHS Foundation Trust; Örebro University School of Business, Informatics, Örebro, Sweden; European Institute for Innovation through Health Data, Belgium
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Publication date
2019-06
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Abstract
Older age is associated with an increased accumulation of multiple chronic conditions. The clinical management of patients suffering from multiple chronic conditions is very complex, disconnected and time-consuming with the traditional care settings. Integrated care is a means to address the growing demand for improved patient experience and health outcomes of multimorbid and long-term care patients. Care planning is a prevalent approach of integrated care, where the aim is to deliver more personalized and targeted care creating shared care plans by clearly articulating the role of each provider and patient in the care process. In this paper, we present a method and corresponding implementation of a semi-automatic care plan management tool, integrated with clinical decision support services which can seamlessly access and assess the electronic health records (EHRs) of the patient in comparison with evidence based clinical guidelines to suggest personalized recommendations for goals and interventions to be added to the individualized care plans. We also report the results of usability studies carried out in four pilot sites by patients and clinicians.
Keywords: Chronic disease management; Clinical decision support systems; Evidence based clinical guidelines; Integrated care.
Citation
Laleci Erturkmen GB, Yuksel M, Sarigul B, Arvanitis TN, Lindman P, Chen R, Zhao L, Sadou E, Bouaud J, Traore L, Teoman A, Lim Choi Keung SN, Despotou G, de Manuel E, Verdoy D, de Blas A, Gonzalez N, Lilja M, von Tottleben M, Beach M, Marguerie C, Klein GO, Kalra D. A Collaborative Platform for Management of Chronic Diseases via Guideline-Driven Individualized Care Plans. Comput Struct Biotechnol J. 2019 Jun 12;17:869-885. doi: 10.1016/j.csbj.2019.06.003.
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Article