Focus on “out-of-hospital” services in people’s homes and/or special care facilities
Since the task of empowering patients is not easily achieved, we focused on a group of patients: patients who require care out of the hospital; for our purpose we focused on patients with chronic heart failure in particular on 2 groups, Post-Acute and patients affected by CHF under therapy at home not previously hospitalized. These patients require support from a group of people, medical and non-medical professionals. Nurses need to make frequent house calls to take measurements and give the patients appropriate attention. The patients need to be transported to hospital for checkups and frequent ECG follow ups. In the pilot-study, an integrated package was developed, The Integrated Assistance for CHF, used by Cardiologists and Social Care providers and an integrated team was created. …show more content…
This type of patient care is generalized but, for the public sector, cost efficient. “Bottom-Up” solutions are often tested, especially in the private sector, hence the specific patient is the center and their care is customized to fit them and their needs best. However, this model can fully work only if the service model will be included in the national and regional policies and be recognized by National Health Services. The Integrated Assistance Package for CHF patients, for example, is already recognized by certain Italian Regional Health Services. When choosing a private care giver, the solution is oriented “Bottom-Up”, hence the specific patient is the center and their care is customized to fit them best. Using smart health IT solutions, achieving such a specific care plan is made simple. The patient’s input is taken into account and the best solution customized to the person’s needs, thus giving appropriate professional care and also non-medical support, social, emotional and
Since the task of empowering patients is not easily achieved, we focused on a group of patients: patients who require care out of the hospital; for our purpose we focused on patients with chronic heart failure in particular on 2 groups, Post-Acute and patients affected by CHF under therapy at home not previously hospitalized. These patients require support from a group of people, medical and non-medical professionals. Nurses need to make frequent house calls to take measurements and give the patients appropriate attention. The patients need to be transported to hospital for checkups and frequent ECG follow ups. In the pilot-study, an integrated package was developed, The Integrated Assistance for CHF, used by Cardiologists and Social Care providers and an integrated team was created. …show more content…
This type of patient care is generalized but, for the public sector, cost efficient. “Bottom-Up” solutions are often tested, especially in the private sector, hence the specific patient is the center and their care is customized to fit them and their needs best. However, this model can fully work only if the service model will be included in the national and regional policies and be recognized by National Health Services. The Integrated Assistance Package for CHF patients, for example, is already recognized by certain Italian Regional Health Services. When choosing a private care giver, the solution is oriented “Bottom-Up”, hence the specific patient is the center and their care is customized to fit them best. Using smart health IT solutions, achieving such a specific care plan is made simple. The patient’s input is taken into account and the best solution customized to the person’s needs, thus giving appropriate professional care and also non-medical support, social, emotional and