作者: Maria Gabriella Melchiorre , Giovanni Lamura , Francesco Barbabella ,
DOI: 10.1371/JOURNAL.PONE.0207292
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摘要: Background People with multimorbidity, especially older people, have complex health and social needs, require an integrated care approach. In this respect, eHealth could be of support. This paper aims to describe the implementation technologies in programs for people multimorbidity Europe, analyse related benefits barriers according outcomes from ICARE4EU study within more general conceptual framework “10 e's” by Gunther Eysenbach. Methods In 2014, project identified 101 24 European countries. Expert organizations managers completed on-line questionnaire addressing several aspects including adoption eHealth. Findings were analyzed, linking particular Eysenbach (Efficiency, Enhancing, Evidence-based, Empowerment, Encouragement, Education, Enabling, Extending, Ethics, Equity). Results Out programs, 85 adopted tools, which 42 focused explicitly on people. improve integration/management, quality care/life cost-efficiency, whereas inadequate funding represents a major barrier. The seem show contact points findings, when referring positive such as Efficiency Enhancing care/life, although Empowerment/Education patients, Equity Ethics issues crucial respect. Encouragement new relationship patient-health professional, Enabling standardized exchange electronic information, represent further impacting integration/management care. Conclusions Aspects eHealth, emerged care, well cost-efficiency can basis both findings Eysenbach. They objectives policies supporting deployment across Europe.