Involvement of chronic patients in electronic documentation of healthcare information

Purpose: 

Registration and monitoring of patient-generated health parameters for quick and adequate response to warning signals

Relevance: 

The concept of “for ever-present care” which takes place outside conventional care facilities provides numerous benefits for patients, providers, payer organisations and health care systems. These benefits include:

  • Patients benefit from a closer monitoring of their health status that is based on a large number of data points gathered more often. As a consequence, medication typically fits the patient’s individual context better and unplanned hospitalisation can often be avoided. On average, the patient leads a healthier lifestyle and benefits psychologically from the awareness of participating in a well-organised treatment concept.
  • Providers underline the positive aspects that result from of a better knowledge of recent patient health status as well as a longer patient history. This enables more solid decision-making about further therapeutic action.
  • Studies on disease management initiatives in multiple countries have proven that, on average, patients benefit from a better health status at a lower treatment cost. This is a major driver for payer organisations and/or for the public health care system which have a high interest in efficient and effective health care provision
Domain: 
Participatory healthcare
Scale(s): 
Citizens (at home and on the move)
Context: 

Worldwide: 860 million individuals with chronic conditions. In Europe, more than 65% of healthcare spending is on chronic condition management.

Information: 
Daily upload of patient generated data
Alert report (in case of exacerbation)
Periodic status report
Participants: 
Patient
Monitoring Service - data collecting and monitoring software
Medical Triage Service - healthcare professional(s)
Healthcare Centre
Functional process flow: 
  1. Patient weighs herself, and measures his/her blood pressure
  2. Patient enters the data in a mobile app
  3. The Monitoring Service monitors the data (from many patients)
  4. The Monitoring Service creates an alert for the patient, and sends it to a Medical Triage Centre
  5. The Medical Triage Centre contacts the patient and adjusts the medication dosage (if necessary)
  6. The Medical Triage Centre sends a report of the intervention to the Healthcare Centre (that connects to the healthcare professional who is responsible for the patient)
  7. A few days later, the health parameters have not shown the expected improvement, and the Healthcare Centre is alerted
  8. The Healthcare Centre makes an appointment with the patient.
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