Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation
| Autor: | Anael Barberan-Garcia, Isaac Cano, Bart C. Bongers, Steffen Seyfried, Thomas Ganslandt, Florian Herrle, Graciela Martínez-Pallí |
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| Přispěvatelé: | Nutrition and Movement Sciences, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, RS: NUTRIM - R3 - Respiratory & Age-related Health, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, Epidemiologie |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
REHABILITATION
Exercici terapèutic Cancer Research Process management FITNESS Computer science SURGERY Prehabilitation exercise training and nutrition counseling Exercise therapy Collaborative Care physical activity EXERCISE Change management (ITSM) Personalization behavioral change 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology technology – ICT Health care eHealth Medical technology 030212 general & internal medicine mHealth RC254-282 OUTCOMES business.industry Neoplasms. Tumors. Oncology. Including cancer and carcinogens prehabilitation CANCER Integrated care RISK PATIENTS INCREASE PHYSICAL-ACTIVITY Oncology ICT technology Perspective psychological well-being NORDIC WALKING NUTRITION Tecnologia mèdica business INTERVENTION |
| Zdroj: | Frontiers in Oncology, Vol 11 (2021) Frontiers in Oncology Dipòsit Digital de la UB Universidad de Barcelona Frontiers in Oncology, 11:662013. Frontiers Media S.A. |
| ISSN: | 2234-943X |
| DOI: | 10.3389/fonc.2021.662013/full |
| Popis: | Prehabilitation has shown its potential for most intra-cavity surgery patients on enhancing preoperative functional capacity and postoperative outcomes. However, its large-scale implementation is limited by several constrictions, such as: i) unsolved practicalities of the service workflow, ii) challenges associated to change management in collaborative care; iii) insufficient access to prehabilitation; iv) relevant percentage of program drop-outs; v) need for program personalization; and, vi) economical sustainability. Transferability of prehabilitation programs from the hospital setting to the community would potentially provide a new scenario with greater accessibility, as well as offer an opportunity to effectively address the aforementioned issues and, thus, optimize healthcare value generation. A core aspect to take into account for an optimal management of prehabilitation programs is to use proper technological tools enabling: i) customizable and interoperable integrated care pathways facilitating personalization of the service and effective engagement among stakeholders; ii) remote monitoring (i.e. physical activity, physiological signs and patient-reported outcomes and experience measures) to support patient adherence to the program and empowerment for self-management; and, iii) use of health risk assessment supporting decision making for personalized service selection. The current manuscript details a proposal to bring digital innovation to community-based prehabilitation programs. Moreover, this approach has the potential to be adopted by programs supporting long-term management of cancer patients, chronic patients and prevention of multimorbidity in subjects at risk. |
| Databáze: | OpenAIRE |
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