Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/184073
Title: | Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation |
Author: | Barberan Garcia, Anael Cano Franco, Isaac Bongers, Bart C. Seyfried, Steffen Ganslandt, Thomas Herrle, Florian Martínez Palli, Graciela |
Keywords: | Exercici terapèutic Tecnologia mèdica Exercise therapy Medical technology |
Issue Date: | 17-Jun-2021 |
Publisher: | Frontiers Media |
Abstract: | 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. |
Note: | Reproducció del document publicat a: https://doi.org/10.3389/fonc.2021.662013 |
It is part of: | Frontiers In Oncology, 2021, vol. 11, p. 662013 |
URI: | http://hdl.handle.net/2445/184073 |
Related resource: | https://doi.org/10.3389/fonc.2021.662013 |
ISSN: | 2234-943X |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
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