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715032.pdf (7.25 MB)

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Data de publicació

2021-06-17

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cc-by (c) Barberan Garcia, Anael et al., 2021
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/184073

Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation

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Recurs relacionat

https://doi.org/10.3389/fonc.2021.662013

Resum

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.

Matèries

Exercici terapèutic, Tecnologia mèdica

Matèries (anglès)

Exercise therapy, Medical technology

Citació

Col·leccions

Articles publicats en revistes (Medicina)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citació

BARBERAN GARCIA, Anael, et al. Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation. Frontiers In Oncology. 2021. Vol. 11, num. 662013. ISSN 2234-943X. [consulted: 20 of August of 2026]. Available at: https://hdl.handle.net/2445/184073

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