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Digital Health Systems in Integrated Care

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Handbook Integrated Care

Abstract

Digital health systems have an important role to play in the delivery of integrated health and social care services. Despite their utility, the adoption of these tools has lagged for many organizations, leading to missed opportunities for advancing integrated care. This chapter describes how digital health innovations, in particular information and communication technologies, can address three common integrated care “problems” to demonstrate how these tools can be put into practice. Practical recommendations and strategies to enable implementation are offered at the end of the chapter.

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References

  • Ainsworth, J., & Buchan, I. (2015). Combining health data uses to ignite health system learning. Methods of Information in Medicine, 54(6), 479–487.

    Google Scholar 

  • Baltaxe, E., et al. (2019). Digital health transformation of integrated care in Europe: Overarching analysis of 17 integrated care programs. Journal of Medical Internet Research, 21(8), e14956.

    Article  Google Scholar 

  • Barnett, K., et al. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. The Lancet, 380(9836), 37–43.

    Article  Google Scholar 

  • Baxter, P., & Markle-Reid, M. (2009). An interprofessional team approach to fall prevention for older home care clients ‘at risk’ of falling: Health care providers share their experiences. International Journal of Integrated Care, 9(2).

    Google Scholar 

  • Bayliss, E. A., et al. (2007). Supporting self-management for patients with complex medical needs: Recommendations of a working group. Chronic Illness, 3(2), 167–175.

    Article  Google Scholar 

  • Breton, M., et al. (2017). Implementing community based primary healthcare for older adults with complex needs in Quebec, Ontario and New-Zealand: Describing nine cases. International Journal of Integrated Care, 17(2).

    Google Scholar 

  • Burton, L. C., Anderson, G., & Kues, I. W. (2004). Using electronic health records to help coordinate care. 82(3), 457–481.

    Google Scholar 

  • Chan, J., et al. (2011). Does user-centred design affect the efficiency, usability and safety of CPOE order sets? Journal of the American Medical Informatics Association, 18(3), 276–281.

    Google Scholar 

  • Conditions, D. o. H. L. T. (2012). Long term conditions compendium of information (3rd ed.). D.o.H.a.S.

    Google Scholar 

  • Contel, J. C., et al. (2015). Chronic and integrated care in Catalonia. International Journal of Integrated Care, 15(2).

    Google Scholar 

  • Couturier, Y., Belzile, L., & Bonin, L. (2016). L’intégration des services en santé: une approche populationnelle. Les Presses de l’Université de Montréal.

    Google Scholar 

  • Devi, K., Sen, S., & Hemachandran, K. (2012). A working framework for the user-centered design approach and a survey of the available methods. International Journal of Scientific and Research Publications, 2(4), 1–8.

    Article  Google Scholar 

  • Emanuel, E. J. (2012). Where are the health care cost savings? JAMA, 307(1), 39–40.

    Article  Google Scholar 

  • Europe, W.R.O.f. (2016). Integrated care models: An overview.

    Google Scholar 

  • European Commission. (2012). eHealth Action Plan 2012–2020—Innovative healthcare for the 21st century. Brussels: European Comission.

    Google Scholar 

  • European Commission. (2015). eHealth network: Refined eHealth European interoperability framework. Brussels.

    Google Scholar 

  • Eysenbach, G. (2001). What is e-health? Journal of Medical Internet Research, 3(2).

    Google Scholar 

  • Furstenau, D., Wessel, L., & Gersch, M. (2016). How organizational path constitution prepares digital infrastructure innovation: A case study of integrated care. Association for Information Systems.

    Google Scholar 

  • Glasby, J., Dickinson, H., & Miller, R. (2011). Partnership working in England—Where we are now and where we’ve come from. International Journal of Integrated Care, 11.

    Google Scholar 

  • Goodwin, N. (2018). Tomorrow’s world: Is digital health the disruptive innovation that will drive the adoption of integrated care systems? International Journal of Integrated Care, 18(4).

    Google Scholar 

  • Granja, C., Janssen, W., & Johansen, M. A. (2018). Factors determining the success and failure of eHealth interventions: Systematic review of the literature. Journal of Medical Internet Research, 20(5).

    Google Scholar 

  • Greenhalgh, T., et al. (2017). Beyond adoption: A new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research.

    Google Scholar 

  • Greve, H. R., & Taylor, A. (2000). Inovations as catalysts for organizational change: Shifts in organizational cognition and search. Administrative Science Quarterly, 45(1), 54–80.

    Google Scholar 

  • Guldemond, N. A., & Hercheui, M. D. (2012). Technology and care for patients with chronic conditions: The chronic care model as a framework for the integration of ICT. In IFIP International Conference on Human Choice and Computers, pp. 123–133.

    Google Scholar 

  • Heslop, L., et al. (2005). An analysis of high-cost users at an Australian public health service organization. Health Services Management Research, 18(4), 232–243.

    Article  Google Scholar 

  • Huckvale, K., Jason Wang, C., Majeed, A., & Car, J. (2019). Digital health at fifteen: More human (more needed). BMC Medicine, 17(62).

    Google Scholar 

  • Kadu, M. K., & Stolee, P. (2015). Facilitators and barriers of implementing the chronic care model in primary care: A systematic review. BMC Family Practice, 16(1), 12.

    Article  Google Scholar 

  • Karyotaki, E., et al. (2017). Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms: A meta-analysis of individual participant data. JAMA Psychiatry, 74(4), 351–359.

    Article  Google Scholar 

  • Körner, M., et al. (2016). Interprofessional teamwork and team interventions in chronic care: A systematic review. Journal of Interprofessional Care, 30(1), 15–28.

    Article  Google Scholar 

  • Kujala, S. (2003). User involvement: A review of the benefits and challenges. Behaviour & Information Technology, 22(1), 1–16.

    Article  Google Scholar 

  • Kuluski, K., et al. (2017). Community care for people with complex care needs: Bridging the gap between health and social care. International Journal of Integrated Care, 17(4).

    Google Scholar 

  • Leutz, W. N. (1999). Five laws for integrating medical and social services: Lessons from the United States and the United Kingdom. The Milbank Quarterly, 77(7), 77–110.

    Article  Google Scholar 

  • Levinson, W., Lesser, C. S., & Epstein, R. M. (2010). Developing physician communication skills for patient-centered care. Health Affairs, 29(7), 1310–1318.

    Article  Google Scholar 

  • MacFarlane, A., et al. (2011). The e-health implementation toolkit: Qualitative evaluation across four European countries. Implementation Science, 6(1), 122.

    Article  Google Scholar 

  • Marengoni, A., et al. (2011). Aging with multimorbidity: A systematic review of the literature. Ageing Research Reviews, 10(4), 430–439.

    Article  Google Scholar 

  • Mariana Dates, N. L. -C., Sant’Ana Pereira, H., & Tedeschi, M. (2018). Health system performance assessment—Integrated Care Assessment (20157303 HSPA). 2018, European Union.

    Google Scholar 

  • McLean, S., & Sheikh, A. (2009). Does telehealthcare offer a patient-centred way forward for the community-based management of long-term respiratory disease? Primary Care Respiratory Journal, 18(3), 125–126.

    Google Scholar 

  • Medicine, I. O. (2003). Key capabilities of an electronic health record system: Letter report. Washington, D.C.: Institute of Medicine, The National Academies Press.

    Google Scholar 

  • Melchiorre, M. G., et al. (2018). eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project. Health Policy, 122(1), 53–63.

    Article  Google Scholar 

  • Meskó, B., et al. (2017). Digital health is a cultural transformation of traditional healthcare. Mhealth.

    Google Scholar 

  • Modol, J. R. (2017). Navigating towards self-care: The Catalan public patient portal. In Information Infrastructures within European Health Care, pp. 173–192.

    Google Scholar 

  • Molyneux, J. (2001). Interprofessional teamworking: What makes teams work well? Journal of Interprofessional Care, 15(1), 29–35.

    Article  Google Scholar 

  • Murray, E., May, C., & Mair, F. (2010). Development and formative evaluation of the e-Health implementation toolkit (e-HIT). BMC Medical Informatics and Decision Making, 10(1), 61.

    Article  Google Scholar 

  • Network. (2015). eHealth network: Refined eHealth European interoperability framework. Brussels.

    Google Scholar 

  • Ossebaard, H. C., & Van Gemert-Pijnen, L. (2016). eHealth and quality in health care: Implementation time. International Journal for Quality in Health Care, 28(3), 415–419.

    Article  Google Scholar 

  • Pagliari, C., Detmer, D., & Singleton, P. (2007). Potential of electronic personal health records. BMJ, 335(7615), 330–333.

    Google Scholar 

  • Pratt, R., et al. (2017). Primary care and public health perspectives on integration at the local level: A multi-state study. Journal of the American Board of Family Medicine, 30(5), 601–607.

    Article  Google Scholar 

  • Rosella, L. C., et al. (2014). High-cost health care users in Ontario, Canada: Demographic, socio-economic, and health status characteristics. BMC Health Services Research, 14(1), 532.

    Article  Google Scholar 

  • Salcher, M. (2017). Connection the dots: Putting big data to work for health systems. Eurohealth Observer, 23(1), 3–6.

    Google Scholar 

  • Schaink, A. K., et al. (2012). A scoping review and thematic classification of patient complexity: Offering a unifying framework. Journal of Comorbidity, 2(1), 1–9.

    Article  Google Scholar 

  • Schoen, C., et al. (2009). A survey of primary care physicians in eleven countries, 2009: Perspectives on care, costs, and experiences. Health Affairs, 28(6), w1171–w1183.

    Article  Google Scholar 

  • Seto, E., Cafazzo, J. A., Barnsley, J., Masino, C., & Ross, H. J. (2012). Mobile phone-based telemonitoring for heart failure management: A randomized controlled trial. Journal of Medical Internet Research, 18(3).

    Google Scholar 

  • Shaw, T., et al. (2017). What is eHealth (6)? Development of a conceptual model for eHealth: Qualitative study with key informant. Journal of Medical Internet Research, 19(10).

    Google Scholar 

  • Shaw, J., et al. (2018). Beyond “implementation”: Digital health innovation and service design. NPJ Digital Medicine, 1(1), 48.

    Google Scholar 

  • Sibbald, S., et al. (2009). Priority setting: What constitutes success? A conceptual framework for successful priority setting. BMC Health Services Research, 9(43), 1–12.

    Google Scholar 

  • Steele Gray, C., et al. (2018). Using information communication technology in models of integrated community-based primary health care: Learning from the iCOACH case studies. Implementation Science, 13(1), 87.

    Article  Google Scholar 

  • Stowe, S., & Harding, S. (2010). Telecare, telehealth and telemedicine. European Geriatric Medicine, 1(3), 193–197.

    Article  Google Scholar 

  • Subramanyam, R., Weisstein, F., & Krishnan, M. S. (2010). User participation in software development projects. Communications of the ACM, 53(3), 137–141.

    Google Scholar 

  • Sydow, J., Windeler, A., Müller-Seitz, G., & Lange, K. (2012). Path constitution analysis: A methodology for understanding path dependence and path. Business Research, 5(2), 155–176.

    Article  Google Scholar 

  • Tenbensel, T., et al. (2017). How do policy and institutional settings shape opportunities for community-based primary health care? A comparison of Ontario, Quebec and New Zealand. International Journal of Integrated Care, 17(2), 1–15.

    Article  Google Scholar 

  • Townsend, A., Adam, P., Li, L. C., McDonald, M., & Backman, C. L. (2013). Exploring eHealth ethics and multi-morbidity: Protocol for an interview and focus group study of patient and health care provider views and experiences of using digital media for health purposes. JMIR Research Protocols, 2(2).

    Google Scholar 

  • Valentijn, P., et al. (2015). Towards a taxonomy for integrated care: A mixed-methods study. International Journal of Integrated Care, 15(1).

    Google Scholar 

  • Valentijn, P. (2016). Rainbow of chaos: A study into the theory and practice of integrated primary care. International Journal of Integrated Care, 16(2).

    Google Scholar 

  • Virnig, B., & McBean, M. (2001). Abministrative data for public health surveillance and planning. Annual Review of Public Health, 22, 213–230.

    Article  Google Scholar 

  • WHO. (2019). WHO Guideline: Recommendations on digital interventions for health system strengthening.

    Google Scholar 

  • WHO. (2020). eHealth. May 18th 2020. Available from: https://www.who.int/ehealth/en/.

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Author information

Authors and Affiliations

  1. Bridgepoint Collaboratory for Research and Innovation, 19 Billings Avenue, Toronto, Ontario, M4L 2S1, Canada

    Carolyn Steele Gray

  2. Human and Social Development Teaching and Research Unit, Université du Québec en Abitibi-Témiscamingue, 1012 McManamy Sherbrooke (Quebec), Rouyn-Noranda, J1H 2N7, Canada

    Dominique Gagnon

  3. Sechenov First Moscow State Medical University, Moscow, Russia

    Nick Guldemond

  4. National eHealth Living Lab (NeLL) of Leiden University Medical Center, Leiden, Netherlands

    Nick Guldemond

  5. Assoc Professor, South Auckland Clinical School, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland, 1640, New Zealand

    Timothy Kenealy

Authors
  1. Carolyn Steele Gray
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  2. Dominique Gagnon
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  3. Nick Guldemond
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  4. Timothy Kenealy
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Corresponding author

Correspondence to Carolyn Steele Gray .

Editor information

Editors and Affiliations

  1. Institute for Epidemiology, Social Medicine and Health System Research, Medical School Hannover, Hannover, Germany

    Volker Amelung

  2. Leiden University Medical Center, Leiden, The Netherlands

    Viktoria Stein

  3. Faculty of Social Work, University of Calgary, Calgary, AB, Canada

    Esther Suter

  4. University of Newcastle, Gosford, NSW, Australia

    Nicholas Goodwin

  5. Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK

    Ellen Nolte

  6. Innovation Division and Clalit Research Institute, Clalit Health Services, Tel Aviv, Israel

    Ran Balicer

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Steele Gray, C., Gagnon, D., Guldemond, N., Kenealy, T. (2021). Digital Health Systems in Integrated Care. In: Amelung, V., Stein, V., Suter, E., Goodwin, N., Nolte, E., Balicer, R. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-030-69262-9_28

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