eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project

摘要

Highlights ? eHealth applications for multimorbidity are not widely implemented in Europe. ? In most cases Electronic Health Records (EHRs) are adopted. ? Adequate funding mechanisms, interoperability and technical support seem to be lacking. ? eHealth could support integrated care for people with multimorbidity. ? eHealth could help older people with multimorbidity living in the community. Abstract Introduction Care for people with multimorbidity requires an integrated approach in order to adequately meet their complex needs. In this respect eHealth could be of help. This paper aims to describe the implementation, as well as benefits and barriers of eHealth applications in integrated care programs targeting people with multimorbidity in European countries, including insights on older people 65+. Methods Within the framework of the ICARE4EU project, in 2014, expert organizations in 24 European countries identified 101 integrated care programs based on selected inclusion criteria. Managers of these programs completed a related on-line questionnaire addressing various aspects including the use of eHealth. In this paper we analyze data from this questionnaire, in addition to qualitative information from six programs which were selected as ‘high potential’ for their innovative approach and studied in depth through site visits. Results Out of 101 programs, 85 adopted eHealth applications, of which 42 focused explicitly on older people. In most cases Electronic Health Records (EHRs), registration databases with patients’ data and tools for communication between care providers were implemented. Percentages were slightly higher for programs addressing older people. eHealth improves care integration and management processes. Inadequate funding mechanisms, interoperability and technical support represent major barriers. Conclusion Findings seems to suggest that eHealth could support integrated care for (older) people with multimorbidity.