Integrated Personal Health and Care Services deployment: Experiences in eight European countries

Objectives: The deployment and adoption of Integrated Personal Health and Care Services in Europe has been slow and fragmented. There have been many initiatives and projects of this kind in different European regions, many of which have not gone beyond the pilot stage. We investigated the necessary conditions for a successful adoption of such services into the mainstreaming in care pathways. Methods: We conducted a qualitative analysis of 27 Telehealth, Telecare and Integrated Personal Health System projects, implemented across 20 regions in eight European countries. The analysis is based on Suter's ten key principles for successful health systems integration. Results: Out of the 27 cases, only 11 succeeded beyond the pilot stage. We focussed on the 11 success cases to define which key facilitators are necessary for successful deployment and adoption in the European regions of our study. Conclusion: From the studied cases, we may extract a promising trend of increasing awareness and introduction of Integrated Personal Health and Care Services in European regions, as we found evidence of cases that succeeded beyond the pilot stage. Further research will reveal the weight of each facilitator and the combination amongst them which can lead to rapid adoption.

VILLALBA MORA Elena;  CASAS VILLALBA Isabel;  ABADIE Fabienne;  LLUCH Maria; 

2013-06-18

ELSEVIER IRELAND LTD

JRC78694

1386-5056,   

http://www.ncbi.nlm.nih.gov/pubmed/23587432,    https://publications.jrc.ec.europa.eu/repository/handle/JRC78694,   

10.1016/j.ijmedinf.2013.03.002,