ICS Explored

The project was addressed to target chronic patients with respiratory disorders, mainly chronic obstructive pulmonary disease (CODP); chronic heart failure (CHF) and coronary artery disease (CAD) and diabetes type II. In Norway, patients with stroke were also included as candidates.

The four integrated care services (ICS) explored are:

  • Wellness and training (W&T) - The underlying hypothesis was that enhanced self-management of clinically stable patients using mobile Information and Communication Technologies (ICT) as part of a remotely controlled home-based training program has a positive impact on life style, disease progression and use of healthcare resources.
  • Enhanced care for frail patients (EC) - It addressed prevention of emergency room consultations and hospital admissions in high risk patients. EC also explored frail patients that can benefit from ICS entirely managed by primary care professionals. EC includes transitional care post-discharge and palliative care.
  • Home hospitalization and early discharge (HH) – This study investigated factors modulating extensive deployment of HH and, in particular, the role that ICT plays as one of the components of a comprehensive chronic care program.
  • Remote support to primary care for diagnosis and therapy (Support) – Transfer of diagnostic and therapeutic tools to Primary Care and accessibility of tertiary care to home programs addressing complex issues will improve the efficiency of delivery of care and it generates cross-fertilization between levels of care.