A Practice-proven, Collaborative, Purely Meta-model-based Adaptive Case Management Approach for Integrated Care

A Practice-proven, Collaborative, Purely Meta-model-based Adaptive Case Management Approach for Integrated CareBackground:Demographic changes are leading to population ageing in Europe. Elderly patients, aged 65 years or older, are frequently affected by multiple chronic diseases. Simultaneously, insufficiently coordinated treatments can cause undesired side effects. Traditionally, such patients consume a disproportionally high share of health-care resources. Integrated care is widely acknowledged to be a promising approach, but in practise, adequate generic tool support for integrated care is still missing. Such care faces multifaceted challenges with regulatory, organizational and technical aspects, whereas the following high-level challenges are the most critical regarding generic tool support. First, highly context-dependent unpredictable treatments are caused by uncertainties and interruptions typical of knowledge-intensive work. Second, the heterogeneity of available health-care services hinders the required exchange of semantic information. Third, coordination across multiple organizations and different roles is essential. Traditionally, hospital-specific implementations are inadequate, considering the required effort and low reusability.Method:We implemented an Adaptive Case Management approach for Integrated Care (ACM4IC) that follows a purely metamodel-based method and incorporates communication and coordination capabilities. Its primary aim is to provide tailored, ...
Source: International Journal of Integrated Care - Category: Nursing Source Type: research