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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Author(s)
Marco Benvenuto, Carmine Viola
Francesco Sambati
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DOI:10.17265/2328-2185/2017.06.005
Affiliation(s)
University of Salento, Salento, Italy
Universus CSEI Consortium, Bari, Italy
ABSTRACT
The present research
intends to address in a comprehensive, transversal, and interdisciplinary
manner the chronic patient management process in the research project named “PRO
DOMO SUD” in order to identify operational inefficiencies, thus demonstrating
that these are largely attributable to incurred costs and, thus, evaluate
possible solutions for providing effective and appropriate responses by
healthcare and social services. Can patients/older people be treated, monitored, and
managed successfully with mobile and wearable technologies? The project involved three different groups of
patients/participants: Patients with heart failure shock in “Home Monitoring
Scenario”; Patients with different pathologies in “Virtual Ward
Scenario”; Patients with limited mobility due to Neurological and
Orthopaedic disease in “Rehabilitation Scenario”. Due to the complexity
of the issue, the methodological approach adopted must be multidimensional and
interdisciplinary, addressing the complexity of the chronic patient from all
viewpoints, not reducing it, yet analysing, understanding, rearranging, and
managing it in an organic manner. The three different scenarios were allowed to identify
several impacts on organizational and clinic management of chronic diseases,
the tests showed significant improvements in quality of life of patients
enrolled in the project. The data deriving from the three scenario demonstrate
that wearable divide and ICT, in general, can empower both patients and
physician personnel allowing them to be active part in the chronic disease
management process. The PRO DOMO SUD experience derived from the Living
Lab, this is a new paradigm for industrial research and development activities
which allows the final users to actively collaborate with the designers and
technicians in the development and test of new products and services aimed to
them. The Living Labs stimulate social innovation by transferring research
results from the closed industrial laboratory towards real life contexts where
citizens and users become co-developers.
KEYWORDS
co-creation, cost, efficiency, HTA, chronic patients monitoring, home monitoring, hospital monitoring, social innovation
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