Telemonitoring focused on multi-chronic patients: provisioning of integrated care
About this good practice
Integrated Care provisioning via telemonitoring
Resources needed
 Material/equipment resources: integrated care platform, telemonitoring platform, monitoring devices, servers
 HHRR: nurses, doctors, social workers, carers, family, peer volunteers
 Entities: day care centres, Red Cross, nursery homes, elderly social centres, patient associations
Evidence of success
Greater satisfaction from professionals, patients and carers.
Call centre dimension: Automatic alarms permit to size up the call centre and its activity timeframe. 1100 chronic patients will consume 4h approx. of staff of call centre/day.
Enhancement in quality of life of patients, and reduction in anxiety and depression.
Clinical activity: Frequentation shift from specialised care to primary care and from emergencies to programmed activity. Healthcare activity shift from reactive to proactive.
Potential for learning or transfer
Although older adults >50 have a higher risk of chronic pathologies, decrease in mental capacities, mobility and a greater risk of poverty and social isolation, they are however a valuable resource in contributing to society and living actively while generating new jobs and growth.
Introduction of eHealth, telecare, integrated care, independent living is proving to increase efficiency of health and long-term care systems at regional and national level, and thus leading to cost savings and enhancing accessibility to healthcare and social services in rural and remote areas.
The best practice where implemented has shown to enhance healthcare delivery, settle population, improve lives of the elderly, strengthen services at community level (municipalities, associations, social services, community nursing, etc.)
Overall, the Telemonitoring best practice in AragĂłn is tried-and-true-demonstrable and easily replicable in other regions of Europe.
