IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0207292.html
   My bibliography  Save this article

eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach

Author

Listed:
  • Maria Gabriella Melchiorre
  • Giovanni Lamura
  • Francesco Barbabella
  • on behalf of ICARE4EU Consortium

Abstract

Background: People with multimorbidity, especially older people, have complex health and social needs, and require an integrated care approach. In this respect, eHealth could be of support. This paper aims to describe the implementation of eHealth technologies in integrated care programs for people with multimorbidity in Europe, and to analyse related benefits and barriers according to outcomes from ICARE4EU study and within the more general conceptual framework of the “10 e's” in eHealth by Gunther Eysenbach. Methods: In 2014, ICARE4EU project identified 101 integrated care programs in 24 European countries. Expert organizations and managers of the programs completed an on-line questionnaire addressing several aspects including the adoption of eHealth. Findings from this questionnaire were analyzed, by linking in particular benefits and barriers of eHealth with the “10 e's” by Eysenbach (Efficiency, Enhancing, Evidence-based, Empowerment, Encouragement, Education, Enabling, Extending, Ethics, and Equity). Results: Out of 101 programs, 85 adopted eHealth tools, of which 42 focused explicitly on older people. eHealth could improve care integration/management, quality of care/life and cost-efficiency, whereas inadequate funding represents a major barrier. The “10 e's” by Eysenbach seem to show contact points with ICARE4EU findings, in particular when referring to positive aspects of eHealth such as Efficiency and Enhancing quality of care/life, although Empowerment/Education of patients, care Equity and Ethics issues seem crucial in this respect. Encouragement of a new relationship patient-health professional, and Enabling standardized exchange of electronic information, represent further aspects impacting integration/management of care. Conclusions: Aspects of eHealth, which emerged as benefits and barriers impacting integration/management of care, as well as cost-efficiency and quality of care/life, can be identified on the basis of both ICARE4EU findings and the “10 e's” in eHealth by Eysenbach. They could represent objectives of new policies for supporting the deployment of eHealth technologies within integrated care across Europe.

Suggested Citation

  • Maria Gabriella Melchiorre & Giovanni Lamura & Francesco Barbabella & on behalf of ICARE4EU Consortium, 2018. "eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-26, November.
    • Handle: RePEc:plo:pone00:0207292
    DOI: 10.1371/journal.pone.0207292
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207292
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0207292&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0207292?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Melchiorre, Maria Gabriella & Papa, Roberta & Rijken, Mieke & van Ginneken, Ewout & Hujala, Anneli & Barbabella, Francesco, 2018. "eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project," Health Policy, Elsevier, vol. 122(1), pages 53-63.
    2. Daniel Weiss & Håvard T Rydland & Emil Øversveen & Magnus Rom Jensen & Solvor Solhaug & Steinar Krokstad, 2018. "Innovative technologies and social inequalities in health: A scoping review of the literature," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-20, April.
    3. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    4. van der Heide, Iris & Snoeijs, Sanne & Quattrini, Sabrina & Struckmann, Verena & Hujala, Anneli & Schellevis, François & Rijken, Mieke, 2018. "Patient-centeredness of integrated care programs for people with multimorbidity. Results from the European ICARE4EU project," Health Policy, Elsevier, vol. 122(1), pages 36-43.
    5. Nuño, Roberto & Coleman, Katie & Bengoa, Rafael & Sauto, Regina, 2012. "Integrated care for chronic conditions: The contribution of the ICCC Framework," Health Policy, Elsevier, vol. 105(1), pages 55-64.
    6. Katherine Rojahn & Suzanne Laplante & James Sloand & Claire Main & Aftab Ibrahim & Janet Wild & Nicky Sturt & Thelga Areteou & K Ian Johnson, 2016. "Remote Monitoring of Chronic Diseases: A Landscape Assessment of Policies in Four European Countries," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-15, May.
    7. Rijken, Mieke & Hujala, Anneli & van Ginneken, Ewout & Melchiorre, Maria Gabriella & Groenewegen, Peter & Schellevis, Franζois, 2018. "Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe," Health Policy, Elsevier, vol. 122(1), pages 44-52.
    8. Ramon Sabes-Figuera, 2013. "European Hospital Survey: Benchmarking deployment of e-Health services (20122013) Country reports," JRC Research Reports JRC85927, Joint Research Centre.
    9. Stephanie Carretero, 2015. "Technology-enabled services for older people living at home independently: lessons for public long-term care authorities in the EU Member States," JRC Research Reports JRC96022, Joint Research Centre.
    10. Mariusz Duplaga, 2016. "Searching for a Role of Nursing Personnel in Developing Landscape of Ehealth: Factors Determining Attitudes toward Key Patient Empowering Applications," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-16, April.
    11. Dansky, Kathryn H. & Thompson, Debbe & Sanner, Tammy, 2006. "A framework for evaluating eHealth research," Evaluation and Program Planning, Elsevier, vol. 29(4), pages 397-404, November.
    12. Maynard, Alan & McDaid, David, 2003. "Evaluating health interventions: exploiting the potential," Health Policy, Elsevier, vol. 63(2), pages 215-226, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Felix Mühlensiepen & Sandra Kurkowski & Martin Krusche & Johanna Mucke & Robert Prill & Martin Heinze & Martin Welcker & Hendrik Schulze-Koops & Nicolas Vuillerme & Georg Schett & Johannes Knitza, 2021. "Digital Health Transition in Rheumatology: A Qualitative Study," IJERPH, MDPI, vol. 18(5), pages 1-11, March.
    2. Mirjam Ekstedt & Marie Kirsebom & Gunilla Lindqvist & Åsa Kneck & Oscar Frykholm & Maria Flink & Carolina Wannheden, 2021. "Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach," IJERPH, MDPI, vol. 19(1), pages 1-19, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Melchiorre, Maria Gabriella & Papa, Roberta & Rijken, Mieke & van Ginneken, Ewout & Hujala, Anneli & Barbabella, Francesco, 2018. "eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project," Health Policy, Elsevier, vol. 122(1), pages 53-63.
    2. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2021. "A Mixed-Methods Analysis of Care Arrangements of Older People with Limited Physical Abilities Living Alone in Italy," IJERPH, MDPI, vol. 18(24), pages 1-35, December.
    3. Ghazalbash, Somayeh & Zargoush, Manaf & Mowbray, Fabrice & Costa, Andrew, 2022. "Impact of multimorbidity and frailty on adverse outcomes among older delayed discharge patients: Implications for healthcare policy," Health Policy, Elsevier, vol. 126(3), pages 197-206.
    4. Sapanna Laysiriroj & Walter Wehrmeyer, 2020. "Intergenerational differences of CSR activities in family-run businesses in eastern Thailand," Asian Journal of Sustainability and Social Responsibility, Springer, vol. 5(1), pages 1-15, December.
    5. Maider Belintxon & Nisha Dogra & Paula McGee & Maria Jesus Pumar‐Mendez & Olga Lopez‐Dicastillo, 2020. "Encounters between children's nurses and culturally diverse parents in primary health care," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 273-282, June.
    6. Kenzie Latham-Mintus & Brittney Ortiz & Ashley Irby & Jack Turman, 2024. "Supporting the Development of Grassroots Maternal and Childhood Health Leaders through a Public-Health-Informed Training Program," IJERPH, MDPI, vol. 21(4), pages 1-15, April.
    7. Emmanuel Songsore & Michael Buzzelli, 2016. "Ontario’s Experience of Wind Energy Development as Seen through the Lens of Human Health and Environmental Justice," IJERPH, MDPI, vol. 13(7), pages 1-18, July.
    8. Ana Cristina Lindsay & Sherrie F. Wallington & Faith D. Lees & Mary L. Greaney, 2018. "Exploring How the Home Environment Influences Eating and Physical Activity Habits of Low-Income, Latino Children of Predominantly Immigrant Families: A Qualitative Study," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    9. Limakatso Lebina & Mary Kawonga & Tolu Oni & Hae-Young Kim & Olufunke A Alaba, 2020. "The cost and cost implications of implementing the integrated chronic disease management model in South Africa," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-15, June.
    10. David P. Ashmore & Roselle Thoreau & Corina Kwami & Nicola Christie & Nicholas A. Tyler, 2020. "Using thematic analysis to explore symbolism in transport choice across national cultures," Transportation, Springer, vol. 47(2), pages 607-640, April.
    11. Satu Elo & Maria Kääriäinen & Outi Kanste & Tarja Pölkki & Kati Utriainen & Helvi Kyngäs, 2014. "Qualitative Content Analysis," SAGE Open, , vol. 4(1), pages 21582440145, February.
    12. Borch, Kristian & Munk, Anders K. & Dahlgaard, Vibeke, 2020. "Mapping wind-power controversies on social media: Facebook as a powerful mobilizer of local resistance," Energy Policy, Elsevier, vol. 138(C).
    13. Naci Akdemir & Serkan Yenal, 2021. "How Phishers Exploit the Coronavirus Pandemic: A Content Analysis of COVID-19 Themed Phishing Emails," SAGE Open, , vol. 11(3), pages 21582440211, July.
    14. Caro Wolfner & Corilyn Ott & Kalani Upshaw & Angela Stowe & Lisa Schwiebert & Robin Gaines Lanzi, 2023. "Coping Strategies and Help-Seeking Behaviors of College Students and Postdoctoral Fellows with Disabilities or Pre-Existing Conditions during COVID-19," Disabilities, MDPI, vol. 3(1), pages 1-25, February.
    15. Christopher Mulwanda & Vincent R. Nyirenda & Ngawo Namukonde, 2024. "Traditional ecological knowledge, perceptions and practices on insect pollinator conservation: A case of the smallholder farmers in Murundu ward of Mufulira mining district of Zambia," Journal of Environmental Studies and Sciences, Springer;Association of Environmental Studies and Sciences, vol. 14(1), pages 24-35, March.
    16. Chiara Oppi & Cristina Campanale & Lino Cinquini, 2021. "Il problema dell?ambiguit? nei sistemi di misurazione della performance nel settore pubblico: un?analisi della letteratura internazionale," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2021(2), pages 11-38.
    17. Oznur Korukcu & Ruveyde Aydın & Jane Conway & Kamile Kukulu, 2018. "Motherhood in the shade of migration: A qualitative study of the experience of Syrian refugee mothers living in Turkey," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 46-53, March.
    18. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    19. Anna Rogozinska-Pawelczyk, 2022. "The Manager as an Organisation Agent during the Fourth Industrial Revolution," European Research Studies Journal, European Research Studies Journal, vol. 0(2), pages 509-529.
    20. Nijamdeen, Thanne Walawwe Gedera Fathima Mafaziya & Peruzzo, Sofia & Kodikara, Kodikara Arachchilage Sunanda & Ratsimbazafy, Hajaniaina Andrianavalonarivo & Nijamdeen, Thenne Walawe Gedhara Fathima As, 2024. "Stakeholder perceptions in mangrove management in the Jaffna Peninsula, Sri Lanka," Forest Policy and Economics, Elsevier, vol. 164(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0207292. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.