NEXES addressed the transfer of complexity from hospital to primary care and patient-home using ICT support. To this end, the project has assessed deployment of four innovative Integrated Care Services (ICS) for chronic patients (respiratory, cardiac and type II diabetes mellitus) including well standardized patient-centred interventions, namely:

Home-based wellness and exercise-training
Enhanced care for frail patients o Home hospitalisation and early discharge
Remote support to primary care for diagnosis and therapy Particular attention has been paid to co-morbidities and to the impact of frailty and complexity in the stratification of patient care.

The project (2008-2012) proposes specific strategies for deployment of ICS for chronic patients at EU level.

Partners:

Hospital Clínic i Provincial de Barcelona (Spain)
Fundació TIC-SALUT (Spain)
Telefonica Investigación y Desarrollo SA (Spain)
Fundació Clínic per a la Recerca Biomèdica (Spain)
Linkcare Health Services (Spain)
St Olav’s Hospital, Trondheim Commune University Hospital (Norway)
Helse Midt-Norge (Norway)
Stiftelsen Sintef (Norway)
Intracom Telecom Solutions (Greece)
Sotiria Chest Diseases Hospital (Greece)
1ST YGEIONOMIKI PERIFERIA DYPE ATTIKIS (Greece)
SANTAIR ANONYMI ETAIRIA IATRIKON IATRIKON EFARMOGON (Greece)
TXT e- solutions (Italy)

Publications:

Roca, J., Alonso, A. & Hernandez, C. (2008). Integrated care for COPD patients: time for extensive deployment. Breathe, 5(1), 26-35.
European Comission (2013). Replicating and Tutoring Integrated Care for Chronic Diseases, Including Remote Monitoring at Regional Level. European Union Partnership on Active and Health Ageing. 127.
Roca, J., Grimsmo, A., Meya, M., Alonso, A., & Gorman, J. (2013). NEXES: supporting healthier and independent living for chronic patients and elderly: final report.
Roca, J., Cano, I., Hernandez, C., Burgos, F., Barberan, A. & Alonso, A. (2014). Hospital Clinic de Barcelona: Deployment of integrated care services supported by information and communication technologies (ICS-ICT) for chronic patients. PITES: Telemedicine and e-Health innovation platform. Unidad de Investigación en Telemedicina y e-Salud. Instituto Carlos III, 50-63
Melia, U., Burgos, F., Vallverdú, M., Velickovski, F., Lluch-Ariet, M., Roca, J. & Caminal, P. (2014). Algorithm for Automatic Forced Spirometry Quality Assessment: Technological Developments. Plus one, 9(12), e116238.
Hernández, C., Alonso, A., Garcia-Aymerich, J., Serra, I., Marti, D., Rodriguez-Roisin, R., ... & Roca, J. (2015). Effectiveness of community-based integrated care in frail COPD patients: a randomised controlled trial. NPJ primary care respiratory medicine, 25, 15022.
Hernandez, C., Alonso, A., Garcia-Aymerich, J., Grimsmo, A., Vontetsianos, T., Cuyàs, F. G., ... & Wienhofen, L. (2015). Integrated care services: lessons learned from the deployment of the NEXES project. International journal of integrated care, 15.
Cano, I., Alonso, A., Hernandez, C., Burgos, F., Barberan-Garcia, A., Roldan, J., & Roca, J. (2015). An adaptive case management system to support integrated care services: Lessons learned from the NEXES project. Journal of biomedical informatics, 55, 11-22.

Links:

Supporting Healthier and Independent Living for Chronic Patients and Elderly. CORDIS (Community Research and Development information Service). European Comission.
NEXES web page

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