Project description
A patient-centred approach for multimorbid patients
An ageing population has resulted in growing numbers of complex multimorbid chronic patients who require medical support. Therefore, modern medicine requires a novel, patient-centred attitude for more effective treatment options, as well as lower costs and better decision-making. The EU-funded GERONTE project will combine expertise in public health and public sector digital transformation to harness digital technology to improve the healthcare outcomes of elderly patients with comorbidities. Using the model of cancer multidisciplinary management, it will co-design with patients, caregivers and professionals a patient-tailored approach that will ease care pathways, management and treatment decisions while reducing healthcare costs.
Objective
Population is aging and the number of complex multimorbid patients to manage will increase sharply. Disease centred approach is not optimal or appropriate to manage this patient group’s inherently complex needs. Change to a patient centred approach will simplify care pathways, secure management and treatment decision- making and decrease healthcare costs. A practical, validated, clinically-appropriate, structured care pathway will be a practical, clinically impactful, and valuable breakthrough for daily practice with multiple impacts that must be quantified. GERONTE multimorbid patient-centred system proposes:
1) Coordination of management by a patient-tailored, interdisciplinary health professional consortium (HPC), including hospital- and home-based professionals, with a case manager;
2) Timely registration of symptoms and patient-reported outcomes at home through anapp for anticipation of avoidable adverse events;
3) Proposal of self-management guidelines according to intrinsic capacity evaluation by geriatrician for patient driven improvement of independent living;
4) Structured collection of data from electronic health records into a dashboard made available to HPC members as well as patient and caregiver, thanks to its capacity to securely interoperate with all electronic health records including software managing medical data.
The whole approach will be co-designed with patients, informal caregivers and health professionals.
Cancer is an excellent model to develop this approach in multimorbid patients because it is frequent and commonly associated with other morbidities in older patients but also because of its major impact on patients’ general status and coexistent diseases. Cancer already benefits from a multidisciplinary management model that GERONTE will evaluate a care pathway that meets this group’s inherently multidisciplinary and complex care needs, and identify core and critical health and patient preference data to enhance &, strengthen exchange of holistic data, while defining the role of primary care and case management.
GERONTE will also provide a comprehensive description of the oncology care pathway for older multimorbid patients across several countries from patient, clinical, organisational, implementation, and economic perspectives and develop country-specific guidelines and best practices for implementation of GERONTE across Europe and for improved management of older multimorbid patients including improved quality of life and independent living at decreased costs.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: https://op.europa.eu/en/web/eu-vocabularies/euroscivoc.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: https://op.europa.eu/en/web/eu-vocabularies/euroscivoc.
- natural sciencescomputer and information sciencessoftware
- medical and health sciencesclinical medicineoncology
You need to log in or register to use this function
We are sorry... an unexpected error occurred during execution.
You need to be authenticated. Your session might have expired.
Thank you for your feedback. You will soon receive an email to confirm the submission. If you have selected to be notified about the reporting status, you will also be contacted when the reporting status will change.
Keywords
Programme(s)
Topic(s)
Call for proposal
(opens in new window) H2020-SC1-BHC-2018-2020
See other projects for this callSub call
H2020-SC1-2020-Two-Stage-RTD
Funding Scheme
RIA - Research and Innovation actionCoordinator
33000 Bordeaux
France