Project description
Preparing large scale deployment of targeted services to support active and healthy ageing ¿ Wide deployment of integrated care
CareWell will enable the delivery of integrated healthcare to frail elderly patients in a pilot setting through comprehensive multidisciplinary integrated care programmes where the role of ICTs can foster the coordination and patient centered delivery care. Carewell will focus in particular complex, multi-morbid elderly patients, who the patients most in need of health and social care resources (35% the total cost of Health Care System) and more complex interventions due to their frailty and comorbidities (health and social care coordination, monitoring, self-management of the patient and informal care giver). ICT platforms and communication channels that allow sharing information between healthcare and social care professionals involved in the delivery care of these patients, facilitating their coordination, increasing their resoluteness and avoiding duplicities when tackling patients´ diagnostic, therapeutic, rehabilitation or monitoring needs. Additionally, ICT-based platforms can improve the adherence to treatment, enhance self-care and increase patient awareness about their health status , as well as, improve the empowerment of informal caregivers, who usually take care of these patients. According to this, the benefit of integrated care programmes based on (1) integrated care coordination and (2) patient empowerment & home support pathways supported by ICT is greater and essential for these patients. Care pathways will cut across organisational boundaries and will activate the most appropriate resources across the entire spectrum of healthcare and social care services available for both scheduled and emergency care. CareWell aims to scale up the services in pioner regions and share their approach, learning from and supporting the other pilot sites which are at different levels of maturity in respect to designing, developing and implementing new ways of providing integrated care services.
Call for proposal
CIP-ICT-PSP-2013-7
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Funding Scheme
PB - Pilot Type B
Coordinator
48902 Barakaldo
Spain
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Participants (14)
1030 Bruxelles
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53111 Bonn
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7100 Vejle
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01006 Vitoria-gasteiz
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10000 Zagreb
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10090 Zagreb
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10000 Zagreb
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32100 Belluno
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Participation ended
32032 Feltre
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70121 Bari
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1118 CL Schiphol
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50-411 Wroclaw
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Participation ended
SY16 1RB Newtown
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LD3 0LS Bronllys
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