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Streamlined Geriatric and Oncological evaluation based on IC Technology for holistic patient-oriented healthcare management for older multimorbid patients

Objective

Population is aging and the number of complex multimorbid patients to manage will increase sharply. Disease-centred approach is not appropriate to manage these patients. Change to a patient-centred approach will simplify care pathways, secure management and treatment decision making and decrease healthcare costs. It will be a real 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 a web-based app 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 record 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 care givers 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 enhance, strengthening exchange of holistic data, role of primary care and case management.
GERONTE will also provide new country-specific guidelines and best practices for implementation across Europe and for improved management of older multimorbid patients including improved quality of life and independent living at decreased costs.

Call for proposal

H2020-SC1-2020-Two-Stage-RTD
See other projects for this call

Funding Scheme

RIA - Research and Innovation action

Coordinator

UNIVERSITE DE BORDEAUX
Address
Place Pey Berland 35
33000 Bordeaux
France
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 968 981

Participants (9)

KATHOLIEKE UNIVERSITEIT LEUVEN
Belgium
EU contribution
€ 700 423
Address
Oude Markt 13
3000 Leuven
Activity type
Higher or Secondary Education Establishments
STICHTING DIAKONESSENHUIS
Netherlands
EU contribution
€ 658 370
Address
Bosboomstraat 1
3582 KE Utrecht
Activity type
Other
OSLO UNIVERSITETSSYKEHUS HF
Norway
EU contribution
€ 90 625
Address
Kirkeveien 166 Tarnbygget
0450 Oslo
Activity type
Higher or Secondary Education Establishments
UNIVERSITY COLLEGE DUBLIN, NATIONAL UNIVERSITY OF IRELAND, DUBLIN
Ireland
EU contribution
€ 128 430
Address
Belfield
4 Dublin
Activity type
Higher or Secondary Education Establishments
E-SENIORS: INITIATION DES SENIORS AUX NTIC ASSOCIATION
France
EU contribution
€ 244 250
Address
Cite Phalsbourg 19
75011 Paris
Activity type
Other
MYPL
France
EU contribution
€ 1 092 125
Address
12 Rue Des Près
78180 Montigny-le-brettoneaux
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)
UNIVERSITA COMMERCIALE LUIGI BOCCONI
Italy
EU contribution
€ 441 685
Address
Via Sarfatti 25
20136 Milano
Activity type
Higher or Secondary Education Establishments
SOCIETE INTERNATIONALE D'ONCOLOGIEGERIATRIQUE
Switzerland
EU contribution
€ 154 125
Address
Chemin De Balexert 9 Mie 2
1219 Chatelaine 12
Activity type
Other
DUBLIN CITY UNIVERSITY
Ireland
EU contribution
€ 519 745
Address
Glasnevin
9 Dublin
Activity type
Higher or Secondary Education Establishments