GATEKEEPER’s Strategy for the Multinational Large-Scale Piloting of an eHealth Platform: Tutorial on How to Identify Relevant Settings and Use Cases

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Jordi de Batlle - , University of Lleida, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Ivan D. Benítez - , University of Lleida, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Anna Moncusí-Moix - , University of Lleida, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Odysseas Androutsos - , University of Thessaly (Autor:in)
  • Rosana Angles Barbastro - , Hospital de Barbastro (Autor:in)
  • Alessio Antonini - , Open University Milton Keynes (Autor:in)
  • Eunate Arana - , Biocruces Bizkaia Instituto de Investigación Sanitaria (Autor:in)
  • Maria Fernanda Cabrera-Umpierrez - , Universidad Politecnica de Madrid (Autor:in)
  • Gloria Cea - , Universidad Politecnica de Madrid (Autor:in)
  • George Dafoulas - , Digital Cities of Central Greece, University of Thessaly (Autor:in)
  • Frans Folkvord - , PredictBy, Tilburg University (Autor:in)
  • Ane Fullaondo - , Instituto de Investigación en Sistemas de Salud (Autor:in)
  • Francesco Giuliani - , IRCCS Ospedale Casa Sollievo della Sofferenza - San Giovanni Rotondo (FG) (Autor:in)
  • Hsiao Ling Huang - , Yuanpei University of Science and Technology Taiwan (Autor:in)
  • Pasquale F. Innominato - , Betsi Cadwaladr University Health Board, University of Warwick, Université Paris-Saclay (Autor:in)
  • Przemyslaw Kardas - , Medical University of Łódź (Autor:in)
  • Vivian W.Q. Lou - , The University of Hong Kong (Autor:in)
  • Yannis Manios - , Harokopio University, Hellenic Mediterranean University (Autor:in)
  • Maria Matsangidou - , CYENS Centre of Excellence (Autor:in)
  • Franco Mercalli - , MULTIMED ENGINEERS SRL (Autor:in)
  • Mounir Mokhtari - , Institut Mines-Télécom, National University of Singapore (Autor:in)
  • Silvio Pagliara - , University of Warwick (Autor:in)
  • Julia Schellong - , Klinik und Poliklinik für Psychotherapie und Psychosomatik, Hochschulmedizin (Medizinische Fakultät und Universitätsklinikum) (Autor:in)
  • Lisa Stieler - , Klinik und Poliklinik für Psychotherapie und Psychosomatik, Hochschulmedizin (Medizinische Fakultät und Universitätsklinikum) (Autor:in)
  • Konstantinos Votis - , Center for Research and Technology - Hellas (Autor:in)
  • Paula Currás - , Medtronic Ibérica S.A. (Autor:in)
  • Maria Teresa Arredondo - , Universidad Politecnica de Madrid (Autor:in)
  • Jorge Posada - , Medtronic Ibérica S.A. (Autor:in)
  • Sergio Guillén - , MYSPHERA SL (Autor:in)
  • Leandro Pecchia - , University of Warwick (Autor:in)
  • Ferran Barbé - , University of Lleida, CIBER - Centro de Investigación Biomédica en Red (Autor:in)
  • Gerard Torres - , University of Lleida (Autor:in)
  • Giuseppe Fico - (Autor:in)

Abstract

Background: The World Health Organization’s strategy toward healthy aging fosters person-centered integrated care sustained by eHealth systems. However, there is a need for standardized frameworks or platforms accommodating and interconnecting multiple of these systems while ensuring secure, relevant, fair, trust-based data sharing and use. The H2020 project GATEKEEPER aims to implement and test an open-source, European, standard-based, interoperable, and secure framework serving broad populations of aging citizens with heterogeneous health needs. Objective: We aim to describe the rationale for the selection of an optimal group of settings for the multinational large-scale piloting of the GATEKEEPER platform. Methods: The selection of implementation sites and reference use cases (RUCs) was based on the adoption of a double stratification pyramid reflecting the overall health of target populations and the intensity of proposed interventions; the identification of a principles guiding implementation site selection; and the elaboration of guidelines for RUC selection, ensuring clinical relevance and scientific excellence while covering the whole spectrum of citizen complexities and intervention intensities. Results: Seven European countries were selected, covering Europe’s geographical and socioeconomic heterogeneity: Cyprus, Germany, Greece, Italy, Poland, Spain, and the United Kingdom. These were complemented by the following 3 Asian pilots: Hong Kong, Singapore, and Taiwan. Implementation sites consisted of local ecosystems, including health care organizations and partners from industry, civil society, academia, and government, prioritizing the highly rated European Innovation Partnership on Active and Healthy Aging reference sites. RUCs covered the whole spectrum of chronic diseases, citizen complexities, and intervention intensities while privileging clinical relevance and scientific rigor. These included lifestyle-related early detection and interventions, using artificial intelligence–based digital coaches to promote healthy lifestyle and delay the onset or worsening of chronic diseases in healthy citizens; chronic obstructive pulmonary disease and heart failure decompensations management, proposing integrated care management based on advanced wearable monitoring and machine learning (ML) to predict decompensations; management of glycemic status in diabetes mellitus, based on beat to beat monitoring and short-term ML-based prediction of glycemic dynamics; treatment decision support systems for Parkinson disease, continuously monitoring motor and nonmotor complications to trigger enhanced treatment strategies; primary and secondary stroke prevention, using a coaching app and educational simulations with virtual and augmented reality; management of multimorbid older patients or patients with cancer, exploring novel chronic care models based on digital coaching, and advanced monitoring and ML; high blood pressure management, with ML-based predictions based on different intensities of monitoring through self-managed apps; and COVID-19 management, with integrated management tools limiting physical contact among actors. Conclusions: This paper provides a methodology for selecting adequate settings for the large-scale piloting of eHealth frameworks and exemplifies with the decisions taken in GATEKEEPER the current views of the WHO and European Commission while moving forward toward a European Data Space.

Details

OriginalspracheEnglisch
Aufsatznummere42187
FachzeitschriftJournal of Medical Internet Research
Jahrgang25
PublikationsstatusVeröffentlicht - 28 Juni 2023
Peer-Review-StatusJa

Externe IDs

PubMed 37379060
WOS 001045687800001

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • big data, chronic diseases, eHealth, healthy aging, integrated care, large-scale pilots, Integrated care, Chronic diseases, Big data, Large-scale pilots, Healthy aging, Cyprus, Artificial Intelligence, Humans, Telemedicine/methods, COVID-19, Ecosystem, Chronic Disease

Bibliotheksschlagworte