HHE Neurology supplement 2018 - Page 18

neurology The challenge of integrated care in Europe ICT4Life, a Horizon 2020 EU-funded initiative contributing to the challenge of integrated care for patients suffering from Parkinson’s disease, Alzheimer’s disease and other dementias is discussed Isabella Notarangelo HOPE With the contribution of the ICT4Life consortium The 20th century was characterised by an enhancement of well-being and better economic conditions bringing modifications in lifestyle. Such improvements also led to new risk-factors that could be controlled but not cured, causing an increase in chronic conditions. Health systems, once mainly focused on acute episodes, are now working on the implementation of country- tailored solutions aimed at better responses to the burden of (multiple) chronic conditions. In recent years, Europe faced important demographic changes affecting the ageing population. As a result, there are almost 10 million Europeans affected by Parkinson’s, Alzheimer’s and other dementias, and the number is forecast to double by 2030, making them a major health challenge. Those people 18 HHE 2018 | hospitalhealthcare.com want to live in their own homes but, because of their symptoms, they face difficulties in daily life, both in managing their own care and in living independently. Increased chronic conditions, multi-morbidity and an ageing population of both the workforce and patients has led to the development of a new integrated care model at the European and national levels. This model is supported by the development and deployment of innovative information and communication technology (ICT) tools to improve and facilitate the quality and delivery of care in all health settings. At Member States’ level, most health systems have already moved from a traditional hospital- centric and doctor-centric pattern of care to integrated care in which hospitals work closely with primary care, community care and home- care. Almost all European countries have made efforts in modifying their hospital provision patterns: delivering better services, increasing quality, improving efficiency and productivity. Further actions are directed towards the creation of multi-professional networks and to the involvement of the patient in the pattern of care. As the literature shows, the presence of a strong ICT system connecting either professionals or professionals and patients is a successful factor for transition from hospital-focused health systems to continuum care-focused health systems. Such factors are crucial to ensure quality of care, especially in times of financial constraints. Integrated care models address how care services could be coordinated and delivered to deal with people’s continuous care in a more efficient way while considering all stakeholders’ needs and perspectives. To do so, there are several levels of integration. The Triple Integration, 1 stated by Simon Stevens, described the different levels needed to address integrated care services depending on the care services and stakeholders involved. That is: • integration between primary and specialist services to provide health services c \B]Y[¸([Yܘ][ۈ]Y[\X[[Y[[X[\X\YYZ[HYXHۈY[[X[¸([Yܘ][ۈوX[[X[\X\˜ܙ[]HHYܝوHY\[\X\]\ܝ]Y[˂H\X\][ۈو]Y[\KY]\[H[][]H][H\H\\\