Monitorización y tratamiento de pacientes crónicos mediante uHealth: claves en la sostenibilidad (eficiencia) y calidad asistencial
DOI:
https://doi.org/10.18046/syt.v16i45.2895Palabras clave:
Longevidad; gestión de pacientes crónicos; CTT; uHealth; eficiencia; atención socio-sanitaria.Resumen
Se propone un modelo integral de gestión de recursos socio-sanitarios. El artículo inicia presentando los retos que enfrenta la asistencia sanitaria en un entorno caracterizado por mayor esperanza de vida y mayor número de pacientes con patologías crónicas, en un marco de crisis económica y de financiación. La presentación incluye aspectos de gestión y financieros, así como tendencias tecnológicas –como el desarrollo de la medicina personalizada y de la regenerativa–, que suponen un incremento del gasto sanitario y establecen que es inaplazable enfrentar estos retos y que la meta es mejorar la eficiencia en el uso de los recursos sanitarios, la calidad asistencial y el grado de satisfacción de los pacientes. Posteriormente, se presentan conceptos propios de la aplicación de las tecnologías de la información y las comunicaciones en salud, se muestra su relación con la atención de pacientes crónicos y se presentan los modelos actuales para su gestión y el nuevo modelo propuesto.
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Cabo-Salvador, J., Herreros, J., Cabo, V., Bellmont, M.A., García, E., &Vilches, M. (2014). Plan estratégico de gestión de las organizaciones sanitarias: gestión clínica y gobierno clínico. In: Reunió d’experts: Innovant en prevenció cardiovascular i eficiencia. Barcelona, España: Price Waterhouse Coopers.
Cabo-Salvador, J., Ramirez Uceda JM, Cabo, V., Ramos, J., & de Castro, C. (2018). Ubiquitous computing and its applications in the disease management in a ubiquitous city. Journal of Computer and Communications,6(3), 19. doi:10.4236/jcc.2018.63002
Cabo-Salvador., J. & Unda, E. (2010). Sistemas de ajuste de riesgos (AP-GRDs, APR-GRDs, IR-GRDs, CRGs, DxCGs): gestión por procesos y benchmarking. In: J. Cabo-Salvador. (Ed.), Gestión sanitaria integral: pública y privada (pp. 453- 512). Madrid, España: Centro de Estudios Financieros.
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Coleman, K., Austin, B.T., Brach, C., & Wagner, E.H. (2009). Evidence on the chronic care model in the new millennium. Health Affairs, 28(1), 75-85.
Curtis, L. (comp.). (2012). Unit costs of health and social care 2012. Canterbury, UK: University of Kent.
de Castro, C., Cabo-Salvador, J., Ramírez, J.M., & García, E. (2014). SIESTACARE: inteligencia ambiental aplicada a sistemas e-salud como tecnología de ayuda a enfermos y personas en situaciones de dependencia. In: J. Cabo-Salvador. (Ed.), Gestión de la calidad en las organizaciones sanitarias, (pp. 953- 1008). Madrid, España: Diaz de Santos.
Drennan, V. & Goodman, C. (2004). Nurse-led case management for older people with long-term conditions. Br J Community Nurs., 9(12), 527-533.
Epping-Jordan, J.E., Pruitt, S.D., Bengoa, R., & Wagner, E.H. (2004). Improving the quality of health care for chronic conditions. Quality and Safety in Health Care,13(4), 299-305.
Evercare (n.d). Implementing the Evercare program: Interim report. Retrieved from: http://www.natpact.info/cms/186.php
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2018-03-06
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