The second DigitalHealthUptake-supported session brought together three experiences where digital health solutions have either been deployed or will be deployed at scale. Their roles are to improve primary care, integrate health with social care, and evaluate the benefits of home care. Community was clearly of importance throughout. So too were the kinds of tools and techniques that it is recommended to use.
Deploying digital health in Flanders: the path to health and care integration
Tom de Boeck, Vlaamse Overheid, Belgium
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Tom de Boeck and Hanne Verheust from the Flemish government in Belgium, highlighted the paradigm shift taking place in healthcare delivery. They presented Alivia, a digital tool to promote goal-oriented care and integrated care, including social care. After a co-design process, two pilots will be carried out in Antwerp and Southwest Flanders in the first quarter of 2024.
Implementing community digital health solutions in North Macedonia: from My Booking to My Health
Dalibor Frtunik, CEO, Sorsix, North Macedonia
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Dalibor Frtunik from Sorsix, a health technology company, presented the deployment of digital health in support of North Macedonian primary and secondary care services. The technologies involved ranged from an initial e-appointment system to a complete electronic health record (EHR) system, and included a mobile personal health record (Moe Zdravje – i.e. My Health), which is accessible to all citizens. “Wide but shallow” was the implementation recipe that Dalibor shared with the audience. This approach entailed establishing a ‘wide’ common ground and deploying a simple solution fast.
Advancing home-based integrated care for older adults with multimorbidity: evaluating the societal impact
Jessica Ferreira Morais, Vrije Universiteit Brussel, Belgium
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Jéssica Morais, from imec-SMIT Vrije Universiteit Brussels, presented the economic evaluation approach used to assess a digital platform that supports integrated home care, which was developed in the ProACT and SEURO projects. Cost-utility analysis based on quality-of-life measures, healthcare utilisation, and social impact indicators, is used to procure the evidence needed for local reimbursement by third-party payers.
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From left to right: Dalibor Frtunik (Sorsix), Tom de Boeck and Hanne Verheust (Flemish Government), Jéssica Morais (imec-SMIT Vrije Universiteit Brussels), and Andrea Pavlickova (Scottish Government)
Andrea Pavlickova from the Scottish Government moderated the ensuing debate. Speakers emphasised three successful techniques to implement and scale-up digital health solutions in the community: they were user-centred co-design processes, “start small and move fast”, and value assessment.