Cloud-based integrated socio-sanitary care e-services in Croatia: Lessons learned

Igor Ljubi,Suzana Belosevic Romac,Hrvoje Belani,L Vilka,J Vike

doi:10.1051/shsconf/20208502004

Igor Ljubi, Suzana Belosevic Romac + Show 3 more

Open Access

https://doi.org/10.1051/shsconf/20208502004

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Abstract

Among many other services, modern governments offer both healthcare and social care to their citizens. Traditionally built in a silo structure and often using separate funding schemes, these two services offer limited possibilities for integration. Therefore, a novel approach is needed which will enable the integrated provisioning of both social and healthcare services to the citizens. This paper describes a platform for collaboration on multiple levels, provided to connect actors from healthcare and social care services – from primary care medical doctors to hospitals, and from home caregivers and/or family members to emergency centres for the elderly. Utilizing the cloud-based ICT tool, we have developed an integrated e-care model and introduced personalised care pathways for the elderly people suffering from various health problems (including heart failure, cardio-vascular diseases, diabetes and mental health issues). This model employs a patient-centric approach to care delivery, giving the patient (or the person acting on behalf of the patient) in power to control (and to share) any data relevant to treat patient's health condition. For the socio-sanitary care providers the benefit is the ability to influence clinical outcomes by remotely monitor and coordinate care initiatives. Using this approach, government has an effective aid to meet quality thresholds, generate clinical outcome metrics and improve satisfaction of the citizens using health and social care services.

Highlights

European democracies have been proud of their health care services for a long time, and it is unfortunate that those have not evolved to respond to the modern environment and are no longer fit for purpose [1]
They are founded on the common principles such as accessibility to quality care, equity and solidarity, in order to cope with the modern challenges, it is imperative that governments, while providing health care services, acknowledge the need for cost-efficient investments
To achieve the goals of providing good quality for both health and social services to their citizens [3], a novel approach was required as the general population of Europe is getting older, creating more need for those services, which result in excess of cost

Summary

Introduction

European democracies have been proud of their health care services for a long time, and it is unfortunate that those have not evolved to respond to the modern environment and are no longer fit for purpose [1] They are founded on the common principles such as accessibility to quality care, equity and solidarity, in order to cope with the modern challenges, it is imperative that governments, while providing health care services, acknowledge the need for cost-efficient investments. C The Authors, published by EDP Sciences This yielded the overarching concept of integrated socio-sanitary care [4], uniting efforts made by policy makers, medical personal, and social caregivers. Those stakeholders agree that balanced cost in delivering good quality service can be based on resource optimization, prevention (proactivity vs. reactivity) and an increased shift to out-patient treatment (care at home) is necessary [5]

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