Digital support to multimodal community-based prehabilitation

• Verfasst von: Barberan-Garcia, Anael [VerfasserIn]
• Verfasst von: Cano, Isaac [VerfasserIn]
• Verfasst von: Bongers, Bart C. [VerfasserIn]
• Verfasst von: Seyfried, Steffen [VerfasserIn]
• Verfasst von: Ganslandt, Thomas [VerfasserIn]
• Verfasst von: Herrle, Florian [VerfasserIn]
• Verfasst von: Martínez-Pallí, Graciela [VerfasserIn]
• Titel: Digital support to multimodal community-based prehabilitation
• Titelzusatz: looking for optimization of health value generation
• Verf.angabe: Anael Barberan-Garcia, Isaac Cano, Bart C. Bongers, Steffen Seyfried, Thomas Ganslandt, Florian Herrle and Graciela Martínez-Pallí
• E-Jahr: 2021
• Jahr: 17 June 2021
• Umfang: 7 S.
• Fussnoten: Gesehen am 07.04.2022
• Titel Quelle: Enthalten in: Frontiers in oncology
• Ort Quelle: Lausanne : Frontiers Media, 2011
• Jahr Quelle: 2021
• Band/Heft Quelle: 11(2021), Artikel-ID 662013, Seite 1-7
• ISSN Quelle: 2234-943X
• DOI: doi:10.3389/fonc.2021.662013
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1767671962

Abstract

Prehabilitation has shown its potential for most intra-cavity surgery patients on enhancing preoperative functional capacity and postoperative outcomes. However, its large-scale implementation is limited by several constrictions, such as: i) unsolved practicalities of the service workflow, ii) challenges associated to change management in collaborative care; iii) insufficient access to prehabilitation; iv) relevant percentage of program drop-outs; v) need for program personalization; and, vi) economical sustainability. Transferability of prehabilitation programs from the hospital setting to the community would potentially provide a new scenario with greater accessibility, as well as offer an opportunity to effectively address the aforementioned issues and, thus, optimize healthcare value generation. A core aspect to take into account for an optimal management of prehabilitation programs is to use proper technological tools enabling: i) customizable and interoperable integrated care pathways facilitating personalization of the service and effective engagement among stakeholders; ii) remote monitoring (i.e. physical activity, physiological signs and patient-reported outcomes and experience measures) to support patient adherence to the program and empowerment for self-management; and, iii) use of health risk assessment supporting decision making for personalized service selection. The current manuscript details a proposal to bring digital innovation to community-based prehabilitation programs. Moreover, this approach has the potential to be adopted by programs supporting long-term management of cancer patients, chronic patients and prevention of multimorbidity in subjects at risk.