A5062550137- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Telemedicine and Telehealth Implementation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- IgG4-Related and Inflammatory Diseases
- Neuroendocrine Tumor Research Advances
- Healthcare Systems and Public Health
- Congenital limb and hand anomalies
- COVID-19 Clinical Research Studies
- Cardiac Structural Anomalies and Repair
- Artificial Intelligence in Healthcare and Education
- Respiratory Support and Mechanisms
- Global Health Care Issues
- Healthcare innovation and challenges
- Gastrointestinal Tumor Research and Treatment
- Lung Cancer Diagnosis and Treatment
- SARS-CoV-2 detection and testing
- Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Delphi Technique in Research
- Non-Invasive Vital Sign Monitoring
- Technology Use by Older Adults
Universitat de Barcelona
2017-2024
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2017-2024
Sheba Medical Center
2014-2023
Rabin Medical Center
2022-2023
Tel Aviv University
2023
Hospital Clínic de Barcelona
2017-2021
Centre for Biomedical Network Research on Rare Diseases
2019-2020
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
2017-2018
Pontificia Universidad Javeriana
2005-2006
This paper provides a deeper understanding of the mechanisms underlying implementation strategies for integrated care. As part SELFIE project, 17 care programmes addressing multi-morbidity from eight European countries were selected and studied. Data was extracted 'thick descriptions' analysed both inductively deductively using theory. The following ten successful identified. With regards to service delivery, implementers (1) commonly adopted an incremental growth model rather than...
Abstract Background Fatigue is the most prevalent and debilitating long-COVID (coronavirus disease) symptom; however, risk factors pathophysiology of this condition remain unknown. We assessed for fatigue explored its possible pathophysiology. Methods This was a nested case-control study in COVID recovery clinic. Individuals with (cases) without (controls) significant were included. performed multidimensional assessment evaluating various parameters, including pulmonary function tests...
Digital health tools comprise a wide range of technologies to support processes. The potential these effectively care transformation is widely accepted. However, scale implementation uneven among countries and regions. Identification common factors facilitating hampering the process may be useful for future policy recommendations.The aim this study was analyze digital social services, as well facilitate longitudinal assessment in 17 selected integrated chronic (ICC) programs from 8 European...
Abstract Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. The objective is to assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out system...
Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability both healthcare policies services in the transition toward coordinated service delivery scenario. To this end, manuscript articulates four different protocols aiming at assessing large-scale implementation care, which are being developed within umbrella regional project Nextcare (2016-2019), undertaken foster innovation technologically-supported for...
The efficacy-effectiveness gap constitutes a well-known limitation for adoption of digitally enabled integrated care services. current report describes the co-creation process undertaken (2016-2021) to deploy prehabilitation service at Hospital Clínic de Barcelona with final aim achieving sustainable and facilitate site transferability. An implementation research approach population-based orientation, combining experience-based co-design quality improvement methodologies, was applied. We...
Applicability of comprehensive assessment integrated care services in real world settings is an unmet need. To this end, a Triple Aim evaluation Hospital at Home (HaH), as use case, was done. As ancillary aim, we explored the approach for monitoring impact adoption health system level Catalonia (Spain).Prospective cohort study over one year period, 2017-2018, comparing hospital avoidance (HaH-HA) with conventional hospitalization (UC) using propensity score matching. Participants were after...
Abstract We report 8 cases of persistent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia in patients previously treated with anti-CD20 monoclonal antibodies. Polymerase chain reaction nasopharyngeal swabs for SARS-CoV-2 was negative most cases; viral cell cultures confirmed that viable SARS-Co-2 virus present. Four were anti-SARS-CoV-2 hyperimmune globulins rapid resolution disease.
Background Home-based noninvasive ventilation has proven cost-effective. But, adherence to therapy still constitutes a common clinical problem. We hypothesized that behavioral intervention supported by mobile health (mHealth) app could enhance patient self-efficacy. It is widely accepted mHealth-supported services can productive interactions among the stakeholders involved in home-based respiratory therapies. Objective This study aimed measure changes self-efficacy patients with chronic...
Background Innovative digital health tools are increasingly being evaluated and, in some instances, integrated at scale into systems. However, the applicability of assessment methodologies real-life scenarios to demonstrate value generation and consequently foster sustainable adoption digitally enabled interventions has bottlenecks. Objective We aimed build on process premarket 4 piloted Hospital Clinic de Barcelona (HCB), as well analysis current medical device software regulations...
Peripheral oxygenation level (SpO2) can provide vital information on body functions. Continuous monitoring facilitates effective diagnosis and treatment even be lifesaving. Clinical device monitor SpO2 using a clip, measure light transmission through the tissue. This method limits locations of clip's placement is sensitive to movement, which hampers continuous during wakefulness or sleep, thus decreasing its usability in clinics accessibility homecare usage. We developed portable, wireless,...
ABSTRACT Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. Objective To assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out. HaH-HA compared...
Abstract Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. The objective is to assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out. HaH-HA...
<b>Rationale:</b> Despite substantial progresses on standard of care recommendations, management Chronic Obstructive Pulmonary (COPD) patients show potential for improvement provided that patients’ heterogeneities are better understood. <b>Objectives:</b> To perform a population-based analysis the COPD in Catalonia (ES) (7,5 M citizens) aiming at exploring health registry information to enhance risk assessment and stratification clinical arena. <b>Methods:</b> The characteristics 264,830...
La displasia campomelica es una alteracion del desarrollo oseo que se presenta de forma austosomica dominante. Se caracteriza por el encorvamiento los femures y tibias, junto con otras alteraciones orofaciales, cardiopulmonares neurologicas. El cariotipo puede mostrar sexo reverso. Las mutaciones gen SOX9 son responsables en la mayoria casos estas esqueleticas genitales. aqui un caso compromiso miembros inferiores caracteristico, identificado a traves ECLAMC (Estudio Colaborativo...
<sec> <title>BACKGROUND</title> Digital health tools comprise a wide range of technologies to support processes. The potential these effectively care transformation is widely accepted. However, scale implementation uneven among countries and regions. Identification common factors facilitating hampering the process may be useful for future policy recommendations. </sec> <title>OBJECTIVE</title> aim this study was analyze digital social services, as well facilitate longitudinal assessment in...