Introduction: Health care has been deeply revolutionized by the new wave of information and communication technology (ICT) development, particularly related to the electronic/personal health record (PHR). The present paper describes the original design and implementation approach followed in the Trentino Province (Italy) to promote an Integrated Care Model for patients' empowerment and data repository, by means of an evolving Personal Health Record - PHR platform, named TreC (Trentino Citizens Clinical Record).
Materials And Methods: The TreC Platform is conceived as a communication hub among different stakeholders. The core assumption of the TreC platform strategy is to consider the citizen/patient as main manager and owner of both his/her own health and his/her contacts with the health care systems.
Results: Over the years, the TreC platform has represented the core pillar in the digitalization process promoted at Province level. This has been strategically embedded in the multi-faceted e-government strategy endorsed by the Province of Trento. So far (October 2018), more than 89,000 citizens within the Province of Trento are using TreC platform as a way to communicate with the health care system and access their own personal health records.
Conclusions: The experience gained through the TreC platform implementation and its results are promising, supporting the idea that a PHR platform can represent a key driving factor in improving health care quality and efficiency, both from a patient and a health care staff perspective.
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http://dx.doi.org/10.1016/j.jbi.2019.103359 | DOI Listing |
Thromb Haemost
December 2024
Thrombosis Research Center (TREC), Division of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.
Background: This study aimed to identify novel plasma proteins associated with first-lifetime venous thromboembolism (VTE) and molecular pathways involved in VTE pathogenesis.
Methods: A case-cohort comprising incident VTE cases ( = 294) and a randomly sampled age- and sex-weighted subcohort ( = 1,066) was derived from the Trøndelag Health Study (HUNT3, n = 50,800). Blood samples were collected and stored at cohort inclusion (2006-2008), and participants were followed up to 5 years.
Front Immunol
July 2024
Research Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
There is a reciprocal relationship between extracellular matrix (ECM) remodelling and inflammation that could be operating in the progression of severe COVID-19. To explore the immune-driven ECM remodelling in COVID-19, we in this explorative study analysed these interactions in hospitalised COVID-19 patients. RNA sequencing and flow analysis were performed on peripheral blood mononuclear cells.
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August 2023
Azienda Provinciale Per I Servizi Sanitari, Provincia Autonoma Di Trento, Trento, Italy.
Introduction: Type 2 diabetes mellitus (T2DM) is a non-communicable disease representing one of the most serious public health challenges of the twenty-first century. Its incidence continues to rise in both developed and developing countries, causing the death of 1.5 million people every year.
View Article and Find Full Text PDFMethodsX
September 2022
School of Civil Engineering, Engineering Campus, Universiti Sains Malaysia, Penang 14300, Malaysia.
Seismic resilience index (SRI) approach describes the post-seismic recovery phase of a single building by incorporating the time dimension. In recent decades, numerous quantitative frameworks have been developed to quantify earthquake resilience. The seismic resilience of existing reinforced concrete (RC) structures in Malaysia under far-field (FF) and near-field (NF) earthquake scenarios is examined in this research methodology using a seismic resilience index (SRI) and functionality curve.
View Article and Find Full Text PDFBMC Health Serv Res
May 2022
Department of Endocrinology & Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Background: The growing burden of hypertension and diabetes is one of the major public health challenges being faced by the health system in India. Clinical Decision Support Systems (CDSS) that assist with tailoring evidence-based management approaches combined with task-shifting from more specialized to less specialized providers may together enhance the impact of a program. We sought to integrate a technology "CDSS" and a strategy "Task-shifting" within the Government of India's (GoI) Non-Communicable Diseases (NCD) System under the Comprehensive Primary Health Care (CPHC) initiative to enhance the program's impact to address the growing burden of hypertension and diabetes in India.
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