Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation

Barberan-Garcia A, Cano I, Bongers BC, Seyfried S, Ganslandt T, Herrle F, Martinez-Palli G (2021)

Publication Type: Journal article

Publication year: 2021

Journal

Frontiers in Oncology Frontiers Media

Book Volume: 11

Article Number: 662013

DOI: 10.3389/fonc.2021.662013

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.

Authors with CRIS profile

Thomas Ganslandt

Involved external institutions

Hospital Clínic de Barcelona ES Spain (ES) Maastricht University NL Netherlands (NL) Ruprecht-Karls-Universität Heidelberg DE Germany (DE) Institut d'investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) ES Spain (ES)

How to cite

APA:

Barberan-Garcia, A., Cano, I., Bongers, B.C., Seyfried, S., Ganslandt, T., Herrle, F., & Martinez-Palli, G. (2021). Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation. Frontiers in Oncology, 11. https://dx.doi.org/10.3389/fonc.2021.662013

MLA:

Barberan-Garcia, Anael, et al. "Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation." Frontiers in Oncology 11 (2021).

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