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Reference model for digital and remote healthcare services

SPECIFIC GOALS

  • Provide guidelines on the issues to consider when implementing digital non-face-to-face care initiatives.
  • Develop the mConnecta tool as a digital solution that facilitates this type of healthcare.
  • Provide recommendations of use and specific supporting content for professionals.

01. Latitud: strategy for the non-face-to-face care model in terms of digital innovation in health

Latitud is the reference model for the implementation of digital solutions in the field of non-face-to-face healthcare. It takes into account aspects related to the general objectives, the main characteristics associated with the adaptation of care processes and legal, technological, interoperability and assessment factors.

Its goal is to guarantee the equality, quality and sustainability of healthcare services, both from the perspective of the public and the health system. In order to achieve these objectives, the underlying pillars of the model are the individual as the core element and the intensive use of data, and applies these through the configuration of dynamic care pathways. It takes into account both health aspects and the determinants of the individual (social, economic, competencies, environment, etc.), and the available care resources, in order to define care pathways adapted to the needs and which enable a combination of face-to-face and non-face-to-face care.

The model covers all areas of health intervention included in the healthcare value chain: health promotion and prevention, diagnosis, treatment and monitoring of the disease.

02. Digital Health in the world: Analyzing the state of art

The rapid evolution of technologies, together with the availability and lower cost of connectivity services, have enabled the design of systems and models of care which are increasingly adapted to the needs of the individual and their personal, clinical and social determinants.

In this context, all countries with advanced economies are incorporating non-face-to-face care strategies and services into healthcare delivery models. In 2018, the telemedicine and eHealth market was estimated to be worth 38.3 billion dollars, with an estimated annual growth rate of 19.2%, leading to an estimated global value of 130 billion dollars in 2025 according to the Telemedicine Market Share Report | Global 2019-2025 Industry Data.

In Catalonia, the foundations for the implementation of Digital Health were laid with the initial design of the Non-Face-to-Face Care Model (2013-2016). Subsequently, initiatives related to non-face-to-face care at the systemic level were included in the Health Plan (2016-2020) and the Catalan Ministry of Health’s Information Systems Master Plan.

At the level of territorial implementation, the providers of the Integrated Public Use Healthcare System of Catalonia (SISCAT) have promoted specific digital solutions, with different levels of deployment, including three initiatives which are notable mainly for their long trajectory and territorial scalability:

  • eConsulta stands out for being a project promoted by the healthcare system itself and deployed in the vast majority of primary care centres and which can be extended to specialized care.
  • Teleictus stands out for the ease of coordination between SISCAT providers.
  • Teledermatology stands out for its use of existing tools and for saving part of the population from the need to travel.

eConsulta (CAT)

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Teleictus (CAT)

767.8 Kb

Teledermatologia (CAT)

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At the international level, multilateral organizations such as the United Nations, the World Health Organization (WHO) and the European Commission offer recommendations in their strategic plans to provide health systems with guidelines for responding to the challenges of the sector. For example, the WHO urges its member states to establish a set of practices related to digital health. The presentation of these practices acknowledges the potential of technology for supporting health systems in achieving sustainability goals, the possibilities they offer to generate changes in care models, and the need to ensure that they actually result in an improvement.

As reflected in the document “Comparative analysis of models of non-face-to-face care in the field of health”, most of the countries analysed are designing health strategies which are very focused on digitalization and new public relationship models, outlined in digital health plans.

Anàlisi de la salut digital al món (CAT)

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03. Strategy for the non-face-to-face care model in terms of digital innovation in health

Health systems, both in Europe and in other countries around the world, face healthcare and socio-demographic challenges and new demands from a more empowered and connected citizenry. As a result of the health alert issued due to the SARS-CoV-2 virus, healthcare systems around the world have come under unprecedented pressure and demand. In a very short period of time, processes have been redefined, resources reorganized and different areas and fields of care strengthened.

This situation has highlighted the importance of a quality, public and universal health system, which is possible thanks to both the effort and dedication of its professionals and the resources and infrastructure necessary for the provision of services to the population. In this context, non-face-to-face care is presented as an essential tool to guarantee healthcare for citizens.

COVID-19 STRATEGY

Healthcare systems around the world have come under unprecedented pressure and demand. In a very short period of time, processes have been redefined, resources reorganized and different areas and fields of care strengthened.

The objective of the non-face-to-face care strategy is to define a common framework for the implementation of innovative digital tools in the health sector, mainly aimed at achieving the following objectives:

 

Reference model (CAT)

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04. Recommendations for the use of non-face-to-face care channels

The use of non-face-to-face care channels must allow for a form of personalized care adapted to the situation of the member of the public and the health resources available. With the aim of facilitating the use of these channels, a series of recommendations have been drawn up in conjunction with the care area and the information systems area of the Catalan Health Service in different areas aimed at different profiles and summarized in a series of monographic files:

 

Content aimed at healthcare professionals:

  • Summary of the use of non-face-to-face care channels and main aspects to consider.
  • Description of telephone support, eConsulta and videoConsulta channels.
  • Main legal aspects regarding compliance with data protection and privacy regulations.
  • Best practices for carrying out non-face-to-face visits correctly.

Content aimed at the management teams of centres:

  • Organizational recommendations: aspects related to the activities required in centres for the use of non-face-to-face channels.
  • Main legal aspects regarding compliance with data protection and privacy regulations.
  • Checklist: summary of aspects to consider in the use of non-face-to-face care channels.
  • Best practices for carrying out non-face-to-face visits correctly.

Recomanacions pels professionals sanitaris d’atenció primària (CAT)

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Recomanacions per les direccions dels centres d’atenció primària (CAT)

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Recomanacions pels professionals sanitaris d’hospitals, sociosanitaris i salut mental i addiccions (CAT)

1133.9 Kb

Recomanacions per les direccions dels centres hospitalaris, sociosanitaris i salut mental i addiccions (CAT)

843 Kb