Health Circuit: a practice-proven adaptive case management approach for innovative healthcare services

Abstract

Digital health tools may facilitate care continuum. However, enhancement of digital aid is imperative to prevent information gaps or redundancies, as well as to facilitate support of flexible care plans. The study presents Health Circuit, a digital health tool with an adaptive case management approach and analyses its healthcare impact, as well as its usability (SUS) and acceptability (NPS) by healthcare professionals and patients. In 2018-19, an initial prototype of Health Circuit was tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (Study I). In 2021, a pilot version of Health Circuit was evaluated in 104 high risk patients undergoing prehabilitation before major surgery (Study II). In study I, Health Circuit resulted in reduction of emergency room visits [4 (13%) vs 7 (44%)] and enhanced patients empowerment (p<0.0001) and showed good acceptabil-ity/usability scores (NPS 31 and SUS 54/100). In Study II, NPS scored 40 and SUS 85/100. The acceptance rate was also high (mean score of 8.4/10). Health Circuit showed potential for healthcare value generation, good both acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios.

Toward Adoption of Health Risk Assessment in Population-Based and Clinical Scenarios: Lessons From JADECARE

“…The 2020 Catalan Health Information System Master Plan has sparked ongoing technological innovations that offer significant opportunities in predictive modelling aiming at supporting clinical decision-making for healthcare professionals and provide patients with decision support tools to empower self-management [38][39][40]. Also, specific initiatives have been launched to enhance transitional care and reduce early readmissions after hospital discharge [4,5].…”