Trentino salute 4.0 - the creation of a competence center on digital
                        health integrating policy, healthcare trust and research in trentino
                        territory

Mayora-Ibarra, Oscar; Forti, Stefano; Conforti, Diego; Tessari, Paola; Testa, Sara

doi:10.5334/ijic.s3056

Cited by 4 publications

(2 citation statements)

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“…The TreCovid19 tool was developed within an initiative promoted and coordinated by the Competence Centre on Digital Health of PAT, TrentinoSalute4.0 (TS4.0) [11].…”

Section: Introductionmentioning

confidence: 99%

Use of eHealth Platforms and Apps to Support Monitoring and Management of Home-Quarantined Patients With COVID-19 in the Province of Trento, Italy: App Development and Implementation

Gios¹,

Falceri²,

Micocci³

et al. 2021

JMIR Form Res

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Background Italy was the first country to largely experience the COVID-19 epidemic among other Western countries during the so-called first wave of the COVID-19 pandemic. Proper management of an increasing number of home-quarantined individuals created a significant challenge for health care authorities and professionals. This was especially true when considering the importance of remote surveillance to detect signs of disease progression and consequently regulate access to hospitals and intensive care units on a priority basis. Objective In this paper, we report on an initiative promoted to cope with the first wave of the COVID-19 epidemic in the Spring/Summer of 2020, in the Autonomous Province of Trento, Italy. A purposefully built app named TreCovid19 was designed to provide dedicated health care staff with a ready-to-use tool for remotely monitoring patients with progressive symptoms of COVID-19, who were home-quarantined during the first wave of the epidemic, and to focus on those patients who, based on their self-reported clinical data, required a quick response from health care professionals. Methods TreCovid19 was rapidly developed to facilitate the monitoring of a selected number of home-quarantined patients with COVID-19 during the very first epidemic wave. The app was built on top of an existing eHealth platform, already in use by the local health authority to provide home care, with the following functionalities: (1) to securely collect and link demographic and clinical information related to the patients and (2) to provide a two-way communication between a multidisciplinary health care team and home-quarantined patients. The system supported patients to self-assess their condition and update the multidisciplinary team on their health status. The system was used between March and June 2020 in the province of Trento. Results A dedicated multidisciplinary group of health care professionals adopted the platform over a period of approximately 3 months (from March-end to June 2020) to monitor a total of 170 patients with confirmed COVID-19 during home quarantine. All patients used the system until the end of the initiative. The TreCovid19 system has provided useful insights of possible viability and impact of a technological–organizational asset to manage a potentially critical workload for the health care staff involved in the periodic monitoring of a relevant number of quarantined patients, notwithstanding its limitations given the rapid implementation of the whole initiative. Conclusions The technological and organizational model adopted in response to the COVID-19 pandemic was developed and finalized in a relatively short period during the initial few weeks of the epidemic. The system successfully supported the health care staff involved in the periodic monitoring of an increasing number of home-quarantined patients and provided valuable data in terms of disease surveillance.

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“…The TreCovid19 tool was developed within an initiative promoted and coordinated by the Competence Centre on Digital Health of PAT, TrentinoSalute4.0 (TS4.0) [11].…”

Section: Introductionmentioning

confidence: 99%

Use of eHealth Platforms and Apps to Support Monitoring and Management of Home-Quarantined Patients With COVID-19 in the Province of Trento, Italy: App Development and Implementation

Gios¹,

Falceri²,

Micocci³

et al. 2021

JMIR Form Res

Self Cite

View full text Add to dashboard Cite

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“…1 . TS4.0 also involves citizens, health professionals and sector companies according to a quadruple helix model (Mayora-Ibarra et al 2019 ). Also, in May 2020, TS4.0 has officially become a Joint Research Unit for strengthening cooperation among the institutions.…”

Section: Introductionmentioning

confidence: 99%

Implementation of tele visit healthcare services triggered by the COVID-19 emergency: the Trentino Province experience

Testa

Mayora-Ibarra

Piras

et al. 2021

J Public Health (Berl.)

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Aim In response to the SARS-CoV-2 emergency, the Competence Centre on digital health ‘TrentinoSalute4.0’ has developed TreC_Televisita, a tele visit solution that meets the needs of the Trentino healthcare system and maintains high-quality patient–doctor interactions while respecting social distancing. This paper highlights how ‘TreC_Televisita’ was integrated into the Trentino healthcare system and its potential to become a structural and durable solution for the future local healthcare service provisioning. Subject and methods This paper presents the multifactorial context that TreC_Televisita has faced for its implementation and the strategies adopted for its structural integration into the healthcare system. The analysis focuses on the main issues faced for the integration of the tele visits (e.g. privacy, payments) and how the context of TrentinoSalute4.0 permitted responding quickly to its implementation during the pandemic. It also describes how TreC_Televisita fits into the healthcare continuum from the organisational and technological standpoint, the end-user perspective and the barriers that could hamper the solution scalability. Results TreC_Televisita has demonstrated to be a technological solution that can be contextualised for different clinical domains beyond SARS-CoV-2. Moreover, it has shown its potential to scale up the solution beyond the COVID-19 emergency to the whole healthcare provisioning system in the long term. Conclusion Being a positive experience in the first months of its implementation, the long-term goal is to transform TreC_Televisita into a structural pillar of the Trentino healthcare system, setting the bases for a sustainable, win–win situation for all the stakeholders involved in healthcare service provisioning.

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An Overview of the Secondary Use of Health Data Within the European Union: EU-Driven Possibilities and Civil Society Initiatives

Testa

2022

Privacy Symposium 2022

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Trentino salute 4.0 - the creation of a competence center on digital health integrating policy, healthcare trust and research in trentino territory

Abstract: Trentino salute 4.0-the creation of a competence center on digital health integrating policy, healthcare trust and research in trentino territory

Cited by 4 publications

References 0 publications

Use of eHealth Platforms and Apps to Support Monitoring and Management of Home-Quarantined Patients With COVID-19 in the Province of Trento, Italy: App Development and Implementation

Use of eHealth Platforms and Apps to Support Monitoring and Management of Home-Quarantined Patients With COVID-19 in the Province of Trento, Italy: App Development and Implementation

Implementation of tele visit healthcare services triggered by the COVID-19 emergency: the Trentino Province experience

An Overview of the Secondary Use of Health Data Within the European Union: EU-Driven Possibilities and Civil Society Initiatives

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