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Type: Journal article
Title: Personal digital health hubs for multiple conditions
Author: Chehade, M.J.
Yadav, L.
Jayatilaka, A.
Gill, T.K.
Palmer, E.
Citation: Bulletin of the World Health Organization, 2020; 98(8):569-575
Publisher: World Health Organization
Issue Date: 2020
ISSN: 0042-9686
Statement of
Mellick J Chehade, Lalit Yadav, Asangi Jayatilaka, Tiffany K Gillc and Edward Palmer
Abstract: Multimorbidity is the presence of more than one chronic disease condition in an individual. Health-related, socioeconomic, cultural and environmental factors, as well as patient behaviour, all influence the outcomes of multimorbidity. Addressing these complex and often interacting biopsychosocial factors therefore requires a shift in treatment from a physical damage model towards person-centred integrated care with increased patient agency. Education influences behaviour and can be used to empower patients and their carers with greater agency, thus allowing greater responsibility for and control over the management of patient care. In this paper we reflect on our own learning as a community of health practitioners from different disciplines. Recognizing the increasing importance of patient agency in driving the evolution of health care, we describe the concept of a web-based personal digital health hub for integrated patient care. Informed by collaboration between patient, health and education communities, we share our early experience in the implementation of a health hub around a cohort of patients with hip fractures. We also describe a vision for future health care based on the co-creation of digital health hubs centred on patients’ and carers’ needs. The health hub could allow important advances and efficiencies to be achieved in workforce practice and education; patient and carer engagement in self-care; and the collection of patient-reported health data required for ongoing research and improvements in health care.
Rights: © Copyright World Health Organization (WHO), 2020. Some rights reserved. The articles in this publication are published by the World Health Organization and contain contributions by individual authors. The articles are available under the Creative Commons Attribution 3.0 IGO licence (CC BY 3.0 IGO), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. In any use of these articles, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted.
RMID: 1000024402
DOI: 10.2471/BLT.19.249136
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Appears in Collections:Molecular and Biomedical Science publications

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