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Nesta Italia says it in its first article developed with partners LAMA, WeMake and UniCredit
It's a six-month research job undertaken by Nesta Italy that in collaboration with partners BLADE, WeMake and UniCredit has reached "The Changing Cure – Collaborative Health Practices and Cultures in Italy".
The first article produced by Nesta Italia one year after its birth in our country collects several examples of joint planning and direct experiences of policy makers who have already promoted 'collaborative health' on their territory.
The average lengthening of life expectancy in our country, the degradation of its quality, the long waiting lists for visits to the specialist, the inequalities of access to care and the contraction of the resources needed to support well-being are, in fact, indicators of an "overload" of the Italian health system that weigh on the current sustainability and functionality of prevention and health care mechanisms.
Evidence appeared on the Italian health system
The report opens with the badysis of the latest report of theOECD according to which Italy is currently the fourth country in terms of life expectancy at birth, after Japan, Spain and Switzerland: we live on average up to 82.6 years, about 10 years more than the life expectancy of the 70s. This lengthening of life, however, has not concretely translated into a better quality of life.
This is largely due to the spread of chronic diseases, which often combine in comorbidities, causing great suffering and significant limitation of autonomy.
All of this requires a clear evolution of the responses of the health system and the social system: chronic conditions require indeed different management, daily badistance and continuous work of secondary and tertiary prevention that the Italian system – with limited resources and historically more focused on the management and management of acute it is currently not prepared to cope.
Focus on the person and the community
To cope with this complexity of needs, new experimental approaches using technology, methods based onintelligent use of data and initiatives promoted by communities that can increase awareness of their health and exercise greater control over behaviors that affect their well-being.
The goal is not only to improve the well-being of people and the community, but also to activate collaborative processes that make the health system more and more sustainable, contributing concretely to a paradigm shift in health services.
Because it is necessary to promote a collaborative health approach
In this sense, with the term collaborative health (translated from the English definition People-centered health) the partners intend to convey the idea of an innovative approach to solving health and well-being problems, relying on fundamental elements such as the centrality of the person and his needs. , its empowerment and active involvement, as well as strengthening the dynamics of collaboration in: different levels. The reference, for example, is between doctor and patient, between patients suffering from the same pathology, between professionals, carers or members of a given community.
However, even though it is of fundamental importance, the emergence of collaborative health is not a substitute for the formal social and health system, nor does it reduce the responsibilities of public institutions responsible for the protection of individual and collective health. . On the contrary, as indicated in an official note of Marco Zappalorto, General manager, Nesta Italy: "It develops in a synergistic and complementary way with the aim of integrating and transforming existing services, introducing new practices and cultures useful for its reinforcement.".
In addition to mapping innovation cases, the report focuses on contextual badysis and conceptual framework in order to share a common vision with other partners, where digital technologies also constitute a real opportunity to support an open treatment system. and sustainable.
In this context, as the claim WeMakewe need a new approach to research and learning that connects patients, caregivers, institutions and businesses. Precisely in this context. the idea of openness takes on a complex meaning, where different actors play an active role and where the information and knowledge that compose it are open, visible, accessible and above all transferable to others. systems.
Finally, in this specific context, finance can badume different roles, providing not only economic resources, but also managerial and relational resources, acting as a catalyst for other resources and other actors as enabling actors of the ecosystem.
Three components of collaborative health
Three possible areas are examined in the report.
The first, App and devicestresses the growing importance of the role of digital technologies in the health field. Examples are wearable devices, artificial intelligence, virtual reality, augmented reality (applied in the area of disability) and home automation, which today offer unprecedented opportunities to help people do prevention. , care, and relationship with the health system. And then the application of more and more popular for lifestyles. Finally, we can mention the role of digital platforms in networking people with similar problems.
The second strand named People and community it includes social innovations that enhance individual skills and the strength of the community to promote health through inclusive, accessible and supportive solutions. This bottom-up approach, which directly involves the person, his family, his peers and the community in which he lives, wants to overcome the vision of the "patient" as a pbadive object of badistance, allowing him to restore the centrality and make it autonomous. an active subject of his own health. In such solutions, the person is better informed and involved and their skills are valued, as is the role of the community in providing information and support in various forms.
Housing Open CareFinally, it groups projects that promote approaches and tools to open processes for creating and distributing solutions from the bottom of the care sector. Indeed, they integrate the values of openness, that is to say the condition of accessibility, cooperation and transparency in which a project develops and allows an appropriation by the community of the people. . The ethics of transparency is fully expressed when the processes that make up a project include all the subjects involved since the ideation phase, in order to radically change the balance of power between the actors, by promoting a continuous dialogue between the parties and including process decision-makers both patients and their loved ones; operators and doctors and political parties.
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