IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i24p9335-d461573.html
   My bibliography  Save this article

Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services

Author

Listed:
  • Monica Pinto

    (Rehabilitation Medicine Unit, Strategic Health Services Department, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Napoli, Italy)

  • Francesca Gimigliano

    (Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy)

  • Stefania De Simone

    (Institute for Research on Innovation and Services for Development (IRISS), National Research Council of Italy, via San Felice, 80134 Napoli, Italy)

  • Massimo Costa

    (Physical and Rehabilitation Unit, AORN Vincenzo Cardarelli, 80131 Napoli, Italy)

  • Attilio A. M. Bianchi

    (General Manager, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Napoli, Italy)

  • Giovanni Iolascon

    (Multidisciplinary Department of Medical, Surgical and Dental Specialties, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy)

Abstract

Management of COVID-19 post-acute syndrome is an emerging health issue in rehabilitation. This article aims to present a proposal, based on the principles of clinical governance, health management and information technology (IT), and to respond to the need for a structured organization model for post-acute COVID-19 rehabilitation. The authors present a regional-based model of a network of clinicians and healthcare managers using a dedicated IT platform to achieve both effectiveness and efficiency objectives, to ensure coordination of the available resources and the most appropriate rehabilitative treatment for patients. The proposed post-acute COVID-19 rehabilitation network has been designed according to the model of a clinical management project within the Italian national healthcare system, and its context is an easily adjustable model for the European healthcare systems. The authors base the project on current laws and scientific guidelines in rehabilitation in Italy and in Europe and use the SWOT analysis technique to assess the proposal feasibility. The primary aims of the project are: (1) standardizing the minimum assessment tools of post-COVID-19 patients with disabilities; (2) ensuring an individual rehabilitation project for each patient with international classification of functioning, disability and health (ICF) coding and (3) reporting the activity performance with appropriate indicators. The secondary aims are: (1) developing educational programs for patients and care givers also aimed at acquiring better empowerment and positive behavior; (2) creating a regional database for data collection and (3) improving IT, and specifically tele-rehabilitation, as a suitable approach during the COVID-19 emergency and also in the future. Expected results are: continuum of care; effectiveness, efficacy and appropriateness in the delivery of rehabilitation treatments through a standardized minimum assessment and the wording of the individual rehabilitation project and a precise reporting of performance indicators to measure the effectiveness of clinical activities and the satisfaction of patients and caregivers. The assessment of results will be analyzed at three and six months to implement corrective actions according to the concept of continuous improvement of the Deming cycle. The IT remote approach allows the patient to meet the needs of proximity of care and empowerment, and, at the same time, to contain the spread of infection. This project could have a significant healthcare impact ensuring a more efficient and effective management of the demand of rehabilitation post-acute COVID-19, expanding the professional skills of the rehabilitation team members, improving both clinical and process data, in addition to optimal allocation of available economic resources.

Suggested Citation

  • Monica Pinto & Francesca Gimigliano & Stefania De Simone & Massimo Costa & Attilio A. M. Bianchi & Giovanni Iolascon, 2020. "Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9335-:d:461573
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/24/9335/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/24/9335/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. W. Edwards Deming, 2000. "Out of the Crisis," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262541157, December.
    2. Ana-Isabel Corregidor-Sánchez & Antonio Segura-Fragoso & Juan-José Criado-Álvarez & Marta Rodríguez-Hernández & Alicia Mohedano-Moriano & Begoña Polonio-López, 2020. "Effectiveness of Virtual Reality Systems to Improve the Activities of Daily Life in Older People," IJERPH, MDPI, vol. 17(17), pages 1-24, August.
    3. Abayomi Salawu & Angela Green & Michael G. Crooks & Nina Brixey & Denise H. Ross & Manoj Sivan, 2020. "A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
    4. George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health‐care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 187-202, September.
    5. Kajal Patel & Sofia Straudi & Ng Yee Sien & Nora Fayed & John L. Melvin & Manoj Sivan, 2020. "Applying the WHO ICF Framework to the Outcome Measures Used in the Evaluation of Long-Term Clinical Outcomes in Coronavirus Outbreaks," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Thuvia Flannery & Hannah Brady-Sawant & Rachel Tarrant & Jennifer Davison & Jenna Shardha & Stephen Halpin & Manoj Sivan & Denise Ross, 2022. "A Mixed-Methods Evaluation of a Virtual Rehabilitation Program for Self-Management in Post-COVID-19 Syndrome (Long COVID)," IJERPH, MDPI, vol. 19(19), pages 1-14, October.
    2. Tahissa Frota Cavalcante & Caroline Evaristo Lourenço & José Erivelton de Souza Maciel Ferreira & Lídia Rocha Oliveira & João Cruz Neto & Josemberg Pereira Amaro & Rafaella Pessoa Moreira, 2023. "Models of Support for Caregivers and Patients with the Post-COVID-19 Condition: A Scoping Review," IJERPH, MDPI, vol. 20(3), pages 1-12, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Avner Engel & Shalom Shachar, 2006. "Measuring and optimizing systems' quality costs and project duration," Systems Engineering, John Wiley & Sons, vol. 9(3), pages 259-280, September.
    2. Refolo, Pietro & Bloemen, Bart & Corsano, Barbara & Grin, John & Gutierrez-Ibarluzea, Iñaki & Hofmann, Bjørn & Oortwijn, Wija & Sampietro-Colom, Laura & Sandman, Lars & van der Wilt, Gert Jan & Sacchi, 2022. "Prioritization of COVID-19 vaccination. The added value of the “VALIDATE” approach," Health Policy, Elsevier, vol. 126(8), pages 770-776.
    3. Stéphanie Camaréna, 2021. "Engaging with Artificial Intelligence (AI) with a Bottom-Up Approach for the Purpose of Sustainability: Victorian Farmers Market Association, Melbourne Australia," Sustainability, MDPI, vol. 13(16), pages 1-28, August.
    4. Cam Caldwell & Do Truong & Pham Linh & Anh Tuan, 2011. "Strategic Human Resource Management as Ethical Stewardship," Journal of Business Ethics, Springer, vol. 98(1), pages 171-182, January.
    5. Iskra Panteleeva, 2013. "Changing roles and behaviour of human resources managers in the industrial businesses," Economic Thought journal, Bulgarian Academy of Sciences - Economic Research Institute, issue 3, pages 82-96.
    6. Signorelli, C. & Odone, A. & Oradini-Alacreu, A. & Pelissero, G., 2020. "Universal Health Coverage in Italy: lights and shades of the Italian National Health Service which celebrated its 40th anniversary," Health Policy, Elsevier, vol. 124(1), pages 69-74.
    7. Scott Victor Valentine, 2010. "The Green Onion: a corporate environmental strategy framework," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 17(5), pages 284-298, September.
    8. Cinzia Di Novi & Anna Marenzi & Dino Rizzi, 2018. "Do healthcare tax credits help poor-health individuals on low incomes?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 293-307, March.
    9. Cam Caldwell & Rolf Dixon & Larry Floyd & Joe Chaudoin & Jonathan Post & Gaynor Cheokas, 2012. "Transformative Leadership: Achieving Unparalleled Excellence," Journal of Business Ethics, Springer, vol. 109(2), pages 175-187, August.
    10. Alexandra C. Larsson & Annie Palstam & Hanna C. Persson, 2021. "Physical Function, Cognitive Function, and Daily Activities in Patients Hospitalized Due to COVID-19: A Descriptive Cross-Sectional Study in Sweden," IJERPH, MDPI, vol. 18(21), pages 1-10, November.
    11. Fabbri, Daniele & Monfardini, Chiara, 2009. "Rationing the public provision of healthcare in the presence of private supplements: Evidence from the Italian NHS," Journal of Health Economics, Elsevier, vol. 28(2), pages 290-304, March.
    12. Marenzi, Anna & Rizzi, Dino & Zanette, Michele, 2021. "Incentives for voluntary health insurance in a national health system: Evidence from Italy," Health Policy, Elsevier, vol. 125(6), pages 685-692.
    13. Martini, Gianmaria & Levaggi, Rosella & Spinelli, Daniele, 2022. "Is there a bias in patient choices for hospital care? Evidence from three Italian regional health systems," Health Policy, Elsevier, vol. 126(7), pages 668-679.
    14. Bossink, B.A.G., 2003. "Coinnovation research : manual for experiential research into organizational coinnovation," Serie Research Memoranda 0016, VU University Amsterdam, Faculty of Economics, Business Administration and Econometrics.
    15. Gianluca Fiorentini & Elisa Iezzi & Matteo Lippi Bruni & Cristina Ugolini, 2011. "Incentives in primary care and their impact on potentially avoidable hospital admissions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 297-309, August.
    16. Hong Wan & Xiaowei Xu & Tian Ni, 2013. "The incentive effect of acceptance sampling plans in a supply chain with endogenous product quality," Naval Research Logistics (NRL), John Wiley & Sons, vol. 60(2), pages 111-124, March.
    17. Fabbri, D & Robone, S, 2008. "The geography of hospital admission in a National Health Service with patient choice: evidence from Italy," Health, Econometrics and Data Group (HEDG) Working Papers 08/29, HEDG, c/o Department of Economics, University of York.
    18. Lisi, Domenico & Moscone, Francesco & Tosetti, Elisa & Vinciotti, Veronica, 2021. "Hospital quality interdependence in a competitive institutional environment: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    19. Alexandra C. Larsson & Marie Engwall & Annie Palstam & Hanna C. Persson, 2022. "Self-Assessed Aspects of Health 3 Months after COVID-19 Hospitalization—A Swedish Cross-Sectional Study," IJERPH, MDPI, vol. 19(13), pages 1-11, June.
    20. Fiorentini, Gianluca & Ragazzi, Giovanni & Robone, Silvana, 2015. "Are bad health and pain making us grumpy? An empirical evaluation of reporting heterogeneity in rating health system responsiveness," Social Science & Medicine, Elsevier, vol. 144(C), pages 48-58.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9335-:d:461573. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.