Provide personalised and coordinated care for patients suffering from advanced chronic diseases through personalised healthcare plans. These goal seeks to improve quality of life, early detection and evaluation of the deterioration, recovery or the delay of the deterioration, and the empowerment of patients and caregivers.
- Provide collaboration tools for care teams to create personalised healthcare plans addressing the multi-dimensional nature of the patients.
- Implement smart tools supporting clinical decision-making
- Provide a more active role for patients and caregivers in the management of their own health, promoting shared decision-making and individualised adaptive interventions.
- Achieve improvements in the health of the patient, delaying their deterioration, enhancing symptom control, and avoiding exacerbation and adverse events.
- Improve patients’ autonomy, satisfaction and quality of life.
- Achieve higher efficiency of integrated care: use of resources, coordination between all agents, and professional working conditions.
- Deploy the intervention in seven different European and associated regions.
ADLIFE is divided into 11 Work Packages (WP), four transversal (TRANS) and seven technical packages (TS) :
- WP1 “Coordination and Management” (TRANS)
- WP2 “Dissemination and communication” (TRANS)
- WP3 “Digital tools to create a personalised healthcare plan management platform” (TS)
- WP4 “Patient empowerment platform and personalised mechanisms for self-care support” (TS)
- WP5 “Support systems for clinical decision-making and early alert tools” (TS)
- WP6 “Personalised evidence-based care” (TS)
- WP7 “Empowerment of patients, caregivers, and communities” (TS)
- WP8 “Pilot design and implementation” (TS)
- WP9 “Evaluation” (TS)
- WP10 “Exploitation” (TRANS)
- WP11 “Ethical Requirements” (TRANS)
ADLIFE will be deployed through pilot projects in seven countries and healthcare systems including the Basque Country (Osakidetza), United Kingdom (NHSL Lanarkshire), Denmark (Southern Denmark), Poland (FALKHOSP Lower Silesia), Germany (Werra-Meißner Kreis), RJH-Sweden (Region Jämtland Härjedalen) and Israel (Maccabi Healthcare Services).
The intervention involves 577 health professionals from 75 hospitals, clinics, and primary care centres, and 882 patients and 1243 caregivers.
- Implement an innovative solution that will facilitate the customisation of the healthcare plans and improve their capacity for a prompt response and early detection of the needs and preferences of the patients.
- Offer support services for clinical decision-making, which in addition to proposing goals and treatment, anticipate their patients’ changing needs and recommend specific services for early action against preventable events.
- Facilitate the provision of specific services that allow for higher patient participation levels in the management of their own health.
- Demonstrate that the ADLIFE solution improves patient health and healthcare results, contributing to the continuity of coordinated care.