Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol

IntroductionDue to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for ol...

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Main Authors: Denis Juraga, Tomislav Rukavina, Mihaela Marinović Glavić, Lovorka Bilajac, Aleksandar Racz, Esmee L. S. Bally, Oscar Zanutto, Tamara Alhambra-Borrás, Maite Ferrando, Alen Subotić, Hein Raat, Vanja Vasiljev
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1518469/full
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author Denis Juraga
Tomislav Rukavina
Tomislav Rukavina
Mihaela Marinović Glavić
Lovorka Bilajac
Lovorka Bilajac
Lovorka Bilajac
Aleksandar Racz
Esmee L. S. Bally
Oscar Zanutto
Tamara Alhambra-Borrás
Maite Ferrando
Alen Subotić
Hein Raat
Vanja Vasiljev
author_facet Denis Juraga
Tomislav Rukavina
Tomislav Rukavina
Mihaela Marinović Glavić
Lovorka Bilajac
Lovorka Bilajac
Lovorka Bilajac
Aleksandar Racz
Esmee L. S. Bally
Oscar Zanutto
Tamara Alhambra-Borrás
Maite Ferrando
Alen Subotić
Hein Raat
Vanja Vasiljev
author_sort Denis Juraga
collection DOAJ
description IntroductionDue to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for older people who have suffered a myocardial infarction.MethodsThis solution combines the work of healthcare professionals and informal caregivers and the use of modern and user-friendly technologies to support the achievement of patients’ values. Patients older than 65 years who have suffered a myocardial infarction will be divided into control and intervention groups within a pre-post-controlled design research study. Members of the intervention group will be provided with a personalized plan developed by healthcare professionals and based on the results from the baseline questionnaire.DiscussionTwo ValueCare digital solution components will be developed: a mobile application for the participants and a web platform for the professionals, researchers, and informal caregivers. Together with smartwatches, which will track important health aspects, and applications, this approach would enable older people to improve their health through correct lifestyle choices and their professional and informal caregivers to track their progress. With the use of the described technology and the multidisciplinary approach, the unmet needs and values of participants could be achieved. Using this approach, it could be possible to reduce overall healthcare expenses through the active involvement of both older people and their informal caregivers through a shared decision-making process with healthcare professionals.Clinical trial registrationThe ISRCTN registry number is 25089186. The date of trial registration is 16/11/2021.
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spelling doaj-art-6d914246acbb4002a66f3ab7c3e86ce22025-01-03T05:10:25ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15184691518469Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocolDenis Juraga0Tomislav Rukavina1Tomislav Rukavina2Mihaela Marinović Glavić3Lovorka Bilajac4Lovorka Bilajac5Lovorka Bilajac6Aleksandar Racz7Esmee L. S. Bally8Oscar Zanutto9Tamara Alhambra-Borrás10Maite Ferrando11Alen Subotić12Hein Raat13Vanja Vasiljev14Department of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, CroatiaTeaching Institute of Public Health of Primorje-Gorski Kotar County, Rijeka, CroatiaDepartment of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, CroatiaDepartment of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, CroatiaTeaching Institute of Public Health of Primorje-Gorski Kotar County, Rijeka, CroatiaDepartment of Public Health, Faculty of Health Studies, University of Rijeka, Rijeka, CroatiaUniversity of Applied Health Sciences, Zagreb, CroatiaDepartment of Public Health, Erasmus University Medical Centre, Rotterdam, NetherlandsEuropean Project Office Department, Istituto Per Servizi Di Ricovero E Assistenza Agli Anziani (Institute for Hospitalization and Care for the Elderly), Treviso, ItalyPolibienestar Research Institute, University of Valencia, Valencia, SpainR&D+I Consultancy, Kveloce I+D+i (Senior Europa SL), Valencia, SpainDepartment of Emergency Medicine, Velika Gorica, CroatiaDepartment of Public Health, Erasmus University Medical Centre, Rotterdam, NetherlandsDepartment of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, Rijeka, CroatiaIntroductionDue to the rapid aging of the global population, new approaches are required to improve the quality of life of older people and to reduce healthcare system expenditures. One of the approaches that can be used is value-based healthcare. This article describes a value-based solution for older people who have suffered a myocardial infarction.MethodsThis solution combines the work of healthcare professionals and informal caregivers and the use of modern and user-friendly technologies to support the achievement of patients’ values. Patients older than 65 years who have suffered a myocardial infarction will be divided into control and intervention groups within a pre-post-controlled design research study. Members of the intervention group will be provided with a personalized plan developed by healthcare professionals and based on the results from the baseline questionnaire.DiscussionTwo ValueCare digital solution components will be developed: a mobile application for the participants and a web platform for the professionals, researchers, and informal caregivers. Together with smartwatches, which will track important health aspects, and applications, this approach would enable older people to improve their health through correct lifestyle choices and their professional and informal caregivers to track their progress. With the use of the described technology and the multidisciplinary approach, the unmet needs and values of participants could be achieved. Using this approach, it could be possible to reduce overall healthcare expenses through the active involvement of both older people and their informal caregivers through a shared decision-making process with healthcare professionals.Clinical trial registrationThe ISRCTN registry number is 25089186. The date of trial registration is 16/11/2021.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1518469/fullelderlymyocardial infarctiondecision makingsharedvalue-based health carehealth care professionals
spellingShingle Denis Juraga
Tomislav Rukavina
Tomislav Rukavina
Mihaela Marinović Glavić
Lovorka Bilajac
Lovorka Bilajac
Lovorka Bilajac
Aleksandar Racz
Esmee L. S. Bally
Oscar Zanutto
Tamara Alhambra-Borrás
Maite Ferrando
Alen Subotić
Hein Raat
Vanja Vasiljev
Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
Frontiers in Public Health
elderly
myocardial infarction
decision making
shared
value-based health care
health care professionals
title Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
title_full Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
title_fullStr Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
title_full_unstemmed Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
title_short Implementation of a value-based approach for older people who have suffered an acute myocardial infarction: study protocol
title_sort implementation of a value based approach for older people who have suffered an acute myocardial infarction study protocol
topic elderly
myocardial infarction
decision making
shared
value-based health care
health care professionals
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1518469/full
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