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• W3176449805 abstract "Prehabilitation has shown its potential for most intra-cavity surgery patients on enhancing preoperative functional capacity and postoperative outcomes. However, its large-scale implementation is limited by several constrictions, such as: i) unsolved practicalities of the service workflow, ii) challenges associated to change management in collaborative care; iii) insufficient access to prehabilitation; iv) relevant percentage of program drop-outs; v) need for program personalization; and, vi) economical sustainability. Transferability of prehabilitation programs from the hospital setting to the community would potentially provide a new scenario with greater accessibility, as well as offer an opportunity to effectively address the aforementioned issues and, thus, optimize healthcare value generation. A core aspect to take into account for an optimal management of prehabilitation programs is to use proper technological tools enabling: i) customizable and interoperable integrated care pathways facilitating personalization of the service and effective engagement among stakeholders; ii) remote monitoring (i.e. physical activity, physiological signs and patient-reported outcomes and experience measures) to support patient adherence to the program and empowerment for self-management; and, iii) use of health risk assessment supporting decision making for personalized service selection. The current manuscript details a proposal to bring digital innovation to community-based prehabilitation programs. Moreover, this approach has the potential to be adopted by programs supporting long-term management of cancer patients, chronic patients and prevention of multimorbidity in subjects at risk." @default.
• W3176449805 created "2021-07-05" @default.
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• W3176449805 date "2021-06-17" @default.
• W3176449805 modified "2023-10-18" @default.
• W3176449805 title "Digital Support to Multimodal Community-Based Prehabilitation: Looking for Optimization of Health Value Generation" @default.
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• W3176449805 doi "https://doi.org/10.3389/fonc.2021.662013" @default.
• W3176449805 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8270684" @default.
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