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Chronic patients 2.0: more see at a distance for self-directing of the disease
SKEPTICAL of doctors and pharmaceutical companies. Convinced to faithfully follow the treatment, and increasingly self-managed thanks to the digitization. So you have the italians, photographed by a national survey conducted on 1500 between doctors, pharmacists and patients to do the cutting on the chronic illness that affects more than 24 million people in Italy. A people of the elderly and the chronically ill The National Plan of Chronicity, approved by the State-Regions Conference in September 2016, has brought to the fore the extent of the phenomenon given that in Italy the incidence of the elderly population is at the top of the world. The chronically ill are estimated in our Country today, over 24 million, with an annual expenditure calculated around 67 billion. Figures meant of course to grow in relation to demographic trends. The investigation of the 15 thousand people, By leveraging on new channels of digital communication, the survey, sponsored by fablab (strategic unit of CompuGroup Medical Italia, world leader in Medical Information Technology) in collaboration with the agency Focus Management, makes an assessment on the management of chronicity in Italy. The sample, consisting of approximately 1500 between doctors, pharmacists and patients, is taken from the more than 15 doctors and 8 thousand pharmacies that enjoy the same software CGM in their management, while as regards the patients, the channel carrier is Medicitalia, portal national consultations which are recorded almost 9 thousand doctors. The survey compared the evaluations of patients, pharmacists and doctors on some key aspects of care: the adherence of therapy, the relationship of trust between patients and different health care providers, perceptions about the effectiveness of the drugs, the type of additional services considered to be most important. More confidence in the pharmacists and the specialists What has emerged? Over 60% of the patients considered “highly adherent” to therapy, but this perception is contradicted by the doctors and, above all, by the pharmacists that provide estimates of adherence more than halved. Also a general scepticism towards health professionals. In particular, to the doctors of general medicine (Mmg) exceeded by pharmacists and still more by the specialists (on a scale of 7, the three categories obtained from the chronic patients mean scores equal to, respectively, 5.02, 5,36 and 5,63), and this in spite of the general practitioners themselves should be considered jointly by the health professionals as the pin potential of the system of management of chronicity. Pharmacies promoted, pharmaceutical companies no While the survey clearly indicates the key location of the pharmacist in relationship with the patients, things are different when it comes to pharmaceutical companies: the levels of trust on the individual medicinal product are systematically higher than those for the brand. 69% of the patients do not even know the name of the manufacturer of the prescribed medicine. The request for assistance at a distance clear Ideas on the needs for support that have evolved: patients with chronic illnesses ask more effective support services at a distance, rather than assistance or the delivery of drugs at home, as suggested primarily by health care professionals. What services would you like patients? Most of the “medical home”, stands the chance “to chat directly to questions about the management of the disease”, and follow the “remote monitoring of the therapy”, the “advice on the management of side effects”, the availability of “information materials”. Are all the aspects that involve in the first line the world of digital health, and that they understand how the patient's tent, now to self-management and expects, by the caregiver, first and foremost, a support of information, monitoring, possibility of interaction and consultation, a range of smartphones”.

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