An Opportunity to Harmonise the Approach to Patients' Care Pathways for Rare and Complex Diseases: RarERN Path™.

RarERN Path™ healthcare system organisation of care patients' care pathways rare diseases

Journal

Frontiers in health services
ISSN: 2813-0146
Titre abrégé: Front Health Serv
Pays: Switzerland
ID NLM: 9918334887706676

Informations de publication

Date de publication:
2022
Historique:
received: 05 05 2022
accepted: 09 06 2022
entrez: 17 3 2023
pubmed: 18 3 2023
medline: 18 3 2023
Statut: epublish

Résumé

As a matter of fact, organisation always matters when discussing about healthcare, since it is fundamental in order to ensure the delivery of the most appropriate care to patients in the most appropriate way. Unfortunately, the pandemic brought by the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) imposed a huge reorganisation of the healthcare systems, with several repercussions on the care of several chronic conditions, that were in many cases discontinued. This was the case of rare diseases (RDs), conditions that even under normal circumstances can experience diagnostic delays and difficulties in receiving appropriate care. The context of the European Reference Networks (ERNs) represents one of the most appropriate settings for the creation of organisational reference models for patient care pathways (PCP). As a matter of fact, the main mission of ERNs is to improve the care of patients with RDs in Europe through a patient-centred approach, thanks to real multistakeholder involvement. For this reason, in the last years, an extensive effort has been made towards the creation of a methodological approach aimed at providing organisational reference models for PCP in RDs across the different Member States. In fact, in order to develop the reference model, a structured methodology was created to enable the design of the PCP based on a deep sharing of expertise on high-quality care and characterised by a strong patient-centred approach: RarERN Path™. Among the different stakeholders that need to be involved in planning strategic actions to ensure care also during an emergency, patients' representatives, healthcare professionals, hospital managers, and experts in healthcare organisations play a crucial role.

Identifiants

pubmed: 36925875
doi: 10.3389/frhs.2022.935014
pmc: PMC10012666
doi:

Types de publication

Journal Article

Langues

eng

Pagination

935014

Informations de copyright

Copyright © 2022 Talarico, Marinello, Cannizzo, Palla, Ticciati, Gaglioti, Rys, Milli, Taruscio, Mosca and Turchetti.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Nat Rev Rheumatol. 2021 Mar;17(3):177-184
pubmed: 33408338
Orphanet J Rare Dis. 2020 Dec 14;15(1):347
pubmed: 33317578
J Community Genet. 2021 Apr;12(2):231-239
pubmed: 33738760
Clin Exp Rheumatol. 2022 May;40 Suppl 134(5):3-11
pubmed: 35349419
BMJ. 2018 Nov 28;363:k4907
pubmed: 30487286
RMD Open. 2020 Aug;6(2):0
pubmed: 32868449
BMJ. 2019 May 2;365:l1773
pubmed: 31048322
Int J Environ Res Public Health. 2020 Nov 23;17(22):
pubmed: 33238523

Auteurs

Rosaria Talarico (R)

Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Diana Marinello (D)

Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Sara Cannizzo (S)

Institute of Management, Scuola Superiore Sant'Anna, Pisa, Italy.

Ilaria Palla (I)

Institute of Management, Scuola Superiore Sant'Anna, Pisa, Italy.

Simone Ticciati (S)

Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Andrea Gaglioti (A)

Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Andrzej Rys (A)

DG Sante, Brussels, Belgium.

Carlo Milli (C)

Administrative Unit Chief, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.

Domenica Taruscio (D)

National Centre for Rare Diseases, Istituto Superiore di Sanità, Rome, Italy.

Marta Mosca (M)

Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
National Centre for Rare Diseases, Istituto Superiore di Sanità, Rome, Italy.
Rheumatology Unit, University of Pisa, Pisa, Italy.

Giuseppe Turchetti (G)

Institute of Management, Scuola Superiore Sant'Anna, Pisa, Italy.

Classifications MeSH