Thus cloud-native technology supports proximity medicine

Thus cloud-native technology supports proximity medicine
Thus cloud-native technology supports proximity medicine

Healthcare restarts from the territory and from new technologies. After the hurricane brought about by the pandemic, the Ministry of Health drafted the new standards contained in the so-called DM71 to reform assistance and thus implement Mission 6 of the National Recovery and Resilience Plan (Pnrr) which brings in 7 billion euro only for this competence. The decree received the go-ahead for its adoption with a substitutive resolution by the Council of Ministers, given the lack of approval by the State-Regions Conference, to respect the times established by the community planning. The application of the new standards will be supervised by Agenas which will present a half-yearly report.

The new territorial assistance

The reform of the territorial assistance system aims to bring answers to health needs as close as possible to citizens, also through digital and telemedicine services. The perspective is that dictated by the integrated approach (One Health) and the holistic vision (Planetary Health) that does not leave environmental protection behind. The model is based on a plot made up of health districts (1 for every 100,000 inhabitants). Inside, the prominent pawns are the 1,288 community houses, one for every 40-50 thousand inhabitants, active from the second half of 2026. The government is betting € 2 billion on them alone. Here citizens will find nursing assistance 24 hours a day, seven days a week, for primary care, vaccinations, specialist visits and preventive screening. To function, the Homes will be in connection with the doctors’ offices (available instead h12, six days a week) and with the 380 Community Hospitals, which will offer low-intensity and short-term clinical interventions to provide personalized assistance based on needs of the patient with mild pathologies or chronic relapses. Crucial to the completion of the system are pharmacies, hospices, counseling centers and home care. The district’s services will be coordinated by more than 600 territorial operations centers.

The strategic value of interoperability

The machine will only work if the various parts of the engine are connected to each other, this is clear. Two strategic words: coordination and interoperability of data. In fact, personal services will be increasingly based on knowledge and sharing of digital information between the various levels (national, regional and territorial). All the operational units that give life to the district must be equipped with suitable solutions in order to produce digital native documents that feed the electronic health record (ESF) of each citizen. In this way, the data can be monitored by territorial assistance. In addition, the telemedicine platforms adopted at the regional level must be interoperable with those at the national level.

Towards connected care

The communication of data between district units cannot take place without a boost of investments in terms of digitization. During the years of the pandemic, our country suffered from the lack of attention given to digital health. The model we want to aim for today is that of “connected care”, that is an ecosystem that allows citizens to access their health information and share it with platforms and various specialists. In this way, all those involved in the treatment process can have a complete reading of the patient’s history. In addition to the ESF, the model’s pillars are the electronic medical record, artificial intelligence systems, capable of enhancing the data collected, and digital therapies, i.e. applications to prevent or treat a disease in combination with drugs. Among the services that can be implemented there are all the apps, but also the sharing of clinical reports. The objectives indicated by the NRP foresee that, by the end of 2025, 85% of general practitioners will contribute to feed the files and that all regions will adopt it by mid-2026. For telemedicine, on the other hand, the objective is assistance. of 200,000 patients by 2025.

The advantages of the modular approach

To allow the realization of the ecosystem described as “connected care”, it is essential to rely on the logic of cloud computing that is able to allow users and companies to control and save, via the internet, the databases and applications on the servers included in the cloud. . This allows healthcare companies, for example, not to have the need to own physical servers, thus reducing costs and at the same time increasing security since the data is always available and proof of theft. Furthermore, cloud technologies enable companies to create modular digital platforms that go beyond the rigid monolithic logic that characterizes traditional infrastructures. The modular software solutions used to manage services and offer services are made up of different modules and are the most suitable in this context in which there is a need to offer a personalized, more efficient and interconnected service. The need for interoperability is also met because system architects will only have to focus on how to define the product logics and connect the various modules, thus saving development costs and efforts, while also reducing operational risk.

Why cloud-native is better

A step forward in the field of cloud computing is given by cloud-native, that is, a new approach to create scalable applications starting from dynamic environments, just like the clouds used by public health companies. Often the latter are characterized by monolithic structures which however do not allow to better manage the increase in the volume of data and applications that the new healthcare model proposes. According to analytics and consulting firm Gartner, the future of healthcare will be composable, meaning that companies will also need to be able to quickly adapt their organizational and business models to keep up with market changes. An example of a platform capable of accelerating the transition to these models and making them effective for patients, doctors and the healthcare system is Mia-Care. The start-up helps hospital, pharma and digital health companies to transform and equip themselves with cutting-edge technologies to better respond to the needs of the population with highly innovative digital services. The solution offered by the platform allows to overcome the challenge of digitization thanks to a modular approach. The software suite in fact allows the development teams of companies in the healthcare sector to easily create, release and scale new services and digital products, significantly reducing costs and marketing.

Ready-to-use platforms

The use of platforms such as Mia-Care allows you not to start from scratch but to take advantage of a series of applications and specific microservices for the healthcare sector ready to be used. Their combination, combined with the ability to add customizations independently, allows you to create solutions with reduced delivery times and costs, allowing you to reach the market much faster. Precisely for this reason, the platform could be useful for community homes and hospitals that will have to respond to the needs of the reference population also through digital tools and services. The benefits are varied. First, the suite integrates easily with public and private channels and patient management services are quick to set up. Furthermore, thanks to cloud-native technology, development, implementation, marketing and maintenance costs are reduced. Furthermore, it allows you to have total control over the Source code created by mitigating the risk of lock in. Finally, there is economic sustainability to consider. The technological platform, based on a scalable and modular model, allows greater efficiency in terms of cost-benefit, since there is no need to duplicate tools or resources since the product allows interoperability with different ecosystem players and the reuse of already configured software components.

The article is in Italian

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