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GATEKEEPER's Strategy for the Multinational Large-Scale Piloting of an eHealth Platform: Tutorial on How to Identify

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Summary

The GATEKEEPER project developed a secure, interoperable eHealth framework for healthy aging. This framework was piloted across diverse European and Asian settings, demonstrating its adaptability for various health needs and interventions.

Keywords:
big datachronic diseaseseHealthhealthy agingintegrated carelarge-scale pilots

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Area of Science:

  • Digital Health and eHealth
  • Gerontology and Healthy Aging
  • Health Informatics and Data Science

Background:

  • The World Health Organization promotes person-centered integrated care for healthy aging, emphasizing eHealth systems.
  • A need exists for standardized, secure platforms to interconnect diverse eHealth systems for data sharing.
  • The GATEKEEPER project addresses this by developing an open-source, interoperable framework for aging populations.

Purpose of the Study:

  • To outline the methodology for selecting optimal multinational pilot sites for the GATEKEEPER platform.
  • To ensure the selected sites and use cases reflect diverse health needs and intervention intensities.

Main Methods:

  • A double stratification pyramid was used, considering population health and intervention intensity.
  • Principles for site selection and guidelines for reference use case (RUC) selection were established.
  • Focus was placed on clinical relevance, scientific excellence, and covering citizen complexities.

Main Results:

  • Seven European countries and three Asian locations were chosen, ensuring geographical and socioeconomic diversity.
  • Pilot sites included local ecosystems with healthcare, industry, academia, and government partners.
  • Reference use cases spanned chronic diseases, multimorbidity, and specific conditions like COPD, diabetes, and Parkinson's, utilizing AI and machine learning.

Conclusions:

  • The study presents a methodology for selecting eHealth framework pilot settings.
  • The GATEKEEPER pilots exemplify current approaches by the WHO and European Commission.
  • This work contributes to the development of a European Data Space for health.