Patient empowerment for major surgery preparation @home
PAPRIKA establishes a technologically enabled and personalised programme to prepare patients for elective surgery and provide follow-up, as a way to improve the outcomes of the operation. The programme develops close collaboration with the medical environment that empowers patients to co-create their own care.
Better conditioning before surgery has been shown to reduce perioperative complications and to improve patients’ health and quality of life, while cutting costs. PAPRIKA has been designed to implement prehabilitation programs that address the need for better preparation for surgery based on CONNECARE and NEXTCARE – two previous projects that involved the core of the PAPRIKA consortium – as well as the internal strategy of Hospital Clínic de Barcelona.
- Blanca Jordán (ATOS) engineer, social and psychological background.
- Josep Roca (UB) Prof. of Medicine, designs ICT-supported services for chronic patients.
- Pierre Albaladejo, (UGA) Professor, Head of Cardiovascular and Thoracic Anesthesia and Critical Care Department, General Secretary of the French Society of Anesthesia.
- Felip Miralles (Eurecat) PhD, Director, eHealth R&D at EURECAT.
- Dr. Helmi Ben Hmida (FHG) senior researcher, project leader.
- Pauline Schumacher (UHC) PhD, molecular biology at Ecole Normale Supérieure.
PAPRIKA’s overall aim is to improve the quality of life of patients undergoing major surgery in Europe with better preparation that helps to reduce postoperative complications and improve recovery.
The project integrates short-term preoperative interventions, averaging about four weeks and including endurance training, promotion of physical activity and nutritional and psychological support. Interventions are planned both in the community and at the hospital, reducing unnecessary interactions between patients and tertiary care. The project also incorporates two digital solutions:
- an adaptive case management platform for professionals, integrated with the electronic health record (EHR);
- a self-management app for patients, integrated with the regional health folder.
PAPRIKA will roll out its services fully in Spain, France and Poland. The maturity of the programme introduction and development, and the healthcare systems behind it, are different in the three sites. This heterogeneity (common in the real world) will be managed by the flexibility of the tools and the expertise of partners.
Based on a projected 10% reduction in hospitalisation days, PAPRIKA will improve the quality of life of patients who will not need to go so frequently to the hospital and will not need to stay longer than strictly needed. Families will benefit from the reduced financial and psychological burden. Society will benefit from reduced sick leave and loss of production. And hospitals and payers will benefit from direct costs savings.
Why this is an EIT Health project
PAPRIKA is aligned with several EIT Health objectives, especially the overall mission of giving people a better quality of life while ensuring the health and care system’s sustainability. PAPRIKA addresses the EIT Health Focus Area of “Bringing Care Home” because it allows people to prepare for surgery at home, reducing hospitalisation time and costs associated to surgical interventions.
University Clinical Centre, Medical University of Gdansk