{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:34:36Z","timestamp":1740202476528,"version":"3.37.3"},"reference-count":0,"publisher":"IOS Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>By taking a stakeholder perspective, the paper explores reasons why the political commitment to patient-centric integrated care, facilitated by eHealth applications, is so difficult to meet. In spite of hundreds of pilots, still today there is a dearth of evidence on how to indeed successfully organise such services. Outcomes from a variety of implementation projects supported by the European Union were analysed, focusing on benefits and costs for the diverse stakeholder groups involved or impacted. The re-engineering of the services may result in a considerable shift in these variables between groups. Rendering both positive clinical impacts and a positive (overall) socio-economic return is not sufficient to assure wide acceptance and long-term sustainability. However motivated stakeholders may be, few will operate against their economic interests. Successfully establishing modern eHealth facilitated services is not so much a technical, but a social, organisational, and business innovation. We need to better understand in detail the benefits and costs, or the new &amp;lsquo;business models&amp;rsquo; that go with integrated care for each involved stakeholder group, and the likely impacts for each of them, with a focus on how to best assure a win-win situation for all. Health policy has to respond to this, and a promising approach would be to promote organisational integration with shared budgets and outcome targets.<\/jats:p>","DOI":"10.3233\/978-1-61499-488-6-324","type":"book-chapter","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T15:26:30Z","timestamp":1740151590000},"source":"Crossref","is-referenced-by-count":0,"title":["Patient-centric Care and Chronic Disease Management: A Stakeholder Perspective"],"prefix":"10.3233","author":[{"family":"Stroetmann Karl A.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Driving Quality in Informatics: Fulfilling the Promise"],"original-title":[],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T15:38:17Z","timestamp":1740152297000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medra.org\/servlet\/aliasResolver?alias=iospressISSNISBN&issn=0926-9630&volume=208&spage=324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/978-1-61499-488-6-324","relation":{},"ISSN":["0926-9630"],"issn-type":[{"value":"0926-9630","type":"print"}],"subject":[],"published":{"date-parts":[[2015]]}}}