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Chronic and integrated care in Catalonia.

Contel JC, Ledesma A, Blay C, Mestre AG, Cabezas C, Puigdollers M, Zara C, Amil P, Sarquella E, Constante C - Int J Integr Care (2015)

Bottom Line: New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals.Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization.Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come.

View Article: PubMed Central - HTML - PubMed

Affiliation: Chronicity Prevention and Care Programme. Ministry of Health.

ABSTRACT

Introduction: The Chronicity Prevention and Care Programme set up by the Health Plan for Catalonia 2011-2015 has been an outstanding and excellent opportunity to create a new integrated care model in Catalonia. People with chronic conditions require major changes and transformation within the current health and social system. The new and gradual context of ageing, increase in the number of chronic diseases and the current fragmented system requires this transformation to be implemented.

Method: The Chronicity Prevention and Care Programme aims to implement actions which drive the current system towards a new scenario where organisations and professionals must work collaboratively. New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals.

Results: It has been observed some impact reducing the rate of emergency admissions and readmission related to chronic conditions and better outcome related to better chronic disease control. Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization.

Discussion: The implementation of a Chronic Care Program show good results but it is expected that the new integrated health and social care agenda could provoke a real change and transformation. Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come.

No MeSH data available.


Related in: MedlinePlus

The continuum of chronicity
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fg0004: The continuum of chronicity

Mentions: This implies a very challenging area of work because of the greater needs of patients with these conditions; a model has been created on a local level more oriented to coping with the enhanced needs and demands generated by frequent acute exacerbations and intensive use of services (Figure 4) [2, 15, 16].


Chronic and integrated care in Catalonia.

Contel JC, Ledesma A, Blay C, Mestre AG, Cabezas C, Puigdollers M, Zara C, Amil P, Sarquella E, Constante C - Int J Integr Care (2015)

The continuum of chronicity
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4491324&req=5

fg0004: The continuum of chronicity
Mentions: This implies a very challenging area of work because of the greater needs of patients with these conditions; a model has been created on a local level more oriented to coping with the enhanced needs and demands generated by frequent acute exacerbations and intensive use of services (Figure 4) [2, 15, 16].

Bottom Line: New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals.Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization.Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come.

View Article: PubMed Central - HTML - PubMed

Affiliation: Chronicity Prevention and Care Programme. Ministry of Health.

ABSTRACT

Introduction: The Chronicity Prevention and Care Programme set up by the Health Plan for Catalonia 2011-2015 has been an outstanding and excellent opportunity to create a new integrated care model in Catalonia. People with chronic conditions require major changes and transformation within the current health and social system. The new and gradual context of ageing, increase in the number of chronic diseases and the current fragmented system requires this transformation to be implemented.

Method: The Chronicity Prevention and Care Programme aims to implement actions which drive the current system towards a new scenario where organisations and professionals must work collaboratively. New tools should facilitate this new context- or work-like integrated health information systems, an integrative financing and commissioning scheme and provide a new approach to virtual care by substituting traditional face-to-face care with transfer and shared responsibilities between patients, citizens and health care professionals.

Results: It has been observed some impact reducing the rate of emergency admissions and readmission related to chronic conditions and better outcome related to better chronic disease control. Some initiative like the Catalan Expert Patient Program has obtained good results and an appropriate service utilization.

Discussion: The implementation of a Chronic Care Program show good results but it is expected that the new integrated health and social care agenda could provoke a real change and transformation. Some of the results related to better health outcomes and a decrease in avoidable hospital admissions related to chronic conditions confirm we are on the right track to make our health and social system more sustainable for the decades to come.

No MeSH data available.


Related in: MedlinePlus