A5004018402- Chronic Disease Management Strategies
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Geriatric Care and Nursing Homes
- Global Health Care Issues
- Interprofessional Education and Collaboration
- Nutrition and Health in Aging
- Healthcare innovation and challenges
- Health disparities and outcomes
- Stroke Rehabilitation and Recovery
- Dementia and Cognitive Impairment Research
- Medical Coding and Health Information
- Diabetes Management and Education
- Acute Ischemic Stroke Management
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Technology
- Emergency and Acute Care Studies
- Nursing care and research
- Text Readability and Simplification
- Aging, Health, and Disability
- Healthcare Education and Workforce Issues
- Mental Health and Patient Involvement
- Chronic Obstructive Pulmonary Disease (COPD) Research
- COVID-19 and healthcare impacts
- Pulmonary Hypertension Research and Treatments
Departament de Salut
1997-2024
Government of Catalonia
2014-2024
Universitat de Vic - Universitat Central de Catalunya
2020-2024
Catalan Society of Family and Community Medicine
2023
Institut Català de la Salut
2022
Ministry of Health
2019-2021
Universitat de Barcelona
1997-2018
Objectives Population-based health risk assessment and stratification are considered highly relevant for large-scale implementation of integrated care by facilitating services design case identification. The principal objective the study was to analyse five health-risk strategies indicators used in regions participating Advancing Care Coordination Telehealth Deployment (ACT) programme ( http://www.act-programme.eu ). second purpose elaborate on toward enhanced predictive modelling clinical...
Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability both healthcare policies services in the transition toward coordinated service delivery scenario. To this end, manuscript articulates four different protocols aiming at assessing large-scale implementation care, which are being developed within umbrella regional project Nextcare (2016-2019), undertaken foster innovation technologically-supported for...
The World Health Organization has developed the Integrated Care of Older People (ICOPE) strategy, a program based on measurement intrinsic capacity (IC) as "the composite all physical and mental attributes which an individual can draw". Multicomponent interventions appear to be most effective approach enhance IC prevent frailty disability since adapted activity is preventive intervention that shown evidence in treatment risk falls. Our paper describes development multi-domain group-based...
Abstract Background Planning population care in a specific health setting requires deep knowledge of the clinical characteristics target recipients, which tend to be country specific. Our area virtually lacks any descriptive, far-reaching publications about institutionalized older people (IOP). We aimed investigate demographic and (IOP) ≥65 years old compare them with those rest same age. Methods Retrospective analysis (total cohort approach) resource-use IOP non-IOP than 65 Catalonia...
Enhanced management of multimorbidity constitutes a major clinical challenge. Multimorbidity shows well-established causal relationships with the high use health care resources and, specifically, unplanned hospital admissions. patient stratification is vital for achieving effectiveness through personalized postdischarge service selection.
The Chronic Care Program introduced in Catalonia 2011 focuses on improving the identification and management of complex chronic (CCPs) advanced patients (ACPs) by implementing an individualized care model. Its first stage is their based chronicity, difficult clinical (i.e., complexity), and, ACPs, limited life prognosis. Subsequent stages are individual evaluation implementation a shared personalized plan. This retrospective study, including all CCPs ACPs identified between 2013 2019, was...
Objective: Design and validate a measure of the experience family caregivers with integrated care that receive persons they for. Methods: The new instrument for measuring is based on Instrument to Evaluate EXperience PAtients Chronic Diseases (acronym in Spanish: IEXPAC) scale instrument. With qualitative technique discussion group, nine professionals eight assessed face validity advised issues explore use. instrument’s items were analyzed individually, as well its consistency, reliability,...
Introduction: Complex chronic patients are prone to unplanned hospitalizations leading a high burden on healthcare systems. To date, interventions prevent admissions show inconclusive results. We report qualitative analysis performed into the EU initiative JADECARE (2020–2023) design digitally enabled integrated care program aiming at preventing hospitalizations. Methods: A two-phase process with four thinking (DT) sessions was conducted analyse management of complex in region Catalonia...
Objectives To assess excess mortality among older adults institutionalized in nursing homes within the successive waves of COVID-19 pandemic Catalonia (north-east Spain). Design Observational, retrospective analysis population-based central healthcare registries. Setting and participants Individuals aged >65 years admitted any home between January 1, 2015, April 2022. Methods Deaths reported during pre-pandemic period (2015–2019) were used to build a reference model for trends (a...
ABSTRACT Introduction Complex chronic patients (CCP) are prone to unplanned hospitalizations leading a high burden on healthcare systems. To date, interventions prevent admissions show inconclusive results. We report co-creation process performed into the EU initiative JADECARE (2020-2023) elaborate an integrated care program aiming at preventing hospitalizations. Methods A two-phase of structured interviews and design thinking (DT) sessions was conducted. Firstly, we assessed management CCP...
Evaluar la asociacion que existe en poblacion mayor de setenta anos entre vivir solo, acompahado o una residencia con el nivel salud y utilizacion servicios sociales sanitarios. Se realizó un estudio transversal domiciliario, encuestando a muestra aleatoria 110 ancianos insti-tucionalizados 290 comunidad del municipio Cas-telldefels. Sujetos cuidadores respondieron los cuestiona-rios: autopercepcion estado (SF-36), autonomi’a (test Barthel), grado ansiedad depre-sion (HAD), deterioro...
Abstract Background Planning population care in a specific health setting requires deep knowledge of the clinical characteristics target recipients, which tend to be country specific. Our area virtually lacks any descriptive, far-reaching publications about institutionalized older people (IOP). We aimed investigate demographic and (IOP) ≥65 years old compare them with those rest same age. Methods Retrospective analysis (total cohort approach) resource-use IOP non-IOP than 65 Catalonia...
Purpose To assess the effectiveness of an integrated care program for post-acute stroke patients, return home (RHP program), deployed in Barcelona (North-East Spain) between 2016 and 2017 a context health social information systems integration. Design/methodology/approach The RHP was built around electronic record that (with agreement coordinated access by all stakeholders) operational re-design pathways, which started upon hospital admission instead discharge. outcomes resource use...
To reach a consensus on an rapid multidimensional/geriatric assessment (RMGA) tool for all health and social professionals of Catalonia as shared universal system to assess patients with multimorbidities, frailty, complexity or advanced conditions.Three-phase professionals, combining in-person sessions telematics.Catalonia.A group 27 interdisciplinary from different care settings.The Design Thinking methodology initial the characteristics RMGA (Phase 1) has been combined Lean Startup create...
Background The number of days spent at home in the last six months life has been proposed as a comprehensive indicator high-value patient-centered care; however, information regarding determinants this outcome is scarce, particularly among general population. We investigated spending time within preceding death. Methods Population-based, retrospective analysis administrative databases Catalan government. included adult (≥18 years) individuals who died Catalonia (North-east Spain) 2017 and...
This study aimed to assess the implementation of integrated social and health home care services (HCS) offered by Government Catalonia, identify main barriers facilitators HCS.
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)