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Contel JC, Ledesma A, Blay C, et al. Chronic and integrated care in Catalonia. Int J Integr Care. 2015;15:e025doi: 10.5334/ijic.2205.
Contel, J. C., Ledesma, A., Blay, C., Mestre, A. G., Cabezas, C., Puigdollers, M., Zara, C., Amil, P., Sarquella, E., & Constante, C. (2015). Chronic and integrated care in Catalonia. International journal of integrated care, 15e025. https://doi.org/10.5334/ijic.2205
Contel, Juan Carlos, et al. "Chronic and integrated care in Catalonia." International journal of integrated care vol. 15 (2015): e025. doi: https://doi.org/10.5334/ijic.2205
Contel JC, Ledesma A, Blay C, Mestre AG, Cabezas C, Puigdollers M, Zara C, Amil P, Sarquella E, Constante C. Chronic and integrated care in Catalonia. Int J Integr Care. 2015 Jun 29;15:e025. doi: 10.5334/ijic.2205. eCollection 2015. PMID: 26150763; PMCID: PMC4491324.
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Int J Integr Care. 2015 Jun 29;15:e025. doi: 10.5334/ijic.2205. eCollection 2015.

Chronic and integrated care in Catalonia.

International journal of integrated care

Juan Carlos Contel, Albert Ledesma, Carles Blay, Assumpció González Mestre, Carmen Cabezas, Montse Puigdollers, Corine Zara, Paloma Amil, Ester Sarquella, Carles Constante

Affiliations

  1. Chronicity Prevention and Care Programme. Ministry of Health.
  2. Interministerial Social and Health Care and Interaction Plan (PIAISS). Ministry of the Presidency.
  3. Chronicity Prevention and Care Programme, Ministry of Health.
  4. Catalan Public Health Agency of Catalonia.
  5. CatSalut. Commissioning Health Authority in Catalonia.
  6. Interministerial Social and Health Care and Interaction Plan (PIAISS), Ministry of the Presidency.
  7. Directorate-General for Health Research and Planning, Ministry of Health.

PMID: 26150763 PMCID: PMC4491324 DOI: 10.5334/ijic.2205

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.

Keywords: chronic care; expert patient; integrated care; multimorbidity

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