From Design to Action in Clinical and Social Complexity: Continous Assesment of the Alt Penedés Program

José Carlos Molina,Mª Jesús García,Lourdes Martínez,Pilar Piñeiro,Montserrat Gené,Montserrat Domenech

doi:10.5334/ijic.2770

Abstract

From Design to Action in Clinical and Social Complexity: Continous Assesment of the Alt Penedés Program

Highlights

IntroductionIntroduction: Catalonia has started different strategies to respond to the care of complex chronic patients CCP) to maintain quality of care, optimize resources and respect the decisions of the patients
Health Catalonian Institute, Spain; 3: Basic Area of Social Services Alt Penedés Regional Council, Spain; 4: Intermediate Care Center Ricard Fortuny, Spain; 5: Basic Area of Social Services Vilafranca del Penedes City Hall, Spain, Introduction: Catalonia has started different strategies to respond to the care of complex chronic patients CCP) to maintain quality of care, optimize resources and respect the decisions of the patients
The Alt Penedès Complex Chronic Patient Programme (PPCCAP) began in 2010 and is evolving from an oriented clinical care towards an integrated approach of complexity, incorporating social services providers in the territory and with a proactive and collaborative care strategy to improve the care of these patients and adapt the use of health and social resources

Summary

Introduction

Introduction: Catalonia has started different strategies to respond to the care of complex chronic patients CCP) to maintain quality of care, optimize resources and respect the decisions of the patients. These experiences come under the health plan of Catalonia 2011-2015 and the Inter-departmental interaction of social and health care Plan (PIAISS). The Alt Penedès Complex Chronic Patient Programme (PPCCAP) began in 2010 and is evolving from an oriented clinical care towards an integrated approach of complexity, incorporating social services providers in the territory and with a proactive and collaborative care strategy to improve the care of these patients and adapt the use of health and social resources. St akeholders: two social service providers (County Council and City Hall of Vilafranca) and three health service providers (hospital care, intermediate careand three primary care teams)

Findings

Discussion

Conclusion