The project EFFICHRONIC will be presented on the 16th of September in the workshop “Capacity Building in Integrated Care” of the International Congress on Integrated Care, ICIC20. The speakers will be Marta Pisano, coordinator of the project, and the technicians Raquel Vázquez and Delia Peñacoba, from the Ministry of Health of Asturias, Arturo Álvarez Rosete, high-level expert on Integrated Care, and Inés Rey, from FICYT.
EFFICHRONIC

Health and Social Care systems reaching out vulnerable populations with chronic conditions: Implementation results of the EU-project EFFICHRONIC.
Abstract
The quest for integrated care has often been depicted as “crossing the boundaries” (Timmins and Ham 2013), going “beyond silos” (Meyer, Müller and Kubitschke 2014) or “cutting across” (Kodner D L and Spreeuwenberg 2002) multiple systems, services, providers and settings. Indeed, the integrated care agenda encourages systems and services to go proactively beyond themselves and reach out to the most vulnerable people.
At ICIC19, we presented the EFFICHRONIC project, attracting a great deal of interest from the integrated care research community. Funded under the European Union´s Health Programme (2014-2020) (Ref: 738127), the project EFFICHRONIC aims to empower vulnerable hard-to-reach patients and caregivers to self-manage their chronic conditions.
EFFICHRONIC implemented the Chronic Disease Self-Management Programme (CDSMP) in different regions of 5 European countries (France, Italy, The Netherlands, Spain and UK), in those groups of society that are most exposed to the negative effect of the social determinants of health. EFFICHRONIC uses the term vulnerable to refer to situations where the individual is not fully socially integrated and risks falling into social exclusion, either due to socio-economic hardship or because of stress for physical or psychological reasons (chronic conditions, being ill or disabled, the frail elderly or people suffering from mental health problems).
Intersectoral alliances with local and/or regional authorities, the healthcare system, social care organizations and civil society groups were generated at all EFFICHRONIC sites and joined strategies to recruit vulnerable people for the programme were developed. In each territory however, the specifics were determined by the geographical, institutional and administrative characteristics of each region. We are keen to share this rich project experience with integrated care colleagues at ICIC20.
Workshop Outline
• EFFICHRONIC overall project approach and general framework
Marta Pisano González and An L D Boone – 10 minutes
• Project dissemination and communication
Choni Doñate – 10 minutes
• Results of the implementation and Intersectoral recruitment strategies and participant profiles
Marta Pisano González and An L D Boone- 15 minutes
• Internal project Quality Control, SWOT analysis of the used strategies and lessons learnt
Choni Doñate – 10 minutes
• Main elements of Integrated Care in EFFICHRONIC
Marta Pisano González and An L D Boone. 5 minutes
• Questions and Debate
10 minutes
Dra. Marta Pisano
Dr Marta Pisano Gonzalez Heatlh Patient Scholl Coordinator Health Department
EFFICHRONIC overall project approach and general framework
Biography
Ms Delia Peñacoba Maestre
Ms Delia Peñacoba Maestre Technician Ficyt. Cif: G-33053604. Ministry Of Health Of Asturias.
Results of the implementation and Intersectoral recruitment strategies and participants profiles
Biography
Ms Raquel Vázquez
Ms Raquel Vázquez Nurse FICYT. CIF: G-33053604. Ministry of Health of Asturias.
Results of the implementation and Intersectoral recruitment strategies and participants profiles
Biography
Mrs Inés Rey
Mrs Inés Rey Manager of the European Health Projects Unit of FICYT FICYT – Foundation for the Promotion of Applied Scientific Research and Technology in Asturias
Project dissemination and communication
Biography
Ms Ascensión Doñate-Martínez
Researcher Polibienestar Research Institute – University of Valencia
Internal project Quality Control, SWOT analysis of the used strategies and lessons learnt
Biography
Dr Arturo Alvarez Rosete
Researcher, Consultant Freelance
Main elements of Integrated Care in EFFICHRONIC
Arturo is a free-lance health policy consultant and researcher, and the external expert of the EU-funded project EFFICHRONIC. He also teaches at the distance learning programme of the London School of Hygiene and Tropical Medicine on integrated care, health systems and health policy process and power.
He has been the Director of the Spanish Observatory on Integrated Care of the New Health Foundation (the Spanish acronym is OMIS). Prior to that, he has been senior policy consultant delivering work for the World Bank and WHO (2008-2014) and policy researcher for the London-based foundation, the King’s Fund. He completed his PhD in Politics at the University of Nottingham (UK). He is currently based in Salamanca (Spain).