New Health Foundation is a non-for-profit institution for the observation and optimisation of health, and social care systems and family environment support with the aim of addressing the quality of life of people with advanced diseases, high dependency and at the end-of-life.

The Observatory of Integrated Models in Health (OMIS) is one of its lines of action. This is a technical observatory that seeks, through the registration and analysis of good practices, to identify the experiences of coordination of the social and health sectors, to analyze their innovative and transformative elements, as well as the possibilities of replication in other contexts and organizations.

OMIS has recently published the report for the 2014-2019 period “Five years of Integrated Care in Spain” by Arturo Álvarez Rosete, scientific director and currently a collaborator of the project EFFICHRONIC. This report details the development of the integrated care agenda in Spain for the last five years from a double perspective: i) analyzing how this paradigm has been entering into the sectoral plans and programmes developed by the different autonomous communities; and ii) compiling and presenting the experiences that have been recorded in OMIS. The project EFFICHRONIC has been recorded as an experience in 2018/19 in Asturias.

Perhaps the most important contribution of this Report is the “New Contributions” section, where other elements of the integrated care paradigm such as socio-health assessment and care paths are addressed. In this section, Marta Pisano González and An LD Boone, members of the scientific team of the project EFFICHRONIC, share their experience under the topic “Looking for those who will not join”. Specific identification, recruitment, inclusion, care and follow-up strategies are required to reach people in vulnerable situations. The EFFICHRONIC project combines two concepts outlined in a new vision of integrated care: the empowerment of citizens and health promotion. In line with this, integration is taken beyond specific service models combining community assets to promote the health and well-being of the population, and in particular, of those that are excluded from the welfare system.

“These new elements make us to reflect on the importance of transforming organizational values, the professional look, i.e., on the “subjective” (or soft) elements of mere structural changes, of deployment of resources (socio-sanitary beds, technological investment, etc.) or of reorganization of services. To achieve this, cultures, values ​​and the way of looking at all the agents involved needs to step forward.  This is only achieved by opening spaces for meeting and exchanging ideas with participatory processes in which the person and their needs are at the center . The true transformation is achieved from  people and for people. ” Says Arturo Álvarez Rosete.

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