Reducing the burden of population affected by chronic conditions is one of the major challenges for health care in Europe as more than 35 % and 25% of women and men, respectively, are affected by a chronic disease. EFFICHRONIC arises from the need of reducing the morbidity and mortality burden of the most common chronic diseases. Socioeconomic and cultural differences produce short- and long-term differences related with self-care and health, and these could lead to high-risk behaviors. There are also differences in the use and adherence to health resources, which also influence the impact of chronic diseases on individuals through specific social determinants. In addition, research on prevention programmes has not been targeted at individuals with specific vulnerability profiles, and has focused primarily on a specific chronic condition.

EFFICHRONIC is based on the evidence that people with chronic diseases who acquire skills and tools to adopt healthier lifestyles and manage their illness improve significantly their quality of life and make a more efficient use of health resources. The methodology of this study is based on the Chronic Disease Self-Management Programme (CDSMP) that pursues passive patients to take an active role for improving their health.

This project moves forward to the development of new models of health care that are person-centered, favor the interaction of the individuals with other members of their communities, and allow individuals to manage their own conditions of health and illness. The results of this project will give insights into the sustainability of health systems by providing cost-efficiency data on the investment in evidence-based chronic disease self-management programmes.

The scientific coordinators, Marta Pisano González and José Ramon Hevia Fernández, say: “This is an innovative programme based on scientific evidence that will allow us to improve the health outcomes of the population and their quality of life, and to determine the impact of the application of the programme on the economic and financial sustainability of the health systems”.


The EFFICHRONIC strategy will be key to address the burden of the health systems caused by patients with chronic conditions, and has the support of the Regional Ministry of Health of the Principality of Asturias and the University of Valencia (Spain), the Center Hospitalier Universitaire de Montpellier (France), Qismet (UK), the Erasmus Universitair Medisch Centrum Rotterdam (The Netherlands) and the Ospedaliero Ospedal Galliera (Italy). The consortium is currently preparing the design, implementation and evaluation framework of the CDSMP. EFFICHRONIC will implement the CDSMP in 5 different European countries (France, Italy, the Netherlands, Spain and the United Kingdom), with a total sample of more than 2000 patients with chronic diseases.