Filmed at the 19th International Conference on Integrated Care in San Sebastian #ICIC19 Click ▶ [ Ссылка ] for more info

A shared culture for change: Evaluating and implementing models of integrated people-centred services

The 19th International Conference on Integrated Care took place in The Kursaal Conference Centre, San Sebastian, the Basque Region in Spain, from 1-3 April 2019. With the overarching theme ‘Evaluating and implement models of integrated people-centred services’, the conference is a partnership of OSAKIDETZA – Basque Health Service, Bioef, Ministry for Health of the Basque Government the City Council of Donostia-San Sebastian and the Provincial Council of Gipuzkoa.

The conference brought together researchers, clinicians and managers from around the world who are engaged in the design and delivery of integrated health and social care.

Themes: Integrated health and social care for people at home

- Importance of home (in its broader sense) as social and health ecosystem
- Palliative Care/End of Life Care
- Role of carers (family, volunteers, professionals)
- Role of the pharmacy offices in the community

Engaging and empowering people and communities to become equal partners in care

- Patient empowerment: from theory to practice (implementation and evaluation)
- The patient as an active agent in health, patients’ engagement
- Support networks with patients and carers for self-management of health conditions

- Community health networks
- Learning from people´s experience (patients, families and professionals)
- Codesign and coproduction in care Social design
- Innovative strategies to activate the community Community assets mapping
- Strategies and resources to build community and to reinforce care
- People´s and community´s participation in integrated care systems.

Creating shared cultures, norms and values across organisations, professionals and people

- The challenge of interdisciplinary work and the cultural shift
- Changing working culture towards a more collaborative approach among professionals
- Tools for team building with professionals - New roles, skills and training
- Strengthening leadership and change management
- Managing beliefs, expectations and priorities.

Building a stronger integrated primary care

- Importance of primary care leadership in care integration and its alliances with the social sector
- Primary care in care integration: organizational options
- Reassessing health promotion, disease prevention and community health.

Models of care for people
- Integrated care and its dimensions: clinical, professional, functional, organizational, systemic, regulatory, etc.
- Organizational models in Integrated Care
- Transition from pilot experiences to level-system implementation
- Role of the macro level (institutional/political) on the agreements fostering, role of the meso level (social and health commissions, etc.) and role of the micro level (social and health care teams)
- Integrated care real experiences (i.e. Nurse Family Partnerships, home, etc.)
- New models of funding for social and health care systems
- Patients flow and improvement of care pathways between care levels and organizations
- Focus on vulnerable populations and populations at risk.

Defining measures and outcomes that matter to people

- Assessing integrated care performance, from people´s and community´s view
– Quantitative and Qualitative approaches.
- Tools for health results assessment: improving social and health monitoring and health results (eg Social and health care scorecard)
- Health promotion, social and health care, community health networks and primary care leadership in the care integration process (including results)

Impact of Digital Health

- Potential and evaluation of digital technology to transform the access and delivery of care
- Social and Health Care information systems
- Risk prediction analytical tools
- Risk stratification tools
- Shared electronic records (clinical record, social and health record)
- Big data
- Role of people and community in the appropriation of digital health: codesign of tools

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