Assessing Healthcare Integration: An Integrated Palliative Care System in Spain

Introduction: This study explored the Osona palliative care system, recognized internationally for its good results in managing the chronic patient. The literature notices a gap of models that evaluate integration in healthcare systems. This study assesses the degree of integration of the Osona pall...

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Detalles Bibliográficos
Autores: Mondejar-Pont, Meritxell, ROTA MUSOLL, LAURA, Gómez-Batiste, Xavier, Ramon, Anna
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:UVic-UCC
Repositorio:RiUVic. Repositori institucional de la UVic-UCC
OAI Identifier:oai:dnet:riuvic______::28e3f9cb192064e03b9a3f1be7cf1507
Acceso en línea:https://hdl.handle.net/10854/181037
https://doi. org/10.5334/ijic.8613
Access Level:acceso abierto
Palabra clave:Tractament pal·liatiu
Malalties cròniques
616
Descripción
Sumario:Introduction: This study explored the Osona palliative care system, recognized internationally for its good results in managing the chronic patient. The literature notices a gap of models that evaluate integration in healthcare systems. This study assesses the degree of integration of the Osona palliative care system, as well it implements a model that evaluates integration. Methods: This research used a qualitative methodology, involving a case study design with three study phases. The first phase involved reviewing primary sources, followed by conducting interviews. The final phase entailed comparing the findings with a theoretical model to analyse and validate the results. Results: The study found the integrative elements that the Osona system includes such as: multidisciplinary teams, leadership and a palliative care system that is costefficient. It also found aspects to improve including collaboration, continuity of care, early patient identification and lack of funding. Discussion: Our findings suggest that the Osona system has made significant progress toward integration, even though it continues the path of ongoing development in integrated care. Conclusion: This research found that the Osona palliative care system includes many integrating aspects such as multidisciplinary teams, leadership and the system’s cost-efficiency. Nevertheless, some aspects need changes such as continuity of care, collaboration, enhanced early patient identification and increase funding. Furthermore, this study provides an example of how to assess integration in a system.