1. 100 Leadership Competencies for Designing and Implementing Integrated Health and Social Care Systems
    8. Education and Training
  2. 101 An integrated group parenting model for mums with mental health issues and their babies: Findings from a participatory action research evaluation of the South Australian ACORN Program
    6. Vulnerable Populations
  3. 104 Change Management and Staff engagement processes. Lessons learned at ACT@Scale Project
    3. Whole System Transformation
  4. 108 Erlauntza: relaciones de alta confianza mutua.
    4. Tools and Methods for Supporting Care Coordination
  5. 109 3 Dimenions for Long Term Conditions - creating a sustainable bio-psycho-social approach to healthcare
    3. Whole System Transformation
  6. 110 Variables that Modulate Home Care Effectiveness in Patients with Chronic Cardiovascular Disease
    7. Care of Older People
  7. 111 The associations between neighborhood characteristics and the self-rated health and life satisfaction of community-dwelling older adults in China
    7. Care of Older People
  8. 112 Through the eye of the service user representative, what key components contribute to value in integrated mental-health and social care services?
    1. Population Health
  9. 113 Leading change in the large-scale implementation of a service integration model in Québec
    2. Policy Development
  10. 114 Health and social care influences on long hospital length of stay (los): a critical realist study in a large metropolitan hospital
    2. Policy Development
  11. 115 Building learning health systems on Real World Data
    9. Data Analysis
  12. 117 Integrated Care Pathways and Networks: Implementing Governance Innovations in Quebec's Health and Social Services System
    2. Policy Development
  13. 118 The unmet Rehabilitation needs in an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland
    6. Vulnerable Populations
  14. 119 Facilitating continuity of care at a health system level to support integration
    2. Policy Development
  15. 120 Big Data tools for integrated care and high-risk patient protection
    9. Data Analysis
  16. 121 Results of the m-RESIST feasibility study. A Mobile therapeutic attention for treatment-resistant schizophrenia
    6. Vulnerable Populations
  17. 122 La Atención Integrada como respuesta a los retos del Sistema Público de Salud Vasco (SPSV)
    2. Policy Development
  18. 123 Building infrastructure for digital health using Open innovation 2.0 in co design of a meta data registry framework to support integrated care.
    3. Whole System Transformation
  19. 124 Development of an mHhealth interventions evaluation tool. What has been done and next steps
    4. Tools and Methods for Supporting Care Coordination
  20. 125 Carpeta de Salud
    4. Tools and Methods for Supporting Care Coordination
  21. 126 Consejo Sanitario
    4. Tools and Methods for Supporting Care Coordination
  22. 128 Innovation on home-based care services
    7. Care of Older People
  23. 129 User reported measure of care coordination across catalonia, spain
    4. Tools and Methods for Supporting Care Coordination
  24. 130 Los pacientes que subieron una montaña pero bajaron una colina. Simplificando los circuitos de gestion asistencial de los pacientes con dolor crónico.
    3. Whole System Transformation
  25. 131 OSI Tolosaldea: caminando hacia la excelencia
    2. Policy Development
  26. 132 Front door to front door - a co-produced improvement programme to understand whole system flow across care systems
    3. Whole System Transformation
  27. 134 A system approach to designing intermediate tier service improvements
    7. Care of Older People
  28. 135 Practicing what we preach about coproduction - the role of a Lived Experience Panel in quality improvement work
    8. Education and Training
  29. 137 IMPLANTACION DE BUENAS PRÁCTICAS EN CUIDADOS COMO PUNTO DE UNION EN LA INTEGRACIÓN ASISTENCIAL
    2. Policy Development
  30. 139 Una experiencia de implantación y evaluación de equipos de atención sociosanitaria en el domicilio en la Organización Sanitaria Integrada Barrualde-Galdakao (Osakidetza)
    4. Tools and Methods for Supporting Care Coordination
  31. 140 Programa de Cribado de Cáncer Colorrectal en pacientes presos.
    6. Vulnerable Populations
  32. 141 Patient reported outcome measures for minority languages: closing the gap for improving health monitoring in bilingual settings
    4. Tools and Methods for Supporting Care Coordination
  33. 142 Abordaje del Tratamiento de la Hepatitis C en prisión
    6. Vulnerable Populations
  34. 143 Implantación del programa de detección de cáncer de cabeza y cuello en población privada de libertad.
    6. Vulnerable Populations
  35. 146 Nationwide implementation of the electronic sick leave certificates in Poland: quality improvement initiative towards value-based primary care resulting in rapid implementation in integrated care
    2. Policy Development
  36. 149 “Learning from Accountable Health Models in Spain: The Converging Narratives of Integrated Care, Chronic Care Management and Promoting the Culture of Health.”
    3. Whole System Transformation
  37. 150 Practice Abstract on the Application of Integrated Care
    3. Whole System Transformation
  38. 151 Intervención para la reducción del uso de inhibidores de la bomba de protones a dosis altas con la participación del paciente ( envío de carta postal)
    2. Policy Development
  39. 152 PROYECTO BILBAO KIROLAK: COMO IMPLICAR A LA POBLACION EN LA PRACTICA DEPORTIVA AUNANDO EL ESFUERZO DE DOS ORGANIZACIONES
    8. Education and Training
  40. 153 The experience of setting an integrated people-centered health evaluation and care model in a community in Taipei
    2. Policy Development
  41. 154 The challenges of integrating housing and care for older people
    7. Care of Older People
  42. 155 Evolution of a multipronged and multi-intevention strategy for patients with high comorbidity
    2. Policy Development
  43. 156 Conciliación de la medicación en coordinación entre profesionales de Atención Primaria y la Farmacia Comunitaria.
    1. Population Health
  44. 157 DEMANDA INDEMORABLE. PLAN DE GESTIÓN EN ATENCIÓN PRIMARIA DE OSI DONOSTIALDEA
    8. Education and Training
  45. 158 Maturity model for integrated primary care in Toronto, Canada
    1. Population Health
  46. 159 Strenthening care for children: pilot of a novel, integrated general practitioner-paediatrician model
    3. Whole System Transformation
  47. 160 Integrated Inspection Teams
    2. Policy Development
  48. 161 Telemedice-based and integrated-care suicide prevention.
    6. Vulnerable Populations
  49. 162 Timeline del paciente integrado en la historia clínica de Osakidetza
    4. Tools and Methods for Supporting Care Coordination
  50. 163 Healthcare access of immigrants: An integrated ecological framework
    6. Vulnerable Populations
  51. 164 Enfermería: gesión y seguimiento paciente pluripatológico
    4. Tools and Methods for Supporting Care Coordination
  52. 165 The rationale for integrated care deployment to chronic patients in Ecuador and proposals to act locally: results from a mixed method study
    3. Whole System Transformation
  53. 166 Evolution of Nursing Documentation in the Surgical Process: “A forward looking”
    3. Whole System Transformation
  54. 167 Collective Leadership and Safety Cultures: Developing an alternative model of leadership for healthcare teams
    3. Whole System Transformation
  55. 168 Trentino salute 4.0 - the creation of a competence center on digital health integrating policy, healthcare trust and research in trentino territory
    2. Policy Development
  56. 169 Conflict mitigation and management: Understanding the processes utilised by effective healthcare teams
    3. Whole System Transformation
  57. 170 Scaling up case management strategies. The PAMI program
    3. Whole System Transformation
  58. 171 Evolution of the health record in the basque country. From the paper to an intelligent-integrated eHR
    4. Tools and Methods for Supporting Care Coordination
  59. 172 Their safety first: An app to reduce waiting time due to derivations in Emergencies
    11. Intermediate Care and Care Transitions
  60. 173 ATENCION INTEGRADA A PACIENTES DOMICILIADOS EN CENTROS SOCIOSANITARIOS
    4. Tools and Methods for Supporting Care Coordination
  61. 174 The relation between deprivation and healthcare costs in early childhood
    1. Population Health
  62. 175 Sufficient exercise: mother’s perceptions on neighbourhood safety and quality of outdoor playgrounds in Rotterdam
    1. Population Health
  63. 176 SERVICIO DE URGENCIAS EN UN HOSPITAL DE SUBAGUDOS: UN PROYECTO INNOVADOR EN UN HOSPITAL INNOVADOR
    7. Care of Older People
  64. 177 Building connections between primary care and other specialties for a better patient experience
    3. Whole System Transformation
  65. 178 Implementing Assisted Decision-making in Healthcare in Ireland: Understanding Enablers, Barriers and Context from the perspective of patients and healthcare professionals.
    7. Care of Older People
  66. 179 NHS Calderdale Clinical Commissioning Group: The Quest for Quality in Care Homes
    7. Care of Older People
  67. 180 Access to comprehensive primary care: A case study of Rohingya refugees and asylum seekers in Sydney, Australia
    6. Vulnerable Populations
  68. 182 Prevenir la fragilidad en personas mayores desde la comunidad: la experiencia de los Talleres de prevención de caídas. País Vasco
    7. Care of Older People
  69. 183 Building integrated teams to address mental and behavioral health needs in rural primary care: The Western Colorado COEARTH project
    6. Vulnerable Populations
  70. 184 Providing access to telehealth for addiction therapy and pschyopharmacology in rural america
    6. Vulnerable Populations
  71. 186 THE CHRONIC CARE ATTENTION IN OSI DEBABARRENA: AN INTEGRATED MANAGEMENT MODEL.
    3. Whole System Transformation
  72. 187 The Development of a Hub and Spoke Respiratory Service
    3. Whole System Transformation
  73. 188 Desarrollo de un software de cribado automático de retinopatía diabética
    9. Data Analysis
  74. 190 SEGURIDAD DEL PACIENTE E INTEGRACIÓN ASISTENCIAL
    2. Policy Development
  75. 191 Integrated care in a small island community
    3. Whole System Transformation
  76. 193 GESTIÓN DE CASOS CON TELEMONITORIZACIÓN EN PACIENTES CON CRONICIDAD COMPLEJA. ANÁLISIS DE LOS MOTIVOS DE INTERRUPCIÓN EN EL SEGUIMIENTO.
    4. Tools and Methods for Supporting Care Coordination
  77. 194 Designing the Hospice of the future: Developing a partnership with the next generation
    10. Palliative and End of Life Care
  78. 196 Improving patient experience and outcomes following serious injury
    3. Whole System Transformation
  79. 197 Seguimiento no presencial mediante la carpeta de salud, para ajuste del tratamiento hipoglucemiante en pacientes que inician tratamiento esteroideo.
    4. Tools and Methods for Supporting Care Coordination
  80. 198 Las “consultas sagradas” en Atención Primaria: ¿Cómo podemos mejorar la atención a la dimensión emocional?
    1. Population Health
  81. 199 Building healthy strong communities: Integrating health and social care through system transformation
    2. Policy Development
  82. 200 Evaluating the implementation, mechanisms of effect and context of an integrated care intervention for vulnerable families in Central Sydney Australia: A research framework
    9. Data Analysis
  83. 201 Big Data Evaluation of an Integrated Care Initiative for Vulnerable Families
    9. Data Analysis
  84. 202 Interorganisational social network analysis of service providers in a new integrated care initiative
    1. Population Health
  85. 203 Qualitative exploration of enablers and barriers to interagency collaboration from the perspectives of senior managers and executive staff
    1. Population Health
  86. 204 Can a delphi study assist in understanding the strengths and weaknesses of an integrated coordination program for families.
    1. Population Health
  87. 205 Ngaramadhi
    1. Population Health
  88. 206 Risk-based inspecting of care networks
    2. Policy Development
  89. 207 Inspecting integrated care in the Netherlands
    2. Policy Development
  90. 208 Learning from vulnerable families to improve healthcare and child protection responses
    6. Vulnerable Populations
  91. 209 Creating a collaborative working culture across Health and Child Protection to support vulnerable pregnant women
    6. Vulnerable Populations
  92. 210 Proyecto de educación para la salud dirigido a personas cuidadoras de personas dependientes.
    4. Tools and Methods for Supporting Care Coordination
  93. 211 Patient involvement in health care decision making; an experience
    1. Population Health
  94. 212 Actuación socio-sanitaria en violencia contra las mujeres: integrar, coordinar y formar.
    6. Vulnerable Populations
  95. 213 Use of patient involvement to improve/design healthcare strategies
    2. Policy Development
  96. 214 Enacting integrated care in the system-wide social and health care reform in Finland
    3. Whole System Transformation
  97. 215 Continuidad asistencial en ancianos polimedicados atendidos por traumatismo craneoencefálico: desde Urgencias hospitalarias a Atención Primaria
    4. Tools and Methods for Supporting Care Coordination
  98. 217 A communication protocol between community pharmacists and primary care professionals to solve patients´ medication problems
    1. Population Health
  99. 218 Care about Physical Activity (CAPA) improvement programme - working with older people across social care to improve their quality of life through being active and engaging in movement that is meaningful to them
    7. Care of Older People
  100. 219 A self-management system for complex chronic patients
    4. Tools and Methods for Supporting Care Coordination
  101. 220 Connected care for complex chronic patients in Lleida
    4. Tools and Methods for Supporting Care Coordination
  102. 221 Plan de atención integrada a pacientes con necesidades de atención paliativa en una comarca sanitaria
    10. Palliative and End of Life Care
  103. 222 Building a model of integrated care (ic) in home care (hc)
    2. Policy Development
  104. 224 The PlayDecide Patient Safety game: A “serious game” to discuss medical professionalism in relation to patient safety
    8. Education and Training
  105. 225 Health professional perceptions regarding screening tools for developmental surveillance for children in a multicultural part of Sydney, Australia
    1. Population Health
  106. 226 A realist synthesis of literature informing programme theories for Well-child Care in primary health systems of developed economies
    1. Population Health
  107. 228 Health professional perceptions regarding screening tools for developmental surveillance for children in a multicultural part of Sydney, Australia
    1. Population Health
  108. 229 Desarrollo de Competencias Directivas para la mejora de la Atención Integrada
    8. Education and Training
  109. 230 Privacy and integrated care: Sharing information within Australian interagency multidisciplinary teams.
    2. Policy Development
  110. 232 Detección y tratamiento psicoterapéutico de la depresión perinatal
    6. Vulnerable Populations
  111. 234 Evaluation of a geriatric assessment tool for multimorbid patients at home in primary care
    7. Care of Older People
  112. 235 La búsqueda de la excelencia en la Atención Paliativa en una OSI
    10. Palliative and End of Life Care
  113. 236 Abordaje de la complejidad clínica en una residencia geriátrica: fragilidad y niveles de atención asignados
    3. Whole System Transformation
  114. 237 Effectiveness of different interprofessional collaborative processes to optimize type-2 diabetes prevention in routine Primary Care: the PREDIAPS implementation trial
    3. Whole System Transformation
  115. 238 Integrated Care – how to negotiate the Challenges among different Stakeholders
    4. Tools and Methods for Supporting Care Coordination
  116. 239 Evaluación de la experiencia Ttipi-Ttapa en la Comarca de Salud Pública Tolosa-Goierri (CSPTG) en el periodo 2012-2017
    1. Population Health
  117. 240 Implementación de un protocolo de atención en Cuidados Paliativos basado en la comunicación con paciente y familia y entre niveles asistenciales
    10. Palliative and End of Life Care
  118. 241 A qualitative study into the health and social care needs and barriers to service access for Sudanese women living in a socioeconomically disadvantaged area of Sydney, Australia.
    6. Vulnerable Populations
  119. 242 Core principles of integration of healthcare and social services that support continuity of care for vulnerable seniors with canadian case study: home-at-last
    7. Care of Older People
  120. 243 Programa de atención psiquiátrica en residencias como ejemplo extrapolable de la integración socio-sanitaria
    6. Vulnerable Populations
  121. 244 Efficacy of a long-term m-health program for Integrated Care (MHICP) supervised by a Therapeutic Educator after pulmonary rehabilitation, in COPD patients: a pilot- randomized control trial.
    1. Population Health
  122. 245 ZU-TXU: mapeando activos para la salud con los/las adolescentes de Zumarraga y Urretxu
    1. Population Health
  123. 247 “Factors influencing multiprofessional team work”
    2. Policy Development
  124. 248 Estrategia de implantación de un modelo de atención integrada a pacientes crónicos complejos
    3. Whole System Transformation
  125. 249 Implementation and evaluation of a novel integrated care program in South Eastern Sydney, Australia
    3. Whole System Transformation
  126. 250 Leadership in integrated care networks: A literature review and opportunities for future research
    2. Policy Development
  127. 251 La visión clínica del profesional sanitario clave en la estratificación mediante la asignación niveles de intervención en el abordaje de los pacientes crónicos
    2. Policy Development
  128. 252 Trabajando con la comunidad: campaña “Tolosaldea sin humo ni colillas de tabaco”
    1. Population Health
  129. 253 Multidisciplinary team meetings in cancer care: is there a psychologist in the house?
    3. Whole System Transformation
  130. 254 Neighbourhoods 4 Wellbeing
    1. Population Health
  131. 255 Intersectoral coordination of prevention over the life course: professionals and the making of diabetes prevention in Denmark
    3. Whole System Transformation
  132. 256 An exploration of how neighbourhood team members experience the transition from traditional health and social care teams to integrated care systems, within a defined health and social care economy.
    3. Whole System Transformation
  133. 257 Regional Strategic Planning of Care in Flanders based on population needs
    3. Whole System Transformation
  134. 258 The impact of a Reablement Service Programme on physical ability and care plan packages
    3. Whole System Transformation
  135. 259 Development and testing of a primary health and social care integrated team model in the comunity
    3. Whole System Transformation
  136. 260 Multi-method investigation of normative integration in a novel inter-sectoral collaboration between mental health care services and public sick leave insurance organizations in Denmark
    1. Population Health
  137. 261 Integrating care for children and young people through Project ECHO®
    8. Education and Training
  138. 262 An innovative model of care for meeting the health and social needs of children and young people with intellectual disability
    1. Population Health
  139. 263 Developing a model of care for Substance Use in Pregnancy and Parenting Services in Sydney, Australia
    6. Vulnerable Populations
  140. 264 Assessing the impact of context during the implementation of a co-designed, collective leadership intervention
    3. Whole System Transformation
  141. 265 La coordinación sociosanitaria en el Principado de Asturias: caminando hacia el cuidado integrado
    2. Policy Development
  142. 266 Implementación de un modelo de atención integral a residencias
    3. Whole System Transformation
  143. 267 Family caregivers’ involvement in Decision-making processes regarding admission to nursing homes for persons with dementia
    7. Care of Older People
  144. 268 How to take into account people’s values, preferences and views on healthcare services when designing the strategy on chronic and integrated care of Catalonia
    2. Policy Development
  145. 269 Use of mHealth for promoting healthy ageing and supporting delivery of age-friendly care services: a systematic review
    7. Care of Older People
  146. 270 Implementation of a collaborative project between primary and secondary care to minimize inappropriate polypharmacy in Donostialdea Integrated Health Care Organization
    4. Tools and Methods for Supporting Care Coordination
  147. 271 Otra forma de organizarse en la atención domiciliaria en Atención Primaria
    4. Tools and Methods for Supporting Care Coordination
  148. 272 Disempowering socioeconomic and political structures to empower people
    1. Population Health
  149. 273 A systematic review of facilitators and barriers for professionals in providing integrated care
    8. Education and Training
  150. 274 Towards integrated care in the Dutch Youth Care system: an action based research
    3. Whole System Transformation
  151. 275 Red local de salud: programa formativo comunitario para empoderar mujeres migrantes cuidadoras de personas con dependencia.
    6. Vulnerable Populations
  152. 276 Implementation of patient prioritisation tools: impact on integrated pharmaceutical care provision
    7. Care of Older People
  153. 277 Care about Physical Activity (CAPA) improvement programme –improving older people’s quality of life through engagement in movement meaningful to them
    7. Care of Older People
  154. 278 19 times too many - Integrated health and Social Care for people living with dementia in the UK
    7. Care of Older People
  155. 279 Integration of Patient Self-care into Integrated Care: From users to shapers -the Sweden Co-Care project and patient integrated pathways
    3. Whole System Transformation
  156. 280 Pediatric obesity in integrated primary care: examining patient access across service delivery models
    1. Population Health
  157. 281 Designing integrated care at the ecosystem level
    3. Whole System Transformation
  158. 282 Understanding the medical determinants and health service needs of older people who experience loneliness in Sydney, Australia.
    1. Population Health
  159. 283 Understanding the predictors of services use in older people to plan for and provide quality cost effective care
    7. Care of Older People
  160. 284 Shared learnings from three distinct clinical quality improvement activities across a tertiary paediatric facility
    6. Vulnerable Populations
  161. 286 Primeros resultados de la implantación de la optimización del modelo de atención a la cronicidad y Gestión de la Demanda en la Unidad de Atención Primaria de Deba de la OSI Debabarrena
    3. Whole System Transformation
  162. 287 Financial barriers decrease the benefits of interprofessional collaboration within integrated care programs: Results of a nationwide survey
    4. Tools and Methods for Supporting Care Coordination
  163. 288 The Colorectal Cancer Screening Programme in the Basque Country: obtaining a good performance by means of professional collaboration
    2. Policy Development
  164. 289 Aplicación experimental del Protocolo sociosanitario para la promoción del buen trato y la detección e intervención ante el maltrato a personas mayores
    2. Policy Development
  165. 290 Estrategia de envejecimiento activo Estrena, Principado de Asturias 2018-2021.
    2. Policy Development
  166. 291 How does a new working method in the Norwegian Labour and Welfare Organization (NAV) succeed in reducing sick leave rates?
    2. Policy Development
  167. 292 Fundamentación de las categorias centrales en procesos de transformación cultural para la implementación de modelos de cuidados integrados centrados en la persona
    3. Whole System Transformation
  168. 294 Gestion de casos en pacientes con cronicidad compleja y con necesidades al final de la vida. Análisis de los resultados.
    4. Tools and Methods for Supporting Care Coordination
  169. 296 Redesigning community palliative care
    10. Palliative and End of Life Care
  170. 300 A pilot program of integration of preventive foot care into comprehensive care of diabetic hemodialysis patients
    8. Education and Training
  171. 301 Esther : person centred integrated system change
    3. Whole System Transformation
  172. 302 Deliver intelligence to integrate care: the Connecare way
    4. Tools and Methods for Supporting Care Coordination
  173. 303 A qualitative study on health professionals’ views on changes towards integrated care in the Basque Health Service
    3. Whole System Transformation
  174. 304 Towards integrated care for older people: experiences from two local initiatives in Catalonia (within the SUSTAIN project)
    3. Whole System Transformation
  175. 305 Regionalisation of comprehensive care for Non-Communicable Diseases – involving local authorities
    1. Population Health
  176. 306 Reducing the Burden of Non-Communicable Disease in Moldovan communities – the role of community nursing
    8. Education and Training
  177. 307 Integrated psychological care in paediatric hospital settings: Determining implementation success
    6. Vulnerable Populations
  178. 308 Enabling transformation of health and social care integration
    2. Policy Development
  179. 309 PlayDecide: Patient Safety – A “serious game” learning tool to discuss medical professionalism in relation to reporting and patient safety
    8. Education and Training
  180. 311 An integrated care model to facilitate best practices for management of ADHD in primary care
    6. Vulnerable Populations
  181. 312 Early-career Researchers in Integrated Care: an elevator pitch to various audiences
    8. Education and Training
  182. 313 Early-career researchers in integrated care: speed networking
    8. Education and Training
  183. 314 Early-career researchers in integrated care: career-panel discussion
    8. Education and Training
  184. 315 Early-career Researchers in Integrated Care: tips and tricks to effectively publish
    8. Education and Training
  185. 316 Models of community based integrated care for people with a learning disability and/or autism: evaluation findings from a national implementation programme
    6. Vulnerable Populations
  186. 318 Integration of the end of life at home
    3. Whole System Transformation
  187. 319 Proceso de co-creación e implantación de un programa de autocuidados entre iguales online en Euskadi
    8. Education and Training
  188. 320 “Cuidando mi salud después del cáncer” de la teoría a la práctica. Implementación y evaluación
    8. Education and Training
  189. 321 How Warrington has created a new integrated model of care that has been designed and implemented seamlessly by multiple partners across a system
    3. Whole System Transformation
  190. 322 Implementation of digital health tools for scalability of a prehabilitation service
    4. Tools and Methods for Supporting Care Coordination
  191. 323 Impact of a long-term policy on mental health system performance and stability: the case of Bizkaia (Basque Country, Spain).
    2. Policy Development
  192. 324 Participative methods to mobilise a whole-system change towards integrated care for chronic care in Belgium: preliminary results of the implementation analysis
    3. Whole System Transformation
  193. 326 Case management and coordination between primary and hospital care
    4. Tools and Methods for Supporting Care Coordination
  194. 327 Guided meditations in the treatment of trauma-related sleep disorders in adjudicated adolescents in New Mexico
    6. Vulnerable Populations
  195. 328 Evaluating Primary Care Plus interventions in the Netherlands: discussion of methods and results regarding the Quadruple Aim
    11. Intermediate Care and Care Transitions
  196. 329 Building enabled communities in Singapore
    3. Whole System Transformation
  197. 330 Integrated Care on the Gold Coast: How design thinking supported the development of people-centred integrated models of care
    3. Whole System Transformation
  198. 331 Children, young people’s and families’ experiences of integrated care within a paediatric tertiary setting in Australia
    1. Population Health
  199. 332 Changes in mental health system performance: the case of Gipuzkoa (Basque Country, Spain).
    2. Policy Development
  200. 333 Coproducing value within the clinical encounter
    2. Policy Development
  201. 334 Neighbourhoods for Wellbeing (N4W) : Modelling and embedding codesign as a mindset and a way of working from the get-go
    3. Whole System Transformation
  202. 335 Designing a virtual coach: Involvement of end-users from early design to prototype
    7. Care of Older People
  203. 336 Multi-criteria decision analysis of a proactive person-centred integrated primary care program care for frail elderly in the Netherlands: U-PROFIT
    7. Care of Older People
  204. 337 Should community pharmacy be 'linked'? The perceptions of including community pharmacy in an integrated care model in Ontario, Canada
    3. Whole System Transformation
  205. 338 Defining clinically relevant quality indicators that matter to people with Down syndrome
    6. Vulnerable Populations
  206. 339 "She was just lying in bed for three days" The experiences of caregivers of patients who are stuck in hospital
    11. Intermediate Care and Care Transitions
  207. 340 The Intersectoral Care Reported by Patients (ICRP) survey: a short and simple survey to assess patient perceptions of integrated care
    9. Data Analysis
  208. 341 Macro-level institutional entrepreneurship in the implementation of integrated care models for older adults in a top-down and bottom-up context.
    3. Whole System Transformation
  209. 343 La coordinación e integración entre profesionales para la mejora en la atención al paciente con necesidades paliativas.
    10. Palliative and End of Life Care
  210. 344 Paseos saludables una oportunidad para la integración
    1. Population Health
  211. 345 Building collaborative practice with consumers in rural and remote australia
    3. Whole System Transformation
  212. 348 Multi-Criteria Decision Analyses of integrated care for multi-morbidity: results of four case studies from the SELFIE project
    9. Data Analysis
  213. 349 Health demand management in primary health care on OSI Donostialdea
    8. Education and Training
  214. 350 The performance measurement of the primary health care quality
    2. Policy Development
  215. 351 Compassionate, helpful, neighbourly – a connected community that cares
    7. Care of Older People
  216. 353 Four paradigms and a fifth quadrant: the r2e2 model (c) and integrated care
    3. Whole System Transformation
  217. 354 What is important to people with multimorbidity and their caregivers? Identifying attributes of person centred primary health care from the user perspective
    7. Care of Older People
  218. 355 The New Health Foundation method for transforming the provision of care to people living with complex chronic conditions: NEWCARE©.
    4. Tools and Methods for Supporting Care Coordination
  219. 356 Electronic messaging system and the challenges for professional judgement
    4. Tools and Methods for Supporting Care Coordination
  220. 357 Implementación del programa de cribado de cáncer colorrectal en el Centro Penitenciario Araba/Álava
    6. Vulnerable Populations
  221. 358 Mejora de la continuidad asistencial de una Area Sanitaria en Oftalmología
    1. Population Health
  222. 359 Compassionate and Supportive Car--No one dies alone
    10. Palliative and End of Life Care
  223. 360 Developmental Diagnostic assessment for children suspected to have developmental disabilities. An interdisciplinary model of care.
    6. Vulnerable Populations
  224. 361 Refuerzo de la acción comunitaria como estrategia para la promoción de la salud en Euskadi.
    2. Policy Development
  225. 362 Creating a culture of improvement for better care
    3. Whole System Transformation
  226. 363 Adherencia a la guía clínica de insuficiencia cardíaca en urgencias del hospital Bidasoa
    4. Tools and Methods for Supporting Care Coordination
  227. 364 Modelling the integration of care among professionals for children assisted with Long–Term Ventilated : A MOCHA study
    4. Tools and Methods for Supporting Care Coordination
  228. 365 Metropolitana Nord community based integrated care programme to people with complex chronic conditions (Programa ProPCC): an experience of integration at meso level in Catalonia
    3. Whole System Transformation
  229. 366 Understanding transitions of care in older adults with hip fractures: A qualitative multiple-case study in Ontario
    11. Intermediate Care and Care Transitions
  230. 367 Primary health care integration in day surgery programs
    3. Whole System Transformation
  231. 368 Accountability in integrated health service delivery in the netherlands, an evidence based integrated care approach
    2. Policy Development
  232. 369 ''Speaking up, being heard: an exploratory study on how emergent voice behavior of auxiliary nurses is received and responded to by colleagues and supervisors''
    8. Education and Training
  233. 370 Study of the wellbeing of people with dementia living in residential care settings with Person Centered Care. The use of a new instrument: List of Indicators of Wellbeing (LIBE).
    7. Care of Older People
  234. 371 Launching the ific sig: engaging non-governmental agencies as partners in integrated care
    1. Population Health
  235. 372 Valoración de la eficacia y factibilidad de un programa de ejercicio físico multicomponente en sujetos mayores frágiles desarrollado en el ámbito comunitario.
    7. Care of Older People
  236. 373 Inspecting integrated health and social care in Scotland: A journey of transformation in scrutiny, assurance and improvment
    2. Policy Development
  237. 375 Desarrollo del factor humano en la organización sanitaria integrada tolosaldea
    8. Education and Training
  238. 376 Programa de prescripción de actividad física en la OSI Donostialdea
    1. Population Health
  239. 377 Envejecimiento saludable en Lezo
    1. Population Health
  240. 378 La Alianza de Salud Comunitaria, una red de intercambio de conocimiento y trabajo compartido.
    1. Population Health
  241. 379 Patient’s new role: healthcare safety assessor. Profile and willingness
    2. Policy Development
  242. 380 Cuidadoras: formación y acompañamiento
    7. Care of Older People
  243. 381 Setting improvement priorities: Importance-Performance-Analysis in care pathways for integrated care
    2. Policy Development
  244. 382 Designing integrated primary care in Toronto Canada
    2. Policy Development
  245. 383 Influencia del sistema en la toma de decisiones y factor humano: "modelo Titanic"
    3. Whole System Transformation
  246. 384 Incorporación del paciente como barrera de seguridad durante la asistencia: actualización del modelo de Reason.
    2. Policy Development
  247. 385 Frailty screening and relationship with oncogeriatric evaluation.
    7. Care of Older People
  248. 386 Campaña de sensibilización ciudadana para promover la participación del paciente en su seguridad
    8. Education and Training
  249. 388 Implementing integrated care models into the curriculum for new health care professionals: A workshop for universities and education providers to share existing programs and practices
    8. Education and Training
  250. 389 Exploring the integration of a nurse practitioner led mental health service in rural Australia
    6. Vulnerable Populations
  251. 390 Asap: appropriate skills for appropriate places
    8. Education and Training
  252. 391 International comparison of midwfery models of care
    6. Vulnerable Populations
  253. 392 Trust me I am a midwife
    1. Population Health
  254. 393 The omis room: integrated care experiences across spain
    3. Whole System Transformation
  255. 394 Integrated care initiative to improve management of paediatric asthma
    1. Population Health
  256. 396 Understanding what makes team interventions work: Learning from healthcare professionals.
    3. Whole System Transformation
  257. 397 Estrategias de capacitación de la persona con una enfermedad crónica
    8. Education and Training
  258. 398 Facilitating the adoption of integrated care pathways in spain
    3. Whole System Transformation
  259. 399 Enseñar al paciente a coger las riendas. Proyectos de educación estructurada
    8. Education and Training
  260. 400 Comunidad y Documento de Voluntades Anticipadas (DVA), una realidad
    10. Palliative and End of Life Care
  261. 401 The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting
    7. Care of Older People
  262. 402 Caminando hacia la salud: creación de una red local
    1. Population Health
  263. 403 Integration of health and social care services for persons in opioid substitution therapy – results of a case study in Austria
    6. Vulnerable Populations
  264. 404 Early signaling and prevention of malnutrition through care integration for elderly people living at home
    7. Care of Older People
  265. 405 Workshop integrating care by payment reform; the case of Dutch birth care
    3. Whole System Transformation
  266. 409 Cat herding for beginners: lessons in mental health integration from a small Australian jurisdiction.
    3. Whole System Transformation
  267. 410 A retrospective chart review of the School Clinic programme for children with intellectual disability
    6. Vulnerable Populations
  268. 411 Co-designing a new approach to delivering integrated services to chronically ill patients within existing funding constraints – Victoria’s HealthLinks trial.
    3. Whole System Transformation
  269. 412 An intersectoral intervention to detect and treat selected somatic chronic diseases in patients with severe mental disease
    3. Whole System Transformation
  270. 413 Multidisciplinary review and discussion of Drug Related Problems in polypharmacy patients in an emergency department
    4. Tools and Methods for Supporting Care Coordination
  271. 415 Lkaleak, (re)tejiendo redes de apoyo comunitario en el barrio de Egia
    7. Care of Older People
  272. 416 Challenges associated with integrating care for people from culturally and linguistically diverse backgrounds who have diabetes
    6. Vulnerable Populations
  273. 417 Early lessons from a VIrtual PulmonAry Rehabilitation (VIPAR) Service
    1. Population Health
  274. 418 Comparative analysis of assistive technologies for Older People: Hoist or patients lifts
    7. Care of Older People
  275. 419 Empowering communities through active ageing
    7. Care of Older People
  276. 420 Primary care and hematology department: referral and management guidelines
    4. Tools and Methods for Supporting Care Coordination
  277. 421 Identifying patients at highest-risk: the best timing to apply a readmission predictive model
    3. Whole System Transformation
  278. 422 The ‘waze’ of inequity reduction frameworks for organizations
    3. Whole System Transformation
  279. 423 Fostering improvement in social centres for integrated care through a certification process
    2. Policy Development
  280. 424 The affect of a pilot Discharge to Assess process on unscheduled care performance.
    9. Data Analysis
  281. 425 Care at the end of life in patients with advanced dementia institutionalized
    10. Palliative and End of Life Care
  282. 426 Enhancing Children´s and Adolescents´ Learning, Engagement and Well-Being in Schools via Well-Being in Schools-specialization program for teachers
    8. Education and Training
  283. 427 Experiencia de Integración de Residencias para personas mayores en la OSI Barrualde-Galdakao
    4. Tools and Methods for Supporting Care Coordination
  284. 428 Depression and contribution of active ageing groups in its reduction
    7. Care of Older People
  285. 429 Development and implementation of an acute geriatric community clinic.
    11. Intermediate Care and Care Transitions
  286. 430 Multiple perspectives analysis of the implementation of an integrated care model for older adults in Quebec
    3. Whole System Transformation
  287. 431 Applying kinaesthetics in care
    8. Education and Training
  288. 432 Co-producing a preventative intervention for children at risk of early language and behaviour difficulties
    1. Population Health
  289. 433 Regional integrated care in Finland: a case study on two counties with comprehensive integration of primary and specialised health care and social services
    3. Whole System Transformation
  290. 434 A systematic analysis of the multi-annual journey of Badalona towards integrated care
    2. Policy Development
  291. 435 Carpeta de salud electrónica vasca: camino hacia una sanidad sostenible, participativa y moderna
    4. Tools and Methods for Supporting Care Coordination
  292. 438 My Health Memory - A lifetime medical record in the hands of patients and carers
    3. Whole System Transformation
  293. 439 Prevent skin cancer in the society, an evidence based integrated care approach
    1. Population Health
  294. 440 Early detection of malnutrition in community dwelling older people An evidence based integrated care approach
    1. Population Health
  295. 441 Special interest group Evidence based integrated care
    9. Data Analysis
  296. 444 Patient information role in integrated health care
    4. Tools and Methods for Supporting Care Coordination
  297. 445 Engaging and empowering people to improve chronic care and patients’ outcomes
    3. Whole System Transformation
  298. 446 Evaluating provider- and patient-related drivers of why care is not concordant with guidelines for patients with multiple chronic conditions
    7. Care of Older People
  299. 447 Qué piensan los profesionales sanitarios de Andalucía sobre diseño, calidad y utilidad de la información de las aplicaciones móviles de salud
    4. Tools and Methods for Supporting Care Coordination
  300. 448 Uso y valoración de aplicaciones móviles de salud por los profesionales sanitarios de Andalucía para la mejora de la continuidad asistencial y la comunicación
    8. Education and Training
  301. 449 The myelomeningocele follow-up program: the Swedish initiative to ensuring multidisciplinary healthcare for individuals with myelomeningocele
    3. Whole System Transformation
  302. 450 Effectiveness of an exercise programme to improve the quality of life of patients with heart failure in primary care: The EFICAR study
    1. Population Health
  303. 451 Implementación de un nuevo modelo integral de salud comunitaria en Cataluña
    2. Policy Development
  304. 452 Analysis of a scoreboard of quantitative indicators to assess the performance on integrated care in the Basque Health System
    9. Data Analysis
  305. 453 Strategy for the development of integrated care pathways (ICP) in the Valencian Community (Spain) 2016-2018
    3. Whole System Transformation
  306. 454 Perceptions of healthcare services and preference of factors related to care planning among active older persons
    7. Care of Older People
  307. 456 A global review of current and emerging education and training to advance integrated systems of care
    8. Education and Training
  308. 458 Special Interest Group: Regulating and inspecting integrated care
    2. Policy Development
  309. 459 Counting Sheep - the journey to outcome based commissioning
    5. Financing Integrated Care
  310. 460 Cuidados paliativos en cruz roja donostia
    10. Palliative and End of Life Care
  311. 461 Transforming care for people with dementia using the Internet of Things
    7. Care of Older People
  312. 462 Actuacion integral frente al retorno a domicilio
    11. Intermediate Care and Care Transitions
  313. 466 Implementation and evaluation of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: a feasibility study
    11. Intermediate Care and Care Transitions
  314. 467 Facilitate access to hepatitis C treatment in opiate dependant patients: an strategy between different assistance levels
    6. Vulnerable Populations
  315. 470 Patients’ attitudes to and experience of the use of technology in mental health in an Irish primary care setting
    6. Vulnerable Populations
  316. 471 Feasibility and effectiveness of implementing an integrated care model for attention deficit hyperactivity disorder in primary care pediatrics
    3. Whole System Transformation
  317. 472 Seamless Care Optimizing the Patient Experience (SCOPE) - Co-designing the scaffolding for primary care integration
    3. Whole System Transformation
  318. 473 Getting the system to invest in integrated care - lessons from the integration stayers
    3. Whole System Transformation
  319. 474 Culture trumps everything: The (un)expected truth about building a frailty team across the continuum for a vulnerable population
    7. Care of Older People
  320. 475 Collaborative centre for cardiometabolic health in psychosis - integrating traditional healthcare to meet the needs of the mental health population
    6. Vulnerable Populations
  321. 479 Implementation of the Health Care Homes model in Australian primary care
    3. Whole System Transformation
  322. 480 Amending integrated perinatal care policy to respond to women in distress in pregnancy using a risk stratification model
    2. Policy Development
  323. 481 Engaging hearts and minds: An in-depth qualitative examination of health professionals’ perceptions of, and experiences with, an integrated, hospital-based mental health service dedicated to childhood heart disease.
    3. Whole System Transformation
  324. 482 Obesity in children and adolescents: Empowering families through engagement of specialist and municipalities.
    1. Population Health
  325. 485 CPUP- A multidisciplinary secondary prevention program for individuals with cerebral palsy
    3. Whole System Transformation
  326. 486 The Children and Young People’s Health Partnership (CYPHP) Evelina London Model of Care: an opportunistic cluster randomised trial to assess child health outcomes, healthcare quality, and health service use
    3. Whole System Transformation
  327. 487 Transforming stroke care – the irish national stroke programme
    3. Whole System Transformation
  328. 488 Integrating research: the case of aging in a health research institute
    2. Policy Development
  329. 490 Association between cultural factors and readmissions: the mediating effect of the quality of transitional care
    11. Intermediate Care and Care Transitions
  330. 492 Rotterdam Stroke Service: audits for the quality of integrated care
    2. Policy Development
  331. 493 Parents experiences with integrated family obstetric and neonatal level 2 care to improve patient empowerment.
    1. Population Health
  332. 494 Ific sig workshop: values in integrated care
    2. Policy Development
  333. 495 Fundamentals of Implementation Research for changing clinical practice
    3. Whole System Transformation
  334. 496 Assessing patient's experience in an integrated care context by means of health survey
    9. Data Analysis
  335. 497 Challenges related to health information on the Internet: a narrative review
    4. Tools and Methods for Supporting Care Coordination
  336. 498 Improving capacity and patient access in general practice
    3. Whole System Transformation
  337. 499 Advancing in Integrated Care:Results of 4 years of evaluation
    3. Whole System Transformation
  338. 500 Implementation and impact of co-locating the voluntary sector with a multidisciplinary, cross-sector community hub at the Integrated Care Organisation (ICO) in Torbay and South Devon, UK
    1. Population Health
  339. 501 Evaluación del modelo de recuperación en la Red de Salud Mental de Bizkaia
    6. Vulnerable Populations
  340. 502 Mrs Smith - Chapter 2: Vertical and horizontal integration and care model implementation in the Integrated Care Organisation (ICO) in Torbay and South Devon, UK - a workshop on leadership and co-production
    3. Whole System Transformation
  341. 503 Shared care for patients with type 2 diabetes across general practice, hospital and municipality
    4. Tools and Methods for Supporting Care Coordination
  342. 504 Eficacia del papel de la enfermer@ gestor@ de casos (EGC) como modelo integrador para la reducción de comorbilidades en una unidad de atención al paciente diabético crónico.
    7. Care of Older People
  343. 505 Short- and long-term effects of the patient education - Learning and Coping - in cardiac rehabilitation: a randomised controlled trial
    8. Education and Training
  344. 506 "Center of Geriatric Care" project- the development of the interdisciplinary home-based care model for elderly patients in Gdansk, Poland. Pilot study.
    7. Care of Older People
  345. 507 Effects of the patient education strategy - Learning and Coping - in cardiac rehabilitation on mortality and readmissions: a randomised controlled trial (LC-REHAB)
    8. Education and Training
  346. 508 End of life care in a Central-Asian state: from public indifference to accepting
    10. Palliative and End of Life Care
  347. 509 Atención Integrada de la Ela y otras Enfermedades de la Motoneurona en la osi araba
    10. Palliative and End of Life Care
  348. 510 Cuidados Paliativos en un entorno integrado. Saltando barreras.
    10. Palliative and End of Life Care
  349. 511 Lessons from the English National Health Service new care models programme
    9. Data Analysis
  350. 512 An Evaluation of an Integrated Intermediate Acute Response Team (ART) in delivering person-centred, co-ordinated care
    11. Intermediate Care and Care Transitions
  351. 513 Incorporando los determinantes sociales de la salud en la estrategia de salud del País Vasco
    1. Population Health
  352. 514 Think local, act personal: Lessons from an integrated primary care initiative for frail, older people
    7. Care of Older People
  353. 515 Financing an integrated care “network-physician” by preventing ambulatory care sensitive hospitalizations. Results of a health-economic modelling approach based on data from an integrated care system
    2. Policy Development
  354. 516 Oncología de Enlace: resultados y retos futuros
    1. Population Health
  355. 517 Seville, compassionate city.
    10. Palliative and End of Life Care
  356. 518 PalliSupport – The development, feasibility and implementation of a transitional integrated care pathway for older patients with palliative care needs
    10. Palliative and End of Life Care
  357. 519 Health and Social Care systems reaching out to vulnerable populations with chronic conditions: the EU-project EFFICHRONIC.
    6. Vulnerable Populations
  358. 520 Health and vulnerability: creating a care guideline for general practitioners
    1. Population Health
  359. 521 Integrating acute and subacute care through dynamic adaption of care intensity: The Integrated General Hospital Pilot in Singapore.
    3. Whole System Transformation
  360. 522 Person-centered and integrated care: a discussion of concepts
    7. Care of Older People
  361. 523 Parte Hartu: Compartimos nuestras ideas y experiencias para crecer
    3. Whole System Transformation
  362. 525 Collaboration and interdisciplinary practice between mental health crisisservices and the police
    6. Vulnerable Populations
  363. 526 "Get active for mental health: a project evaluated for active involvement of families and users"
    6. Vulnerable Populations
  364. 527 A roadmap to assess patient experience with person-centered integrated care: when, what and how?
    4. Tools and Methods for Supporting Care Coordination
  365. 528 Can the jointly collection of PROMs and PREMs improve integrated care? The changing process of the assessment system for the hearth failure path in Tuscany Region.
    4. Tools and Methods for Supporting Care Coordination
  366. 529 Qualitative inquiry into the experiences of diabetes management among low-income women in Singapore
    1. Population Health
  367. 530 A case study exploring therapeutic communication as a mechanism for delivery of integrated care management (icm) by home healthcare (hhc) nurses
    7. Care of Older People
  368. 531 Informal caregivers’ judgements on sharing care with home care professionals from an intersectional perspective: the influence of personal and situational characteristics
    7. Care of Older People
  369. 532 Developing a support program for care networks of home-dwelling older persons
    4. Tools and Methods for Supporting Care Coordination
  370. 533 Practice change on transitional care
    4. Tools and Methods for Supporting Care Coordination
  371. 534 The use of an App to help improve diagnosis of dementia in Primary Care
    7. Care of Older People
  372. 535 Atención integrada de los problemas psicoafectivos en la infancia: ¿es posible mejorar su abordaje mediante el trabajo en equipo de pediatría y psicología infantil?
    1. Population Health
  373. 536 Implementing a new model in primary care for older canadians living with frailty
    3. Whole System Transformation
  374. 537 Using whole population data to put integrated care into practice: the North West London experience
    9. Data Analysis
  375. 538 Urgency in emergency cases in elderly care, applying the Kings Fund model in the Netherlands
    11. Intermediate Care and Care Transitions
  376. 539 Citizen Science in Blue Care: a partnership between research, practice, policy and the community
    1. Population Health
  377. 540 Evaluación de la calidad de vida y estado de salud percibido de una cohorte de pacientes crónicos en una unidad de continuidad asistencial
    7. Care of Older People
  378. 541 Lessons in sustainability: The re-imagination of integrated care in Ontario, Canada
    3. Whole System Transformation
  379. 542 The use and satisfaction with healthcare services of Aboriginal and Torres Strait Islander students at boarding schools: Baseline results
    6. Vulnerable Populations
  380. 543 Continuous quality improvement and comprehensive primary healthcare: a systems framework to improve service quality and health outcomes
    6. Vulnerable Populations
  381. 544 Peer-to-peer interactions for better customer experience
    1. Population Health
  382. 545 Associations between primary care continuity and acute care utilization among adult inpatients
    9. Data Analysis
  383. 546 User-centred co-design with multiple user groups: The case of the electronic Patient Reported Outcome (ePRO) mobile application and portal
    4. Tools and Methods for Supporting Care Coordination
  384. 547 Engaging in international case comparison: How can we learn across borders?
    3. Whole System Transformation
  385. 548 Planning health services for the 21st Century; using population health intelligence to guide integrated strategic planning and investment
    1. Population Health
  386. 549 Electronic, Real-Time use of Patient Reported Measures to improve health outcomes, experiences and drive system transformation.
    3. Whole System Transformation
  387. 550 A question of equity; Partnering across Government agencies to improve health outcomes for vulnerable children and young people – Navigate your Health
    1. Population Health
  388. 551 Promoting the application of policy documents by nursing and midwifery staff at the point of care: a mixed-methods study.
    2. Policy Development
  389. 552 An organisational approach to embedding people-centred practice - Whānau Ora our new norm
    3. Whole System Transformation
  390. 553 Implementation and cost effectiveness evaluation of an integrated mental health stepped care service for adults in primary care
    6. Vulnerable Populations
  391. 554 Insights from health data - the national healthcare group chronic disease management system (singapore)
    9. Data Analysis
  392. 555 The He Pikinga Waiora process evaluation tool guiding implementation of chronic condition interventions in Māori and other Indigenous communities
    9. Data Analysis
  393. 556 Valuing the change that matters - Mental health wellbeing of 10-13 year olds
    3. Whole System Transformation
  394. 560 Diseño e implementación de un proyecto piloto interinstitucional para la integración socio-sanitario-educativa de niños y niñas con enfermedades crónicas complejas y otras necesidades especiales (EVAI: Equipo de valoración de la atención integrada)
    3. Whole System Transformation
  395. 561 Living Well, Living Longer - transforming care to improve health inequalities in people with severe mental illness
    3. Whole System Transformation
  396. 562 A model of care coordination for patients with complex health and social care needs – what is best?
    6. Vulnerable Populations
  397. 563 Value based health care in the rotterdam stroke service
    2. Policy Development
  398. 565 “IEMAC (Instrumento de Evaluación de Modelos de Atención a la Cronicidad) e IEXPAC (Instrumento de Experiencia del Paciente Crónico y su Cuidador): Experiencia de un partnership de 8 años en Evaluación e Implementación de modelos de atención integrada”
    3. Whole System Transformation
  399. 566 Differences in awareness between physicians and nurses for postoperative delirium and persistent cognitive dysfunction in geriatric patients
    7. Care of Older People
  400. 567 Experiencia del Equipo de Terapia Intravenosa (ETI) en la mejora en la gestión del cuidado vascular mediante coordinación entre los distintos niveles asistenciales en la OSI-Araba
    3. Whole System Transformation
  401. 568 Presenting the status of project SIFT – Research of the patient flows and structures in health and social services in three Finnish cities in 2009–2015
    9. Data Analysis
  402. 569 Interdisciplinary education and research as a basis for the integration of social and health care
    8. Education and Training
  403. 570 Building a Healthy Resilient Waterloo in inner Sydney: working with social housing tenants to develop solutions to improve health and to build a healthy future environment
    6. Vulnerable Populations
  404. 571 Interprofessional collaboration between general practitioners and home nurses in Belgium: a participatory action research
    4. Tools and Methods for Supporting Care Coordination
  405. 572 SCIROCCO tool to support knowledge transfer in integrated care
    4. Tools and Methods for Supporting Care Coordination
  406. 573 A qualitative study of a local care system to identify issues and strategies for integrating Emergency Department and General Practice care
    3. Whole System Transformation
  407. 574 Tools to support anticipatory care planning and polypharmacy reviews
    4. Tools and Methods for Supporting Care Coordination
  408. 576 Taller experiencial “en la piel del enfermo"
    10. Palliative and End of Life Care
  409. 577 Post-hospital syndrome (phs) and potentially preventable hospitalizations (pph) in adults
    11. Intermediate Care and Care Transitions
  410. 578 Claims based risk adjusted budget allocation in integrated care in Belgium
    5. Financing Integrated Care
  411. 579 Primary healthcare overhaul in Andalusia (Spain)
    2. Policy Development
  412. 580 Donostia lagunkoia plan de ciudad
    2. Policy Development
  413. 581 Population Risk Stratification
    9. Data Analysis
  414. 582 A systematic review and meta-analysis of chronic and integrated care models to improve child health
    3. Whole System Transformation
  415. 583 Ejercicio físico para mejorar la calidad de vida de las personas en tratamiento por procesos tumorales: estudio EFICANCER
    10. Palliative and End of Life Care
  416. 584 Technology as a cornerstone in population health management programs
    4. Tools and Methods for Supporting Care Coordination
  417. 585 Personalized Action Plan in Andalusia: supporting the Chrodis-Plus integrated care model for multimorbidity
    4. Tools and Methods for Supporting Care Coordination
  418. 586 Atención integrada a la persona mayor en Osakidetza.
    7. Care of Older People
  419. 587 Co-creation and integration when improving residential care for the elderly
    3. Whole System Transformation
  420. 588 Health systems and genuine engagement: experiences and outcomes of a New Zealand Community Health Council
    3. Whole System Transformation
  421. 589 Eskolara Lagunekaz Leioa, al cole con amig@s.
    1. Population Health
  422. 590 Towards a decision support system to better integrate primary and dental care
    4. Tools and Methods for Supporting Care Coordination
  423. 591 Etxean Bizi. Estar en casa bien: integración de servicios para envejecer en casa.
    3. Whole System Transformation
  424. 592 Interorganizational and multidisciplinary collaboration for persons with Autism Spectrum Disorder: towards more integration of care in Flanders.
    2. Policy Development
  425. 594 Instituto de Investigación Sanitaria Biodonostia-OSI Donostialdea: un modelo de innovación
    2. Policy Development
  426. 595 Health system capacity to report on indicators fostering integrated people-centred HIV care: findings from six European countries
    9. Data Analysis
  427. 596 Evaluation of a patient-centered organizational model for multimorbidity in general practice in Denmark - a feasibility study
    7. Care of Older People
  428. 597 Historia sociosanitaria: conjunto mínimo de datos
    4. Tools and Methods for Supporting Care Coordination
  429. 599 “Vive sin tabaco”, a mobile application for smoking cessation develovep by Osakidetza
    4. Tools and Methods for Supporting Care Coordination
  430. 600 El caso Uribe. Rediseñando la atención sanitaria.
    3. Whole System Transformation
  431. 601 Portal de atención sociosanitaria en euskadi
    4. Tools and Methods for Supporting Care Coordination
  432. 603 El caso de la OSI Uribe. Superando los paradigmas actuales.
    3. Whole System Transformation
  433. 604 Workshop systems theory as a shared theory for change.
    3. Whole System Transformation
  434. 605 The complexity of caring for the dying - an empirical approach to understanding palliative care as integrated care in the German healthcare system
    10. Palliative and End of Life Care
  435. 606 Community Health Post - Enabling seniors to better manage their health
    7. Care of Older People
  436. 607 Public reporting to facilitate integration of physical and mental care for hospital patients
    2. Policy Development
  437. 608 Evaluating models of neighbourhood care
    9. Data Analysis
  438. 609 Implantación de la receta electrónica e-rezeta en el ámbito sociosanitario
    3. Whole System Transformation
  439. 610 The role of health care professionals in collaboration in primary health care
    3. Whole System Transformation
  440. 611 Integración asistencial y funcional en el proceso de embarazo, parto y puerperio
    3. Whole System Transformation
  441. 612 Meeting boundaries - An empirically grounded reflection on the contribution of meeting events to changing political, social and personal conceptions of mental health.
    6. Vulnerable Populations
  442. 613 If health promotion is so important, why is it not systematically integrated into primary care and community organizations? Scoping Review on Implementation Strategies
    3. Whole System Transformation
  443. 614 Management of malaria, pneumonia and diarrhoea: addressing the needs of under-fives via culturally appropriate community – level strategy in Benue state, Nigeria
    6. Vulnerable Populations
  444. 615 Sig realist research design and evaluation for integrated care, wokring meeting
    9. Data Analysis
  445. 616 Sig realist research design and evaluation, methods workshop
    9. Data Analysis
  446. 617 Diferencias en el control de patologías crónicas entre pacientes institucionalizados y no institucionalizados a partir de un Cuadro de Mando
    9. Data Analysis
  447. 618 Linkages between health and community organizations for increasing long-term adherence to physical exercise: experiences of patients involved in the EfiKroniK Program
    3. Whole System Transformation
  448. 619 Sig health and social care working meeting
    1. Population Health
  449. 620 Nuevo servicio de atención a personas mayores, con fragilidad, o con deterioro funcional en Atención Primaria: resultados preliminares.
    7. Care of Older People
  450. 621 Nobody Left Outside (NLO) Checklist: Improving access to healthcare for vulnerable and underserved groups
    2. Policy Development
  451. 622 Atención sociosanitaria en euskadi: modelo de gobernanza y liderazgo
    2. Policy Development
  452. 623 Atencion integrada continua en el paciente hematológico con tratamiento activo. Un reto a conseguir.
    4. Tools and Methods for Supporting Care Coordination
  453. 624 Sig Integrating care for children youth people and their families working meeting
    1. Population Health
  454. 626 Mirada activa-Detectando situaciones de soledad entre las personas mayores
    7. Care of Older People
  455. 627 Patients with non-oncological chronic conditions: Improving end-of-life care through integrated care and early palliative care provision
    10. Palliative and End of Life Care
  456. 628 The effects of a self-management programme(Stanford model) on adults in County Donegal with long term health conditions
    4. Tools and Methods for Supporting Care Coordination
  457. 631 Data science approaches to targeting and measuring transformational change
    9. Data Analysis
  458. 632 La farmacia como agente del sistema de salud
    7. Care of Older People
  459. 633 Designing a survey assessing the scale and spread of integrated care in the iCOACH project
    3. Whole System Transformation
  460. 634 Evaluating Triple Aim in integrated care through claims data
    9. Data Analysis
  461. 636 Integration in home care, effects on worker stress
    7. Care of Older People
  462. 637 Ruta de atención al paciente con EPOC: incorporando la visión del paciente a través de ASBIEPOC (Asociación de Bizkaia de pacientes EPOC)
    2. Policy Development
  463. 639 Integration and its association with stress and quality of care – exploring collaboration between sectors
    3. Whole System Transformation
  464. 640 Implementación del plan de cuidados paliativos del gobierno vasco en un servicio de hospitalización a domicilio
    3. Whole System Transformation
  465. 641 Primary and community teams – expanding opportunities for future networks.
    3. Whole System Transformation
  466. 642 Rural Maternity Day assessment and Ultrasound scanning service development
    1. Population Health
  467. 643 Multi-level strategy to promote equity through empowerment and participation
    2. Policy Development
  468. 644 Etxean bizi. Metodología de estudio
    3. Whole System Transformation
  469. 645 Implementación del plan de cuidados paliativos del gobierno vasco en un servicio de hospitalización a domicilio
    3. Whole System Transformation
  470. 646 Empoderando al paciente de fisioterapia a través del uso de las TIC.
    4. Tools and Methods for Supporting Care Coordination
  471. 647 Supporting community recovery and reducing readmission risk following critical illness in icu survivors.
    3. Whole System Transformation
  472. 648 COORDINACIÓN SOCIOSANITARIA en la OSI GOIERRI-ALTO UROLA. COMPARTIENDO TIEMPO Y HERRAMIENTA
    1. Population Health
  473. 649 The Self Management Fund for Scotland: supporting the development and evaluation of person led self management approaches across Scotland for ten years.
    4. Tools and Methods for Supporting Care Coordination
  474. 651 The links between co-creation during conception in the restructuring of care organization and appropriate loco-regional network governance? Initial mechanisms identified in Belgian “integreo” projects.
    3. Whole System Transformation
  475. 652 Integrated approach to complex Heath needs of homeless populations
    6. Vulnerable Populations
  476. 653 Help me understand what is important to you, co-designing outcome measures that matter to people: A systematic review of the literature
    2. Policy Development
  477. 654 Coordinación Sociosanitaria. Dos estructuras con un objetivo común: la persona
    6. Vulnerable Populations
  478. 655 Service selection approach in ACT@Scale project: methodology and results
    1. Population Health
  479. 656 Rural emergency care 360°: mobilising healthcare professionals, decision-makers, patients and citizens to improve rural emergency care in the province of Quebec, Canada
    3. Whole System Transformation
  480. 659 The pathway for the elderly from 75 years old and above: experimental implementation and evaluation of an integrated model care in France
    7. Care of Older People
  481. 660 "Experiencia en la creación de la Red Local de Salud de Oñati"
    1. Population Health
  482. 661 The integrated care performance assessment tool: a co-design approach
    9. Data Analysis
  483. 662 Evaluation and Implementation of integrated care program for multimorbid patients within ACT@Scale project - Basque health service (Osakidetza)
    7. Care of Older People
  484. 663 "La participación de los pacientes, reto y realidad en una atención integral"
    4. Tools and Methods for Supporting Care Coordination
  485. 664 The co-creation in the design and use of a dashboard to develop a population health approach: initial experience from Integreo program in Belgium
    3. Whole System Transformation
  486. 665 Piloting the “Rural Emergency 360” project in two emergency departments in Quebec, Canada: Can we really mobilize citizens, patients and multiple stakeholders to improve health care ?
    6. Vulnerable Populations
  487. 666 New integrated care models to improve health, healthcare quality, and patterns of service use among children and young people
    1. Population Health
  488. 667 The stroke pathway: an integrated approach to health care of stroke patients.
    3. Whole System Transformation
  489. 669 The challenges of delivering universal and integrated care - evidence to inform policy implementation in Ireland and internationally
    3. Whole System Transformation
  490. 670 Digital health initiatives and the policy context in European integrated health systems
    3. Whole System Transformation
  491. 671 An integrated, cost-effective efficient chain to deliver botulinum toxin in optimal conditions.
    3. Whole System Transformation
  492. 672 Contribution of an arts-based approach in collaboration with Cirque du Monde, by Cirque du Soleil to the mobilization and understanding of research results in a rural community.
    1. Population Health
  493. 673 AUTAPP Project: developing a Clinical Decision Support System for personalizing psychosocial interventions in ASD patients through scientific evidence and mobile technologies
    4. Tools and Methods for Supporting Care Coordination
  494. 674 Shaping leadership for place: Results from a system diagnostic across 3 Integrated Care Partnership systems
    3. Whole System Transformation
  495. 676 A campus to bring community services together to form a coherent network of care – The Queenstown experiment
    3. Whole System Transformation
  496. 678 The social nature of health policy implementation – an empirically-grounded reflection on the implementation of integrated care in the fields of mental health and chronic diseases.
    3. Whole System Transformation
  497. 679 Purpose, Population and Place: 12 Practical considerations in designing and building a integrated model of care
    3. Whole System Transformation
  498. 680 Provider values in the adoption of goal-oriented care: an international comparative case study
    1. Population Health
  499. 681 Integrated Primary and Geriatric Care with a longitudinal approach: +AGIL Barcelona: A real case of an integrated primary care.
    7. Care of Older People
  500. 683 Linking manager's, health provider's and patient's assessment of chronic illness care
    3. Whole System Transformation
  501. 684 The Social Quality Model and its impact on quality of life among patients with heart failure in the United States and the Netherlands: results from a cross-national survey
    1. Population Health
  502. 685 Co-creating and implementing resources to improve family caregiver experiences in geriatric services
    7. Care of Older People
  503. 686 Supporting the leadership development of Integrated Team Leaders; applying the essential building blocks to support and improve team performance
    3. Whole System Transformation
  504. 687 East Sussex Better Together (ESBT) Alliance: Delivering a shift to integration in the context of financial challenge
    3. Whole System Transformation
  505. 688 The SUSTAIN project: lessons learned from improving integrated care for older people living at home in Europe
    7. Care of Older People
  506. 689 Is it worth reorganizing cancer services on the basis of network-based models to produce integration at the point-of-care? Lessons learned from Quebec.
    3. Whole System Transformation
  507. 690 The development of an intersectoral intervention to patients with severe mental disease and selected somatic chronic diseases
    3. Whole System Transformation
  508. 691 Home based primary care services in Singapore
    7. Care of Older People
  509. 692 Ageing of elderly in Biscay: Active Ageing Index as a tool to monitor
    2. Policy Development
  510. 693 Bridging the gaps between health, social and local services, to improve care for people living with rare and complex conditions: key findings of the EU-funded INNOVCare project and its case management pilot
    4. Tools and Methods for Supporting Care Coordination
  511. 694 The role of volunteers in improving rehabilitation patients' experiences and outcomes.
    8. Education and Training
  512. 695 Integrated-care clinics: patient management and return to work rates
    3. Whole System Transformation
  513. 696 The strategy of development and implementation of care pathway: literature review
    3. Whole System Transformation
  514. 699 Reframing healthcare services through the lens of Co-Production: teaching health professionals to explore the link between patient care, coproduction, and the Social Quality Model
    8. Education and Training
  515. 700 Co-creation of a Model for Intersectoral Health Care delivery on type II diabetes – A collaboration between patients, healthcare professionals, and researchers.
    1. Population Health
  516. 702 Investigating central american older adult service systems for people with dementia: a social network analysis
    7. Care of Older People
  517. 703 Elderly patients with Cancer, global assesment. Results of Nursing evaluation
    7. Care of Older People
  518. 706 Frailty, a new challenge to be tackled in order to improve integrated care in older people. The Advantage Joint Action recommendations.
    7. Care of Older People
  519. 707 Government leadership that supports community-lead integrated care: An analysis of advances and missteps
    3. Whole System Transformation
  520. 710 Asistencia psiquiátrica integral de los reclusos con enfermedad mental en Centro Penitenciario de Araba/Álava como reto en la integración en población vulnerable
    6. Vulnerable Populations
  521. 711 Integrated comprehensive care- bundled care and funding: transition from hospital to home
    3. Whole System Transformation
  522. 712 From self-assessment to knowledge transfer and improvement in integrated care: How to engage voluntary sector in the provision of integrated care?
    4. Tools and Methods for Supporting Care Coordination
  523. 715 Developing a strategy for evaluating integrated Mental Health programmes in Catalonia
    9. Data Analysis
  524. 716 Promising models of multi-disciplinary integrated people-centred family services in six OECD countries
    1. Population Health
  525. 717 Identification of barriers and facilitators in nationwide implementation of standardized structured reporting among multidisciplinary team members: a qualitative study
    4. Tools and Methods for Supporting Care Coordination
  526. 718 Effectiveness of self-care program for hospital readmissions prevention in patients with potentially avoidable hospitalizations: (AUTOCUID) randomized clinical trial
    4. Tools and Methods for Supporting Care Coordination
  527. 719 Impact of “enhanced” intermediate care located in a health & wellbeing hub at the integrated care organisation (ico) in torbay and south devon, uk
    11. Intermediate Care and Care Transitions
  528. 720 Title: CHRODIS+: Implementing good practices and tools across EU
    3. Whole System Transformation
  529. 722 Adherence to the treatment of first choice after hospital discharge by congestive heart failure (CHF), risk factors and socio-economic determinants
    1. Population Health
  530. 724 Inter-professional education in primary health care: the "culture circles" experience
    8. Education and Training
  531. 725 “Evaluación de una intervención comunitaria con Metodología ProCC para hombres en situación de vulnerabilidad”
    1. Population Health
  532. 727 Electronic health records use in primary care of patients with multimorbidity
    4. Tools and Methods for Supporting Care Coordination
  533. 728 Patient centred transitional care for patients transferred from intensive care unit to general ward: a mixed methods study
    11. Intermediate Care and Care Transitions
  534. 729 Advanced access in primary health care: improving the people-centred service
    4. Tools and Methods for Supporting Care Coordination
  535. 732 Improving multidisciplinary collaboration – a case study from the Netherlands
    7. Care of Older People
  536. 733 Addressing safety in integrated care programs for older people living at home: A systematic review
    7. Care of Older People
  537. 734 Addressing women's mental health disparities through an integrated midwifery model
    6. Vulnerable Populations
  538. 735 Internaciones por Condiciones Sensibles a la Atención Primaria: una mirada sobre el cuidado a las personas con enfermedad crónica
    4. Tools and Methods for Supporting Care Coordination
  539. 736 Health promotion education for children: an intersectoral project
    1. Population Health
  540. 737 Long-Term Conditions Questionnaire (LTCQ): a new tool for evaluation of integrated people-centred services in the context of multi-morbidity and complex care needs
    7. Care of Older People
  541. 738 The Pan American chronic care observatory (pacco)
    2. Policy Development
  542. 739 People-centred integrated care: co-designing standards - igniting a movement
    3. Whole System Transformation
  543. 740 Evaluating the integrated management of chronic diseases
    4. Tools and Methods for Supporting Care Coordination
  544. 741 La integración multidisciplinar amplia el horizonte de la donación
    1. Population Health
  545. 743 Moving towards integrated local policies for health: facilitators and challenges for the implementation of Health in All Policies in the Spanish context
    2. Policy Development
  546. 744 Community Programme to address the needs of the population aged 0-18 in situations of poverty and social exclusion in Bilbao: Caixa ProInfancia Programme
    1. Population Health
  547. 745 The main health goals and key processes of integrated care organization as the principal base of job’s agreement with medical staff – influence on effectiveness and quality of care
    5. Financing Integrated Care
  548. 746 Challenges of an attempted cross-national comparison of healthcare and social care utilization and costs in patients with congestive heart failure in the United States and Netherlands
    9. Data Analysis
  549. 747 Holding the gains in Reshaping Care
    3. Whole System Transformation
  550. 748 Anticipatory care and predictive analytics; sensemaking in the emerging world of 'big data'
    4. Tools and Methods for Supporting Care Coordination
  551. 750 Digital technology providing real time feedback about what matters most to patients: lessons learnt and moving forward
    4. Tools and Methods for Supporting Care Coordination
  552. 752 Health promotion in basque local primary care centers: results from implementation strategy optimization and evaluation
    3. Whole System Transformation
  553. 753 The implementation of a cross-jurisdictional clinical network for congenital heart disease
    2. Policy Development
  554. 755 Friendly Basque Country: Actions for promote dementia friendly communities
    7. Care of Older People
  555. 756 Historia Sociosanitaria de Euskadi: Diagnóstico de situación, requerimientos para su desarrollo y retos
    4. Tools and Methods for Supporting Care Coordination
  556. 757 Prioridades estratégicas de atención sociosanitaria. euskadi 2017-2020
    2. Policy Development
  557. 758 Outcomes in Specialist Rehabilitation Medicine and their impact of waiting times
    1. Population Health
  558. 760 Care coordination for children with medical complexity results in savings for the healthcare system and for families
    3. Whole System Transformation
  559. 761 Families as Partners: Co-design of a localised model of care for children with medical complexity living in rural Australia and evaluation using the Paediatric Integrated Care Survey (PICS)
    3. Whole System Transformation
  560. 762 Piloting home infusions of Tysabri (natalizumab): a randomised crossover trial
    4. Tools and Methods for Supporting Care Coordination
  561. 763 Realist-informed rapid-cycle evaluations for integrated care programs
    9. Data Analysis
  562. 764 The soft skills of hospital managers in Poland and integrated health care
    8. Education and Training
  563. 765 Compartiendo buenas prácticas. Modelo integral centrado en la persona. Asociación Parkinson Madrid
    3. Whole System Transformation
  564. 767 Differentiating specific health needs of recent homeless immigrants: moving forward from an integrated approach to placate the “healthy immigrant effect”.
    6. Vulnerable Populations
  565. 768 Integrated care for the inhabitants of the city Leuven: Protocol of the ZORGZAAM Leuven integrated care project.
    3. Whole System Transformation
  566. 769 Delivering the digital backbone for integrated care in Ontario, Canada
    3. Whole System Transformation
  567. 770 My Diabetes My Way: user experiences, clinical outcomes and health economics impact of an electronic personal health record for diabetes
    4. Tools and Methods for Supporting Care Coordination
  568. 771 A shared culture for change: evaluating and implementing models of integrated people-centred services
    3. Whole System Transformation
  569. 772 Fragmentation or integration: A mixed case study of integrated care services for older people with high support needs.
    2. Policy Development
  570. 773 Consumer engagement to maximise the impact of public reporting of hospital performance data in Australiapuper
    2. Policy Development
  571. 777 Políticas Públicas en Chile para un modelo de atención centrado en las personas
    2. Policy Development
  572. 778 Caso de empoderamiento de la sociedad civil para fortalecer la Atención Primaria a la Salud
    2. Policy Development
  573. 779 Developing a hospital to community model of care: From experience to evidence to implementation
    3. Whole System Transformation
  574. 780 How to design and implement successful e-Health large-scale solutions: e-Prescription project in Poland
    4. Tools and Methods for Supporting Care Coordination
  575. 781 A realist evaluation of local networks designed to achieve more integrated care
    9. Data Analysis
  576. 782 Family carers in integrated care: A case study
    10. Palliative and End of Life Care
  577. 783 Building a narrative on how people approach death and Dying. The experience of Getxo Zurekin.
    10. Palliative and End of Life Care
  578. 784 ICPs as an enabler of transformation towards integrated care
    3. Whole System Transformation
  579. 785 Where does the money come from? A U.S. Perspective on building the financial models towards Mental and Behavioral Health Integration.
    5. Financing Integrated Care
  580. 789 Desarrollo del modelo de teleasistencia personalizada a través de la inteligencia artificial.
    7. Care of Older People
  581. 792 Atención Integrada a personas con trastorno mental grave incluidas en un Centro de Rehabilitación Psicosocial
    4. Tools and Methods for Supporting Care Coordination
  582. 793 Una forma de luchar contra el estigma social en el t.m.g.
    6. Vulnerable Populations
  583. 794 Programa de participación social “grupo de empoderamiento de las personas mayores en plaentxia”
    7. Care of Older People
  584. 796 Proyecto educa: intervención en sobrecarga del cuidador de personas con enfermedad mental y dependencia.
    6. Vulnerable Populations
  585. 797 Unidad de psiquiatría legal
    3. Whole System Transformation
  586. 798 Implantación de buenas prácticas clínicas como best practice spotlight organization en la osi debabarrena
    4. Tools and Methods for Supporting Care Coordination
  587. 799 Visualizing the art of maternity care practice: a video-reflexivity study on communication and collaboration of professionals and parents
    8. Education and Training
  588. 800 Self management reflective practice in scotland
    8. Education and Training
  589. 801 New Patterns
    1. Population Health
  590. 802 Self management network scotland
    2. Policy Development
  591. 803 Primary Health Care PLUS project in Poland: health check-ups and patients’ engagement
    3. Whole System Transformation
  592. 804 Primary Health Care PLUS project in Poland: disease management programs
    3. Whole System Transformation
  593. 805 The NEWPALEX method for transforming the provision of palliative care: integrating health and social care and building compassionate community networks
    10. Palliative and End of Life Care
  594. 806 Smart Healthy Age-Friendly Environments - funding models and best practices
    5. Financing Integrated Care
  595. 807 Expectations towards coordinated care in Poland: patient opinion survey
    3. Whole System Transformation
  596. 808 Communication strategy in Primary Health Care plus project in Poland
    3. Whole System Transformation
  597. 810 Promotion of Primary Health Care PLUS project in Poland by active inviting patients to health check-ups
    3. Whole System Transformation
  598. 814 How to successfully implement business transformation to a patient oriented organization with the use of IT based on Medical and Diagnostic Centre (CMD) history
    2. Policy Development
  599. 815 `Value of Primary Health Care` project: patient education in primary health care setting
    8. Education and Training
  600. 816 Utilising the Project ECHO® model of education to empower health professional in the management of Childhood Overweight and Obesity
    8. Education and Training
  601. 818 Evaluating data across care boundaries: integrated care in the context of multi-morbidity
    9. Data Analysis
  602. 820 Facilitating coordinated Care for Multi-morbidity patients through integrated preventive Clinical Decision Support (C3-Cloud)
    4. Tools and Methods for Supporting Care Coordination
  603. 821 Empowering patient decision making for integrated care: a telephone advice service positively influencing access to timely appropriate care.
    4. Tools and Methods for Supporting Care Coordination
  604. 822 Falls among older adults living in age-friendly environment in Singapore
    1. Population Health
  605. 823 Patient involvement strategies to improve the quality of cancer care and research
    3. Whole System Transformation
  606. 824 A conceptual operations management framework for activities organized in home care for elderly: a scoping review
    4. Tools and Methods for Supporting Care Coordination
  607. 825 Diabetes and oral health (DiabOH): a developing model of integrated care
    8. Education and Training
  608. 826 Early development of an integrated oral health (OH) care program with people who inject drugs (PWID) in a primary health care setting
    6. Vulnerable Populations
  609. 827 Device Selection for Vascular Access Guideline implementation at a regional hospital intensive care unit (ICU)
    11. Intermediate Care and Care Transitions
  610. 829 Improving Type 2 Diabetes prevention and care in England – what can healthcare transformation achieve?: A qualitative study
    1. Population Health
  611. 830 The need of a framework for implementing integrated care tailored to the latin american context
    2. Policy Development
  612. 831 Integrated care for older people in Kosovo
    7. Care of Older People
  613. 832 Community integrated care in rural Romania – the role of community centres
    7. Care of Older People
  614. 833 Training for integrated care treatment of Opioid use disorder
    8. Education and Training
  615. 834 A new technology-driven concept of care. Insights from a Norwegian case-study
    7. Care of Older People
  616. 835 Casaplus, a German case management programme for elderly with multi-morbidity: Evaluation using claims and survey data
    7. Care of Older People
  617. 836 Feasibility study of the “nursbox”: an integrated smartphone application for documentation of nursing care in the community
    4. Tools and Methods for Supporting Care Coordination
  618. 837 Implementing and Evaluating the CYPHP Evelina London new care model to improve health, healthcare quality, and patterns of service use among children and young people
    3. Whole System Transformation
  619. 838 Enhancing cancer care guideline development and implementation using formal guideline adaptation: methodology description
    3. Whole System Transformation
  620. 839 Collaborative self-management support in chronic conditions: representations of healthcare professionals, patients and caregivers in Auvergne-Rhone-Alpes, France
    4. Tools and Methods for Supporting Care Coordination
  621. 840 Transforming together: a pilot project on integrated care in litoral norte health region as part of the project for the strengthening health management in the state of São Paulo
    2. Policy Development
  622. 841 A tool for improving the delivery of integrated intensive health care performance
    9. Data Analysis
  623. 843 Face up to frailty - advantage ja
    3. Whole System Transformation
  624. 844 Big Data for the stratification of readmission risk after hospital discharge of older adults with complex conditions
    4. Tools and Methods for Supporting Care Coordination
  625. 845 Telehealth and machine learning for COPD patient care
    4. Tools and Methods for Supporting Care Coordination
  626. 847 The patients’ perspective: what causes hospitalizations for ambulatory care sensitive conditions?
    3. Whole System Transformation
  627. 848 Identifying prospective frequent readmitters for hospital to home intervention using machine learning
    9. Data Analysis
  628. 849 Developing clinical guidelines for the management of menopausal symptoms in breast cancer survivors: process evaluation
    3. Whole System Transformation
  629. 851 Managing chronic conditions: lessons learned from a comparative evaluation of chronic care programs in Italy
    2. Policy Development
  630. 852 Who cares? Uncovering social Support Needs and Resources of malignant CNS Tumor Patients and their informal Caregivers
    4. Tools and Methods for Supporting Care Coordination
  631. 853 Models of multidisciplinary team evaluation in head and neck cancer patients: elements for operating an effective MDT
    4. Tools and Methods for Supporting Care Coordination
  632. 854 Engaging the patient with HCV and Nash disease: a case study in 10 healthcare organizations in Italy
    1. Population Health
  633. 855 Reducción de reingresos por la misma causa en la gente mayor; programa Transiciona.
    7. Care of Older People
  634. 856 Why bother about governance - exploring interpretation of professionals involved in the implementation of integrated care programmes in community healthcare organisations.
    2. Policy Development
  635. 857 Qualitative research on the factors affecting transferability of digital solutions for integrated care
    4. Tools and Methods for Supporting Care Coordination
  636. 858 Supporting older adults with health and social care needs in the community—a case study of case management in Ontario’s home and community care system
    1. Population Health
  637. 860 Preliminary design of a pharmaceutical care service aiming at the reduction of hospital readmissions and its financial aspects
    7. Care of Older People
  638. 861 Evaluation of integrated care: ensuring rigor, scaling up, scaling out
    1. Population Health
  639. 862 Payment reform to strengthen networks of primary care organisations
    5. Financing Integrated Care
  640. 863 A pilot program for patient involvement in interdialytic weight gain management in dialysis patients
    4. Tools and Methods for Supporting Care Coordination
  641. 864 Implementing de-escalation in emergency units in psychiatric and general hospitals in Slagelse – a pilot study
    8. Education and Training
  642. 865 E-prescription pilot in Poland allows for identification and analysis of primary nonadherence drivers.
    9. Data Analysis
  643. 866 A complex adaptive system framework of barriers and facilitators to integrated care
    2. Policy Development
  644. 867 Co-creating wellbeing and community connections: understanding what matters to older housing residents
    7. Care of Older People
  645. 868 The children and young people’s health partnership (cyphp) evelina london model of care
    3. Whole System Transformation
  646. 869 Gestión de prioridades, lista de espera y gestión poblacional en una comuna de chile
    1. Population Health
  647. 870 Competences for population health management
    8. Education and Training
  648. 872 IntegraSarea: developing innovation support networks for implementing People Centred Care across the Basque Health Service
    3. Whole System Transformation
  649. 873 Social and health care coordination committee: the case of araba
    4. Tools and Methods for Supporting Care Coordination
  650. 877 Bridging the gap of integration in specialist neurorehabilitation: development of the brain injury liaison coordinator role
    3. Whole System Transformation
  651. 878 Supporting Patients through the rehabilitation continuum of care: The NRH Pre-admission Coordinator
    3. Whole System Transformation
  652. 879 Inter-professional development for student nurses
    8. Education and Training
  653. 880 Better Pathways to Housing for people with enduring mental illness
    6. Vulnerable Populations
  654. 881 From fragmentation to integration – the "unseen" patient 3600
    1. Population Health
  655. 883 People, preferences and holistic care: key considerations for ‘people-centred’ approaches to mental health care in Timor-Leste
    6. Vulnerable Populations
  656. 884 2030 residential and care model of Curaviva Switzerland: From theory to implementation
    3. Whole System Transformation
  657. 885 Managing Integration: business as usual?
    3. Whole System Transformation
  658. 887 “You Saved My Life”: Integrated wearable technology supported by telephone nurse triage
    4. Tools and Methods for Supporting Care Coordination