title: [Social and organizational innovation to tackle the challenge of integrated care of the chronically ill].
abstract: The increase in life expectancy, coupled with other factors, has led to an increase in the prevalence of chronic diseases and multiple morbidity. This has led to the need to develop new health and social care models, which will allow managing these efficiently and in a sustainable manner. In particular, there seems to be consensus on the need to move towards integrated, patient-centered, and more proactive care. Thus, in recent years, chronic care models have been developed at international, national and regional level, as well as introducing strategies to tackle the challenge of chronic illness. However, the implementation of actions facilitating the change towards this new model of care does not seem to be an easy task. This paper presents some of the strategic lines and initiatives carried out by the Department of Health of the Basque Government. These actions can be described within a social and organizational innovation framework, as a means for effective implementation of interventions and strategies that shape the model required for the improved care of chronic illnesses within a universal and tax-funded health system.
authors.affiliation: Director, O+Berri, Instituto Vasco de Innovación Sanitaria, Sondika, Bizkaia, España. Electronic address: nuno@bioef.org.
authors.forename: Roberto
authors.initials: R
authors.lastname: Nuño-Solinís
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D019033:Delivery of Health Care, Integrated; D006801:Humans; D009936:Organizational Innovation; D012922:Social Change
keywords: Atención integrada; Chronic illnesses; Cronicidad; Innovación organizativa; Innovación social; Integrated care; Multimorbilidad; Multiple morbidity; Organizational innovation; Social innovation