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Objetivo específico proyecto 27: SO 4.5 (...) Access to care /health systems

Activation of the Neurorehabilitation Service in Rural Areas

Evaluation of each pilot case, analysing its social impact, the functioning of the business unit and the sustainability of each pilot. Conclusions will be drawn that may favor its future replication and a comparative economic analysis of the expenditure in each pilot versus the savings induced in public health services will be made. This savings will serve to look for public-private solutions that allow the replication of pilot experiences.

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Pilot Actions Experimentation

The WG3 related to specific objective 3 will converge towards the experimentation of pilot actions in the areas of the project. These actions will allow the concrete implementation of new devices (such as services, equipment, tools, methods or approaches) derived from a joint reflection or will demonstrate the feasibility/transferability of existing solutions to a specific territory/sector.

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Piloting the AI-based HENKO predictive system

Pilot test of the AI-based predictive platform “Henko” and innovative digital technologies with end-users of palliative care (A3.2): people with palliative care needs (N=120), family members (N=50), professionals (N=25). (1 pilot action implemented in the 7 care beneficiaries, INTRAS, GSS, HEALTH, DIPBI, CHUB, PM, IPO).

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Mini-Pilots Toolbox

Pilot or mini-pilots of the “Tool Box” (A3.3): Brief experimentation of innovative technologies or services in the market or with sufficient technological maturity, as well as process innovations or care models. “Soft evaluation” methodology. (1 pilot action implemented in the 7 care beneficiaries, INTRAS, GSS, HEALTH, DIPBI, CHUB, PM, IPO).

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Ensayo clínico multicéntrico aleatorizado

Conduct of a randomised multicenter clinical trial with intervention and control group in 300 elderly patients of the Geriatric/Internal Medicine service in the hospitals participating in the project. The hospital care model of the HUN Geriatrics Service has demonstrated, through scientific evidence, the prevention of disability generated during hospitalisation in 60 % of patients who perform the individualised exercise program. Starting from the basis of this model, and seeking its optimisation, an innovative hospital care model will be developed jointly that will be implemented in HDFF (Portugal), CHU-T (France), SAAS (Andorra) and HUN (Spain). The design of the clinical trial will take into account the needs, possibilities and characteristics of each hospital for its implementation and subsequent follow-up after 3 months of the intervention, in order to assess the adherence and the results of the practice of physical exercise and adoption of healthy habits. This pilot activity will begin with the joint elaboration of the protocol, and, after its approval by the different Ethical Committees, the recruitment of patients in the 3 hospitals that will be randomised through a blind procedure (month 7) will begin. The duration of the clinical trial is estimated at 2 years, and once completed, the results analysis will be carried out. The results of this pilot activity tested in the three hospitals will allow the development of a solution that can be easily transferred to other hospitals in different territories. The implementation of this pilot activity in three hospitals in different countries and regions brings added value to the results, since it includes a heterogeneous population with different social and economic characteristics of the SUDOE territory and with different health systems, increasing the impact of the results at a scientific level with social and political impact.

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Develop a joint strategy and action plan

WG 1, linked to specific objective 1, will focus on the development of a common strategy and action plan. These achievements, developed jointly within the framework of the partnership, will achieve the objectives set in the framework of the project. They will also provide a longer-term vision to generate far-reaching changes in the areas covered by the project, but also beyond, thanks to communication initiatives.

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Improve the model of health care in elderly patients

This strategy, which covers GT1 and GT2, aims to improve the model of care for elderly patients both in hospital and in the transition to primary care through the implementation of an individualised training program and the promotion of healthy habits.Through the development of an eHealth tool will favor the promotion of habits for a healthy and active aging, also facilitating communication between medical and patient/family personnel. GT1: the strategy will include the joint development of the new hospital care model to prevent the onset of disability generated during the hospitalisation period and improve the quality of life of the patient, optimising resources.This new model will include the key points to take into account in each hospital to increase its impact: greater efficiency in the allocation of health resources, improvement of the quality of life of hospitalised elderly people, as well as of families reducing their dependence on people who care for them.This will reduce the institutionalisation of patients in residences to obtain adequate care favoring the family environment. GT2: the strategy will include the joint development of the new model of patient care in its transition to primary care or that goes to consultation (without previous hospitalisation), in order to prevent the onset of disability as a result of hospitalisation or generated by the aging itself. This new model will include the key points to be taken into account in each region and in each health system in order to increase the social and economic impact of both health systems and patients. Thus, through the strategy and its action plan, equal access to a clinical intervention with proven results will be favored, reducing the differences in hospital care between the different territories, decreasing resources related to health.

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Develop a Strategy for Activation of Regional Agents for the Provision of Clinical Services

To promote the replication of the experience in other rural areas of Spain, France and Portugal, the project will develop a strategy for the activation of regional agents for the provision of advanced clinical services and a guide for the promotion of public policies by the competent local and regional authorities, trying to promote a public-private collaboration so that these ecosystems of clinical care and neuro-rehabilitation face-to-face and remote develop sustainably in other rural areas of the SUDOE territory.

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