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

Mejorar el modelo de atenciĂ³n sanitario en el paciente anciano

Los paĂ­ses del SUDOE (España, Francia, Portugal y Andorra) enfrentan un notable envejecimiento poblacional, especialmente en zonas rurales donde hay mayor concentraciĂ³n de ancianos y menos acceso a servicios sanitarios, lo que agrava la despoblaciĂ³n. Este envejecimiento lleva a una mayor incidencia de discapacidades y un aumento en la utilizaciĂ³n de servicios sanitarios, hospitalizaciones y mortalidad. La mayorĂ­a de las personas mayores desea mantener su autonomĂ­a, y cada paĂ­s tiene diferentes enfoques preventivos para evitar discapacidades.
En la UE, hay esfuerzos para abordar el envejecimiento, enfocados en la investigaciĂ³n, participaciĂ³n de mĂºltiples partes interesadas, y coordinaciĂ³n intersectorial. Sin embargo, el reto es grandes.
El envejecimiento poblacional aumenta la prevalencia de enfermedades crĂ³nicas y discapacidades, incrementando la demanda de servicios mĂ©dicos y hospitalarios. Un enfoque multidisciplinario es esencial para la atenciĂ³n de las personas mayores, lo que requiere una mejor organizaciĂ³n del sistema sanitario. La prevenciĂ³n y tratamiento de la fragilidad son claves para un envejecimiento saludable, que implica optimizar las oportunidades de salud, participaciĂ³n y seguridad a lo largo de la vida.
Un envejecimiento activo y saludable incluye hĂ¡bitos saludables como una buena alimentaciĂ³n, ejercicio regular, estimulaciĂ³n cognitiva, cuidado de la salud mental, y actividades de ocio. Estos factores ayudan a prevenir problemas de salud y mejorar la calidad de vida en la vejez, permitiendo a las personas mayores vivir de manera activa y plena.

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Elaborar una Estrategia de ActivaciĂ³n de Agentes Regionales para la PrestaciĂ³n de Servicios ClĂ­nico

Para impulsar la replicaciĂ³n de la experiencia en otras zonas rurales de España, Francia y Portugal, el proyecto elaborarĂ¡ una estrategia de activaciĂ³n de agentes regionales para la prestaciĂ³n de servicios clĂ­nicos avanzados y se editarĂ¡ una guĂ­a para la promociĂ³n de polĂ­ticas pĂºblicas por parte de las autoridades locales y regionales competentes, tratando de impulsar una colaboraciĂ³n pĂºblico-privada para que estos ecosistemas de asistencia clĂ­nica y neuro-rehabilitaciĂ³n presencial y remota se desarrollen de forma sostenible en otras zonas rurales del territorio SUDOE.

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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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Elaborar una estrategia y un plan de acciĂ³n conjuntos

El GT 1, vinculado al objetivo especĂ­fico 1, se centrarĂ¡ en el desarrollo de una estrategia comĂºn y un plan de acciĂ³n. Estas realizaciones, desarrolladas conjuntamente en el marco de la asociaciĂ³n, permitirĂ¡n alcanzar los objetivos fijados en el marco del proyecto. del proyecto. TambiĂ©n proporcionarĂ¡n una visiĂ³n a mĂ¡s largo plazo para generar cambios de gran alcance en los Ă¡mbitos cubiertos por el proyecto, pero tambiĂ©n mĂ¡s allĂ¡, gracias a las iniciativas de comunicaciĂ³n.

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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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