Resumen de Relevance of clinical judgement and risk stratification in the success of integrated care for multimorbid patients

Myriam Soto Ruiz de Gordoa, Esteban de Manuel Keenoy, Ane Fullaondo, Marisa Merino, Arantzazu Arrospide Elgarresta, Juan Ignacio Igartua López, Javier Mar Medina

• The Department of Health of the Basque Government launched in 2010 a new strategy to tackle the challenge of chronicity which aimed to re-orient the health system towards an integrated care model. In this paper we evaluate this strategy through a retrospective observational study with a historical control group based on data from the clinical and administrative databases of the Basque Health Service.