
Development of a New Integrated Care Organizational Model for Patients with Complex Needs in The Basque Country
Marisa Merino, Mari Luz Marqués, Mariví Egurbide, Isabel Rodríguez, Ane Fullaondo, Anna Giné, Dolores Verdoy, Irati Erreguerena, Lierni Azkargorta, Maider Mateo, Nerea González, Itziar Vergara, Miryam Soto, Javier Mar, Esteban de Manuel

DEPLOYING INTEGRATED CARE MODELS FOR FRAIL ELDERLY PATIENTS
Marisa Merino, Mariluz Marqués, Marivi Egurbide, Maribel Romo, Isabel Rodríguez, Marbella García, Sara Ponce, Ane Fullaondo, Joana Mora, Esteban de Manuel

Service selection approach in ACT@Scale project: methodology and results
Danika Schepis, Ane Fullaondo, Consortium ACT@Scale, Igor Zabala, Jon Txarramendieta, Esteban de Manuel

A federated collaborative care cure cloud architecture for addressing the needs of multi-morbidity and managing poly-pharmacy (c3-cloud project)
Theodoros N. Arvanitis, Gokce Banu Laleci Erturkmen, Mustafa Yuksel, Antonio de Blas, Nicolas González, Dolores Verdoy, Esteban de Manuel

Evaluation and Implementation of integrated care program for multimorbid patients within ACT@Scale project - Basque health service (Osakidetza)
Ane Fullaondo, Danika Schepis, Irati Erreguerena, Consortium ACT@Scale, Rosa Gonzales2, Ana Porta, Inmaculada Moro, Igor Zabala, Jon Txarramendieta, Esteban de Manuel

Health Data Integration Architecture for Continuous Behavioral Health Monitoring and Delivering Personalised, Just-in Time Adaptive Interventions in the ADLIFE Project
Bunyamin Sarigul, Mert Baskaya, Gokce Banu Laleci Erturkmen, Tuncay Namlı, Mustafa Yuksel, Gokhan Yılmaz, Alper Teoman, Theodoros Arvanitis, Omar Khan, Dolores Verdoy Berastegui, Ana Ortega Gil, Esteban de Manuel

New funding and commissioning model as a driving force for the transformation of the Basque Health Service provision model
Joana Mora, Esteban de Manuel, Patricia Arratibel, J.M. Beguiristain Aranzasti, Olaskoaga Arrate, Alberto Garcia de Alcaraz, Pepe Quintas Díez

How to implement telemonitoring services in an integrated care model?
Nekane Murga, Maribel Romo, Isabel Rodríguez, Paula Castro, Lucía Prieto, Ane Fullaondo, Joana Mora, Esteban de Manuel

Assessing the organizational change towards care coordination and telehealth. ACT Programme: Example of the Basque Region
Miren David, Helen Schonenberg, Joana Mora, Cristina Bescos, Sara Ponce, Steffen Pauws, Christoph Westerteicher, John Cleland, Josep Roca, ACT Consortium, Esteban de Manuel

Up-scaling of an integrated care model for frail elderly patients
Marisa Merino, Mariluz Marqués, Marivi Egurbide, Maribel Romo, Isabel Rodríguez, Marbella García, Sara Ponce, Ane Fullaondo, Joana Mora, Esteban de Manuel

Digital aid for talking more about death and dying: incorporating advance care planning to integrated care management tools
Ana Ortega-Gil, Iñaki Saralegui, Bárbara López, Hanno Ullrich, Anne Swoboda, Gabriela Maxwell, Laura de la Higuera, Anne Dichmann Sorknæs, Barak Nahir, Timothy Robbins, Fritz Arndt, Dolores Verdoy, Anna Hestner, Bunyamin Sarigül, Mustafa Yüksel, Gokce Banu Laleci Erturkmen, Esteban de Manuel

Risk stratification tools for integrated care: appraisal, deployment and impact in Europe
Tino Martí, Joan Carles Contel, Francesc López, Esteban de Manuel, Daniele de Massari, Donna Henderson, Barbara Branchini, Francisco Rodenas