
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

Evaluation of ICT supported integrated healthcare for frail patients with comorbidities: Baseline assessment of the CareWell Project
Maider Mateo Abad, Ane Fullaondo, Anna Giné, Itziar Vergara, Sara Ponce, Dolores Verdoy, Signe Daugbjerg, Esteban de Manuel Keenoy

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

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

Health risk assessment and stratification in an integrated care scenario
Montserrat Moharra, Emili Vela, Ivan Dueñas-Espín, Steffen Pauws, Cristina Bescos, Isaac Cano, Montserrat Cleries, Joan Carlos Contel, Esteban de Manuel Keenoy, Judith Garcia-Aymerich, David Gómez-Cabrero, Rachelle Kaye, Maarten M.H. Lahr, Magí Lluch-Ariet, David Monterde, Joana Mora, Marco Nalin, Andrea Pavlickova, Jordi Piera, Sara Ponce, Sebastià Santaeugenia, Helen Schonenberg, Stefan Störk, Jesper Tegnér, Filip Velickovski, Christoph Westerteicher, Josep Roca