Observations of good practise across the five EU regions

The ACT programme evaluated five EU regions: Lombardy, Basque Country, Catalonia, Northern Netherlands and Scotland. By observing each region, we have started to identify good practices, structures and ways of working. Revealing the processes needed to help reduce hospital admissions, days in hospital and mortality rates.

Catalonia
  • Chronic Patient Program - Badalona Serveis Assistencials (CAT - PPAC BSA)
  • Program for Prevention and Treatment of Chronicity with HF patients – Alt Penedès (CAT - PPAC AP)
Scotland
Northern Netherlands
Basque Country
Lombardy

Regional programme factsheets

All regions
The needs of citizens and patients must be at the centre of the system

CAT - PPAC BSA

Programme for prevention and treatment of chronicity with HF patients

CAT - PPAC AP

Hospital level care within a patient's
own home

SCO - REACT

Provides technology to allow people to live
in their own home

SCO - HSS

Intensive and short term emergency support to enable independence at home

SCO - Reablement

There is already talk of efficient care: more quality
for the same cost. This is an important result.

NL - Embrace

A telehealth integrated asthma/COPD service
for primary care

NL - Asthma/COPD

Optimising the care pathway of heart failure with
telemonitoring

NL - Effective Cardio

Active patient programme for
diabetic patients

BAS - Active Patient

Integrated care pathway and organisational model for
patients with multimorbidity

BAS - PIP MM

Integrated care pathway and organisational model
for patients with diabetes

BAS - PIP DM

Delegating chronic care management to primary care:
the new chronic care model in Lombardy

LOM - CReG

Patient care can finally
happen at home every day

LOM - CReG Telemonitor