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In Institut Català de la Salut (ICS), Catalonia’s main public health provider, this model has been designed and is being implemented by the Chronic Care Management Team in Barcelona’s North Metropolitan Area under the name “Community-Based Integrated Care Program for People With Complex Chronic Conditions” (Pro PCC) [6] with promising results in terms of the decrease in emergency department attendance and hospitalizations [7].
Online J Public Health Inform 2023;15:e52782
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Patients with complex care needs admitted to hospitals often require the services of an interprofessional team of health professionals working together to support their care [1]. However, in inpatient settings, interprofessional communication is often fragmented and inefficient [2,3]. Poor communication and teamwork can contribute to poor patient outcomes, such as delayed discharge, medication errors, and adverse and sentinel events, including death [4-7].
JMIR Hum Factors 2023;10:e39051
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