In Catalonia we are facing new challenges with a deep ageing process of population comparing with other European countries. In 2050 over 30% and 12% population will be over 65 and 80 years old respectively. As a consequence an increasing number of people with chronic conditions will increase very intensively. Nowdays we have 17% and 4,4% population over 65 and 80 years old
Early this year, the Government of Catalonia issued a new Integrated Health and Social Care Plan to promote, lead and participate in the transformation of the social and health care model to achieve a person-centred full integrated care model and deliver comprehensive for high-cost, highneed citizens in order to help to lower costs, enhance quality of care, and improve outcomes.One of the strategic lines of the Plan is the integration of the health and social care ICT systems. Including actions such as:• Identification of a minimum of shared data and a common personal identifier as the basis for sharing information of common interest.• Shared medical and social care record, with the sharing of data of common interest.• The progress made with the current Catalan Shared electronic health record (HCCC) and the incorporation of platform functionalities should allow the incorporation of a relational space between health and social care, facilitating virtual work and collaboration among clinics, social workers and other welfare professionals. Interprofessional communication environments must be set up to foster this collaborative model (secure messaging, etc.).• Each model of local social record will be developed with the aim of ensuring a framework of minimum "structured data" that can be subsequently "exchanged" to the shared medical and social history. This requirement must be met by the different providers of information systems in the welfare sector.
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