Integrating Care to Prevent and Manage Chronic Diseases

Best Practices in Public Health

People today are living longer with complex health needs but often receive fragmented care. This has prompted countries to support patient-centred, integrated care models. As part of OECD’s work on best practices in public health, this report outlines policy recommendations to prevent and manage chronic diseases by integrating care. Policy recommendations were drawn from a review of key integrated care models implemented in OECD and EU27 countries.

Available from May 10, 2023


Acronyms and abbreviations
Executive summary
Key findings and recommendations
Complex health needs and the transition to integrated care models
OptiMedis, regionally based integrated care model
Hospital-at-Home (H@H), Catalonia, Spain
Oulu’s Self Care Service, Finland
Integrated care model for multimorbid patients, the Basque Country, Spain
Badalona Healthcare Services (Badalona Serveis Assistencials, BSA), Spain
Medical Diagnostic Centres, Poland
TeleHomeCare, Ceglie Messapica, Italy
Digital Roadmaps towards an integrated healthcare system, Southern Denmark
Technology Enabled Care, Scotland
Telemonitoring for patients with advanced heart failure, Czech Republic
ParkinsonNet, the Netherlands
Personalised Action Plans, Andalusia, Spain
Mobile Airways Sentinel Network (MASK), mHealth app
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