Roberto Nuño-Solínis
Dados Biográficos
| ID | 6774345 |
|---|---|
| NOME | Roberto Nuño-Solínis |
| PRENOMES | Roberto |
| SOBRENOME | Nuño-Solínis |
| ASSINATURA | NUÑO-SOLÍNIS R |
| AFILIAÇÕES | Universidad de Deusto |
| ORCID | 0000-0001-9930-4589 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 43 |
| TOTAL DE CITAÇÕES | 12 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Health Value Lighthouse, development of an evaluative tool for measuring value-based integrated care management
Introduction: Ageing and chronicity, along with technological and pharmacological innovation upswing, require transformation of healthcare organizations and systems to focus on value-based integrated care (VBIC) management models. Health Value Lighthouse is an initiative that pursues the commitment of healthcare organizations to advance on VBIC as a means to allow health system sustainability, innovation and person-centered care. Its core tool is…
Analysis of the Relationship Between Organizational Learning and Healthcare Integration
This thesis explores the relationship between organizational learning and integrated care in health systems. Through a mixed-methods approach, it analyzes how healthcare organizations develop learning capabilities and how these contribute to the effectiveness of integrated care models. These findings indicate that fostering a culture of continuous learning enhances care coordination and patient outcomes. However, structural and cultural barriers …
Validation Study of a Value-Based Digital Health Questionnaire
The paradigm of value-based health care is spreading worldwide; however, Value-Based Digital Health (VBDH) is still an emerging concept. VBDH is understood as the use of digital tools to facilitate the generation of value in health. It is accelerated by technological change, cultural, and organizational factors. An accurate diagnosis of the organizational VBDH maturity is crucial to define and implement strategic actions to progress with VBDH tra…
Community Based Participatory Research For The Development of a Compassionate Community
Getxo Zurekin represents an example of a participatory action research model, which has shown to be effective to meet initial targets towards creation of a compassionate community
Mental Illness Inequalities by Multimorbidity, Use of Health Resources and Socio-Economic Status in an Aging Society
Mental health inequalities in prevalence have been identified as being disproportionally concentrated in the least affluent areas of the Basque Country. However, inequalities in the utilization of publicly-provided health services present a pro-poor orientation. As this region has adopted a system-wide transformation towards integrated care, its mental health delivery model offers excellent potential for international comparisons and benchlearnin…
Factors Influencing Care Pathways for Breast and Prostate Cancer in a Hospital Setting
Breast cancer (BCa) and prostate cancer (PCa) are the most prevalent types of cancers. We aimed to understand and analyze the care pathways for BCa and PCa patients followed at a hospital setting by analyzing their different treatment lines. We evaluated the association between different treatment lines and the lifestyle and demographic characteristics of these patients. Two datasets were created using the electronic health records (EHRs) and inf…
Advancing Towards Value-Based Integrated Care for Individuals and Populations
Solidarity against healthcare access restrictions on undocumented immigrants in Spain
REDER has been shown to be effective in leading the defence of universal healthcare rights, and some achievements in the years following 2012 could be directly attributed to the work done by the network, such as the elimination of legal requirements to obtain health cards or the reduction of the minimum time required to access healthcare. Despite context particularities, the initiatives and main actions of this network may be implemented in other…
Building a narrative on how people approach death and Dying. The experience of Getxo Zurekin
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Learning from Accountable Health Models in Spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Facilitating the adoption of integrated care pathways in spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Barriers and facilitators for the implementation of Integrated Care Pathways ICPs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Development of a checklist for ensuring the successful implementation of integrated care pathways
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Learning from integrated care top performers in Spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Building a narrative for compassionate communities
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Revisiting Organisational Learning in Integrated Care
Progress in health care integration is largely linked to changes in processes and ways of doing. These changes have knowledge management and learning implications. For this reason, the use of the concept of organisational learning is explored in the field of integrated care. There are very limited contributions that have connected the fields of organisational learning and care integration in a systematic way, both at the theoretical and empirical…
Implementation of an evaluation system for chronic care models in Spain
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Measuring Integrated Care – The Quest for Disentangling a Gordian Knot
Transforming health care delivery to provide safer and more effective services that contribute to improving population health whilst containing costs is a significant challenge for health systems worldwide – a challenge that has been incorporated into the much cited Triple Aim Framework [1]. A key feature of transformation efforts has been to reduce the existing fragmentation both in the cure and care sectors, and support integration of systems, …
Assessing integration in diabetes care
Introduction: Diabetes care faces enormous challenges due to the progressiveness and multiple manifestations and complications of the disease, which make necessary the coordination of numerous professionals from different settings around the diabetic patient. The current structure and functioning of diabetes care in many Spanish regions, mainly fragmented through primary care centers, departments of endocrinology and other hospital specialties, s…
Iexpac website for measuring advances in People-Centred and Integrated Care in healthcare organizations
Introduction: Systematic assessment of patient experience (PE) might contribute to transform the patient-professional interaction model and to improve outcomes. This type of assessments stems from the recognition of the person’s rights and, therefore, of his/her active role in their wellbeing. It is a promising alternative to the fruitless efforts of the traditional approaches to achieve patient’s participation in the design of care processes.Pat…
Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care
IEXPAC allows measurement of the patient experience of chronic illness care. Together with other indicators, IEXPAC can determine the quality of care provided according to the Triple Aim framework, facilitating health systems reorientation towards integrated patient-centred care
Is utilization of health services for HIV patients equal by socioeconomic status? Evidence from the Basque country
Equity in health provision for HIV patients represents a challenge even if access to treatment is guaranteed. Lack of information in poorer individuals might lead to under-provision while richer individuals might demand over-provision. We recommend establishing accurate clinical guidelines with the appropriate mix of health provision by validated need for all socioeconomic groups; promoting educational programs so that patients demand the appropr…
Evaluation of an integrated telecare/telehealth pilot for complex chronic patients
A conceptual framework for evaluation of care integration initiatives
Advanced nursing roles and Integrated Care
An increasingly aging population with multiple complex conditions along with budget constraints is putting pressure to several health systems across Europe [1], and the Basque Health Service/Osakidetza is not an exception. Developing new roles for nurses and/or advance nurse practitioners (ANPs) is sought to be a way to increase the efficiency and efficacy of the existing resources and improve health outcomes [2] [3]. Accordingly, the Basque Heal…
Development of a questionnaire to assess interprofessional collaboration between two different care levels
The end-product is a new instrument with good validity to assess the degree of interprofessional collaboration between clinicians working at two different levels of care
Building integrated care systems
There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes
Revisiting Organisational Learning in Integrated Care
Progress in health care integration is largely linked to changes in processes and ways of doing. These changes have knowledge management and learning implications. For this reason, the use of the concept of organisational learning is explored in the field of integrated care. There are very limited contributions that have connected the fields of organisational learning and care integration in a systematic way, both at the theoretical and empirical…
Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care
IEXPAC allows measurement of the patient experience of chronic illness care. Together with other indicators, IEXPAC can determine the quality of care provided according to the Triple Aim framework, facilitating health systems reorientation towards integrated patient-centred care
Readiness to tackle chronicity in Spanish health care organisations
Instrumento de Evaluación de Modelos de Atención ante la Cronicidad/Assessment of Readiness for Chronicity in Health Care Organisations is an instrument that allows health care organisations to perform self-assessments regarding their readiness to tackle chronicity and to identify areas for improvement in chronic care
Integrated care as a priority of the Basque Strategy for Chronic Diseases
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Development of a questionnaire to assess the collaboration between clinicians from different levels of care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Integrated care initiatives in the Spanish Health System/Experiencias de integración asistencial en el Sistema Nacional de Salud de España
Prevalence of multimorbidity according to the deprivation level among the elderly in the Basque Country
Multimorbidity is very common among people over 65 years old in the Basque Country, particularly in unfavourable socioeconomic environments. Given the ageing population, multimorbidity and its consequences should be taken into account in healthcare policy, organization of care and medical research. Administrative health databases are readily available sources of a range of information that can be useful for such purposes
Socioeconomic variation in the burden of chronic conditions and health care provision – analyzing administrative individual level data from the Basque Country, Spain
Analyses of comprehensive administrative clinical information at the individual level allow the socioeconomic gradient in chronic diseases and health care provision to be measured to a level of detail not possible using other sources. This frequently updated source of information can be exploited to monitor trends and evaluate the impact of policy reforms
Readiness for chronicity in Basque Integrated Healthcare Organisations
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Does interprofessional collaboration between care levels improve following the creation of an integrated delivery organisation? The Bidasoa case in the Basque Country
Results on the two dimensions of the measure of interprofessional collaboration used seem to point to the longer time required for interpersonal relationships to change compared to the organisational setting
Development of a questionnaire to assess interprofessional collaboration between two different care levels
The end-product is a new instrument with good validity to assess the degree of interprofessional collaboration between clinicians working at two different levels of care
Prevalence of depression in adults with type 2 diabetes in the Basque Country
We did not find any relationship between depression and glycaemic control in patients with type 2 diabetes. However, the comorbidity was associated with significantly high healthcare costs compared to that of type 2 diabetes occurring alone, after adjusting by other illness. Thus, there is a need of more precise recognition, screening and monitoring of depression among diabetic population. Evidence-based treatment for depression should be include…
The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus in the Basque Country
In the type 2 diabetes mellitus population living in the Basque Country, incidence rates of diabetes complications are not as high as in other places. However, they present a high prevalence of diabetes related and unrelated diseases. Multimorbidity is very common in this group, and is a factor to be taken into account to ensure correct clinical management
Is there a relationship between the degree of readiness to chronicity and the expected outcomes in Basque Integrated Healthcare Organisations
Introduction: Three years ago several Integrated Healthcare Organisations (IHOs) were created in the Basque Country, involving primary and secondary level into one single organisation. These brand new structures aim at achieving a more proactive, coordinated and integrated approach to care so that quality and efficiency is improved. In order to monitor the evolution of these organisations some assessment tools have been applied. On the one hand, …
A holistic and person-centered approach to telecare
Introduction: Telecare Public Service of the Basque Government (betiON) is part of a comprehensive care model focused on the person, whose fundamental aspect is to address the social and health needs of people in a coordinated manner, both in preventive and in care aspect
Impact of a home-based social program in end of life care in the Basque Country
Introduction:SAIATU is a program of specially trained in-home social assistance and companionship, which provided support to end-of-life patients in Gipuzkoa, Spain. Collaboration with other palliative care resources is a key element of the program designed to ensure comprehensive care through specialized social support, facilitate in-home care and meet the wishes of patients who prefer to die at home and their families, alleviating pain and offe…
Is the performance of an Integrated Mental Health Network related to its readiness for chronicity and/or structures
Introduction: Mental health is one of the areas in which integrated care is so relevant due to the great number of organisations that are involved in its provision: primary care, acute care, mental health centres, psychiatric hospitals, NGOs, social organisations,...Evaluation is key in order to know whether structures and processes are well coordinated among all the agents and patients are adequately approached and cared. The Bizkaia Mental Heal…
The relationship between activities of daily living and multimorbidity. A view from telecare
Introduction: The Public Telecare Service of the Basque Government (betiON) provides home care for dependent and older people through a technological device that guarantees a permanent connection with an interdisciplinary team of professionals who are trained in remote socio-health care. In 2013, the 77.57% of the telecare population were aged above 80 years, 80.69% of users were female and 65% lived alone. Most of the population of betiON lived …
Integrated end of life care
Roberto Nuno-Solinis, Director O+berri, Basque Institute for Healthcare InnovationCorrespondence to: Roberto Nuno-Solinis, Director O+berri, Basque Institute for Healthcare Innovation, Ronda de Azkue,1 - Torre del BEC 48902 Barakaldo Spain, Phone: +34 94 453 85 00, Fax: +34 94 453 04 65, E-mail: [email protected]‘To allow people the deaths they want, end of life caremust be radically transformed...’. (Leadbetter C [1])It is estimated that 75% of the…
Is utilization of health services for HIV patients equal by socioeconomic status? Evidence from the Basque country
Equity in health provision for HIV patients represents a challenge even if access to treatment is guaranteed. Lack of information in poorer individuals might lead to under-provision while richer individuals might demand over-provision. We recommend establishing accurate clinical guidelines with the appropriate mix of health provision by validated need for all socioeconomic groups; promoting educational programs so that patients demand the appropr…
Evaluation of an integrated telecare/telehealth pilot for complex chronic patients
A conceptual framework for evaluation of care integration initiatives
Advanced nursing roles and Integrated Care
An increasingly aging population with multiple complex conditions along with budget constraints is putting pressure to several health systems across Europe [1], and the Basque Health Service/Osakidetza is not an exception. Developing new roles for nurses and/or advance nurse practitioners (ANPs) is sought to be a way to increase the efficiency and efficacy of the existing resources and improve health outcomes [2] [3]. Accordingly, the Basque Heal…
Building integrated care systems
There is a significant amount of data that shows that Bidasoa Integrated Health Organisation has progressed in terms of delivering integrated care for chronic conditions with a positive impact on several Triple Aim outcomes
Readiness to tackle chronicity in Spanish health care organisations
Instrumento de Evaluación de Modelos de Atención ante la Cronicidad/Assessment of Readiness for Chronicity in Health Care Organisations is an instrument that allows health care organisations to perform self-assessments regarding their readiness to tackle chronicity and to identify areas for improvement in chronic care
Measuring Integrated Care – The Quest for Disentangling a Gordian Knot
Transforming health care delivery to provide safer and more effective services that contribute to improving population health whilst containing costs is a significant challenge for health systems worldwide – a challenge that has been incorporated into the much cited Triple Aim Framework [1]. A key feature of transformation efforts has been to reduce the existing fragmentation both in the cure and care sectors, and support integration of systems, …
Assessing integration in diabetes care
Introduction: Diabetes care faces enormous challenges due to the progressiveness and multiple manifestations and complications of the disease, which make necessary the coordination of numerous professionals from different settings around the diabetic patient. The current structure and functioning of diabetes care in many Spanish regions, mainly fragmented through primary care centers, departments of endocrinology and other hospital specialties, s…
Iexpac website for measuring advances in People-Centred and Integrated Care in healthcare organizations
Introduction: Systematic assessment of patient experience (PE) might contribute to transform the patient-professional interaction model and to improve outcomes. This type of assessments stems from the recognition of the person’s rights and, therefore, of his/her active role in their wellbeing. It is a promising alternative to the fruitless efforts of the traditional approaches to achieve patient’s participation in the design of care processes.Pat…
Health care (29 obras) · Medicine (27 obras) · Computer Science (24 obras) · Political science (24 obras) · Chronic Disease Management Strategies (21 obras) · Integrated care (21 obras) · Nursing (21 obras) · Business (12 obras) · Psychology (12 obras) · Interprofessional Education and Collaboration (11 obras)