{
  "abstract": "Issue/problem: Heart failure is a major cause of hospitalisation and health system burden in Europe, particularly among older populations. In the Basque Country (Spain), prevalence reaches 6.8% and 16.1% among those aged ≥75. Fragmentation across care levels limits continuity of care, patient experience and efficiency. Integrated, value-based care pathways are needed to improve outcomes and sustainability, with relevance for other European health systems.\n\nDescription of the practice: This implementation study is part of the EU4Health Joint Action JACARDI (2023–2027). An integrated heart failure (HF) care pathway was co-designed and implemented across 13 Integrated Healthcare Organisations in the Basque Country. This initiative involves clinicians, managers, community actors, patients and caregivers. It includes standardised clinical pathways, integration into a unified electronic health record, inclusion of social prescribing and self-management, and patient-centred care training. An evaluation framework based on implementation science and value-based care was developed.\n\nResults: Preliminary results show:\n\n- Implementation across 13 organisations with multidisciplinary engagement.\n\n- Coverage of > 35,000 patients within the scope of the HF pathway.\n\n- Deployment of standardised pathways and digital integration into electronic records.\n\n- Training of healthcare professionals and facilitators.\n\n- Establishment of an evaluation framework including patient-reported outcomes and experience measures.\n\n- Introduction of a sex and gender perspective to promote more equitable care.\n\nLessons: Large-scale implementation of integrated, value-based care is feasible with strong governance, co-design and policy alignment. Implementation science and digital tools support adoption and scalability. Incorporating patient-reported outcomes and a gender perspective strengthens equity. This practice is transferable to other settings aiming to improve chronic care and system efficiency.\n\nKey messages: • Implementing integrated, value-based care pathways for heart failure can improve coordination, patient-centred care and system efficiency on a large scale.\n\n• Incorporating implementation science, digital tools and a gender perspective can improve equity and support the sustainable transformation of chronic care systems.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "name": "J I Zabala"
    },
    {
      "name": "A Gandara"
    },
    {
      "name": "A Lafuente"
    },
    {
      "name": "R Abad"
    },
    {
      "name": "D Santano"
    },
    {
      "name": "Y Hamu"
    },
    {
      "name": "I Erreguerena"
    },
    {
      "name": "A Fullaondo"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4dvppwm0t9s5r.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.1074",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698099/",
  "id": "4dvppwm0t9s5r",
  "issns": [
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    "1464-360X"
  ],
  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.1074",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
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  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "6. Poster Displays"
    ],
    [
      "heading",
      "AcademicSubjects/MED00860"
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    [
      "heading",
      "AcademicSubjects/SOC01210"
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    [
      "heading",
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    [
      "heading",
      "DB. Chronic diseases, multimorbidity and non-communicable diseases"
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    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
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  "openalex": "W7223693554",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13698099/pdf/?tool=EBI",
  "pmcid": "PMC13698099",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/4dvppwm0t9s5r.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:02Z",
      "native_id": "PMC13698099",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.1074"
    },
    {
      "first_seen": "2026-10-30T12:21:25Z",
      "native_id": "PMC:PMC13698099",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13698099"
    }
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Transforming heart failure care in the Basque Country through value-based integrated care",
  "title_text": "Transforming heart failure care in the Basque Country through value-based integrated care",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:35:01Z",
  "url": "https://research.draconitic.com/paper/4dvppwm0t9s5r",
  "venue": "The European Journal of Public Health",
  "versions": []
}