{"id":18097,"date":"2025-05-28T14:20:46","date_gmt":"2025-05-28T12:20:46","guid":{"rendered":"https:\/\/www.bio-sistemak.eus\/2024111099-2\/"},"modified":"2025-05-29T11:41:40","modified_gmt":"2025-05-29T09:41:40","slug":"2024111099-2","status":"publish","type":"page","link":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/","title":{"rendered":"2024111099"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1404px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-reading-box-container reading-box-container-1\" style=\"--awb-title-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:20px;\"><div class=\"reading-box\" style=\"background-color:var(--awb-color2);border-width:1px;border-color:rgba(226,226,226,0);border-left-width:3px;border-left-color:var(--primary_color);border-style:solid;\"><h2>Populazio-arriskuaren estratifikazioa: Euskal Osasun Zerbitzuan paziente pluripatologikoen arretarako asistentzia-ibilbide korporatiboaren eraginkortasunaren ebaluazioa<\/h2><div class=\"reading-box-additional fusion-reading-box-additional\">\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #241773;\"><strong><a href=\"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg\"><img decoding=\"async\" class=\"wp-image-9762 alignright\" src=\"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg\" alt=\"\" width=\"190\" height=\"210\" srcset=\"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco-200x221.jpg 200w, https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco-272x300.jpg 272w, https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco-400x442.jpg 400w, https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco-600x662.jpg 600w, https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg 750w\" sizes=\"(max-width: 190px) 100vw, 190px\" \/><\/a><\/strong><\/span><\/span><strong><span style=\"color: #241773;\">Proiektuaren deialdia<\/span>:<\/strong> Osasun arloko ikerketa- eta garapen-proiektuetarako laguntzak. Eusko Jaurlaritzako Osasun Saila. 2024ko deialdia<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #241773;\"><strong>Erakunde finantzatzailea: <\/strong><\/span><\/span>Osasun Saila, Eusko Jaurlaritza<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #241773;\"><strong>Espedientea: <\/strong><\/span><\/span>2024111099<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #241773;\"><strong>IP: <\/strong><\/span><\/span>Eduardo Mill\u00e1n<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #241773;\"><strong>Emandako finantzaketa<\/strong><\/span>: 93.238,95\u20ac<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><span style=\"color: #241773;\"><strong>Deskribapena: <\/strong><\/span><\/span>Euskadin kronikotasunaren erronkari aurre egiteko elementu estrategikoetako bat populazioaren estratifikazio eraginkorra lortzea da, osasun-beharren arabera, eta paziente-tipologien arabera behar horietara egokitutako interbentzioak eskaintzea. Multimorbilitatea (PPP) duen pazientearentzat, esku-hartzea asistentzia-ibilbide bat da, eta haren eraginkortasuna ez da modu integralean ebaluatu bizitza errealean. Eraginkortasuna zehazteak identifikazio- eta esku-hartze-estrategia PPPra egokitzen eta hobetzen lagunduko du.<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #241773;\"><strong>Helburuak<\/strong><\/span>:<\/p>\n<p>Proiektu honen helburu nagusiak honako hauek dira: (i) PPPren arretarako asistentzia-ibilbide korporatiboaren eraginkortasuna zehaztea ospitalizazio-arriskua murrizteko, programatu gabeko ospitalizazioa, ekidin daitekeen ospitalizazioa, ospitale bateko egonaldi-egunak, ospitaleko larrialdi-zerbitzuetarako bisitak, heriotza-arriskua eta biztanleria horretako osasun-kostuak; (ii) PPPko patologia kronikoen konbinazio nagusi bakoitzean duen eraginkortasuna zehaztea, eta (iii) ezaugarri soziodemografikoen arabera, hala nola adin-taldeen, sexuaren eta maila sozioekonomikoaren arabera.<\/p>\n<p>Hauek dira bigarren mailako helburuak: (iv) ESIen arteko asistentzia-ibilbidearen eraginkortasunaren aldakortasun sistematikoa zehaztea, eta (v) asistentzia-ibilbidearen elementu nagusien eta eraginkortasunaren arteko loturak aztertzea.<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #241773;\"><strong>Espero diren emaitzak<\/strong><\/span><strong style=\"color: #241773;\">: <\/strong>Aurkezten den proiektuak osasunaren hobekuntzarantz jotzen du argi eta garbi, kasu honetan literaturan deskribatutako behar eta kostu handienetako bat duen biztanleriarenganantz, hau da, multimorbilitatea duen biztanleriarenganantz (PPP), biztanleria oso konplexua baita, osasun-premia handiekin, ospitaleratze-tasa handiekin eta heriotza-tasa handiekin.<\/p>\n<p>Gainera, PPPek maizago jasaten dituzte arreta zatikatuaren eta gaixotasunean bideratuaren ondorio negatiboak, eta, beraz, beste edozein biztanlek baino gehiago eskatzen dute pertsonarengan zentratutako arreta, integrala eta asistentzia-prozesuan inplikatutako profesionalen artean koordinatua, bai eta asistentzia-mailen artean ere.<\/p>\n<p>Ildo horretan, horrelako biztanleei arreta egokia eskaintzea lehentasuna izan da eta da oraindik ere Eusko Jaurlaritzaren Osasun Planetan eta Osakidetzaren Plan Estrategikoetan, eta, horretarako, ahalegin handia egin da urte hauetan (i) premia handienak dituzten PPPak identifikatzeko, eta (ii) PPPei arreta emateko asistentzia-ibilbide korporatibo bat diseinatu eta hedatzeko. Horrek, Euskadiko arrisku-estratifikazioaren barruan, &#8220;casefinding&#8221; estrategiak ez ezik, osasun-asistentziaren beraren berrantolaketak ere ekarri ditu ESIetan, bai pazientea bai zaintzailea hedatzeko eta prestatzeko ahaleginak, bai eta Osakidetzako profesionalak ere, eta Osakidetzan rol berriak garatzea, hala nola erizaintza, praktika aurreratuak, erreferenteak edo gaitasun aurreratuak, edo erreferentziako barneratzailearen figura.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":18,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18097","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>2024111099 | Biosistemak<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"2024111099 | Biosistemak\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Biosistemak\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-29T09:41:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/\",\"url\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/\",\"name\":\"2024111099 | Biosistemak\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/wp-content\\\/uploads\\\/2020\\\/06\\\/logo-departamento-salud-gobierno-vasco.jpg\",\"datePublished\":\"2025-05-28T12:20:46+00:00\",\"dateModified\":\"2025-05-29T09:41:40+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/#breadcrumb\"},\"inLanguage\":\"eu-EU\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"eu-EU\",\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/wp-content\\\/uploads\\\/2020\\\/06\\\/logo-departamento-salud-gobierno-vasco.jpg\",\"contentUrl\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/wp-content\\\/uploads\\\/2020\\\/06\\\/logo-departamento-salud-gobierno-vasco.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/2024111099-2\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Hasiera\",\"item\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/eu\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"2024111099\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#website\",\"url\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/\",\"name\":\"Biosistemak\",\"description\":\"Plaza Asua, n\u00ba1 48150 Sondika (Bizkaia) e-mail: nuno@kronikgune.org  | Telefonoa: +34 94 453 85 00 (ext.210)  +34 94 453 68 96  Fax: +34 94 453 04 65\",\"publisher\":{\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#organization\"},\"alternateName\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"eu-EU\"},{\"@type\":\"Organization\",\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#organization\",\"name\":\"Biosistemak\",\"alternateName\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/\",\"url\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"eu-EU\",\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/biosistemak-logyoast.png\",\"contentUrl\":\"https:\\\/\\\/www.bio-sistemak.eus\\\/wp-content\\\/uploads\\\/2025\\\/12\\\/biosistemak-logyoast.png\",\"width\":100,\"height\":100,\"caption\":\"Biosistemak\"},\"image\":{\"@id\":\"http:\\\/\\\/www.bio-sistemak.eus\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"2024111099 | Biosistemak","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/","og_locale":"en_US","og_type":"article","og_title":"2024111099 | Biosistemak","og_url":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/","og_site_name":"Biosistemak","article_modified_time":"2025-05-29T09:41:40+00:00","og_image":[{"url":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/","url":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/","name":"2024111099 | Biosistemak","isPartOf":{"@id":"http:\/\/www.bio-sistemak.eus\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/#primaryimage"},"image":{"@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/#primaryimage"},"thumbnailUrl":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg","datePublished":"2025-05-28T12:20:46+00:00","dateModified":"2025-05-29T09:41:40+00:00","breadcrumb":{"@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/#breadcrumb"},"inLanguage":"eu-EU","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/"]}]},{"@type":"ImageObject","inLanguage":"eu-EU","@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/#primaryimage","url":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg","contentUrl":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2020\/06\/logo-departamento-salud-gobierno-vasco.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/www.bio-sistemak.eus\/eu\/2024111099-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Hasiera","item":"https:\/\/www.bio-sistemak.eus\/eu\/"},{"@type":"ListItem","position":2,"name":"2024111099"}]},{"@type":"WebSite","@id":"http:\/\/www.bio-sistemak.eus\/#website","url":"http:\/\/www.bio-sistemak.eus\/","name":"Biosistemak","description":"Plaza Asua, n\u00ba1 48150 Sondika (Bizkaia) e-mail: nuno@kronikgune.org  | Telefonoa: +34 94 453 85 00 (ext.210)  +34 94 453 68 96  Fax: +34 94 453 04 65","publisher":{"@id":"http:\/\/www.bio-sistemak.eus\/#organization"},"alternateName":"https:\/\/www.bio-sistemak.eus\/","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/www.bio-sistemak.eus\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"eu-EU"},{"@type":"Organization","@id":"http:\/\/www.bio-sistemak.eus\/#organization","name":"Biosistemak","alternateName":"https:\/\/www.bio-sistemak.eus\/","url":"http:\/\/www.bio-sistemak.eus\/","logo":{"@type":"ImageObject","inLanguage":"eu-EU","@id":"http:\/\/www.bio-sistemak.eus\/#\/schema\/logo\/image\/","url":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2025\/12\/biosistemak-logyoast.png","contentUrl":"https:\/\/www.bio-sistemak.eus\/wp-content\/uploads\/2025\/12\/biosistemak-logyoast.png","width":100,"height":100,"caption":"Biosistemak"},"image":{"@id":"http:\/\/www.bio-sistemak.eus\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/pages\/18097","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/users\/18"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/comments?post=18097"}],"version-history":[{"count":4,"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/pages\/18097\/revisions"}],"predecessor-version":[{"id":18143,"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/pages\/18097\/revisions\/18143"}],"wp:attachment":[{"href":"https:\/\/www.bio-sistemak.eus\/eu\/wp-json\/wp\/v2\/media?parent=18097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}