Basque Country (SPAIN)

Basque Country is a region in the north of Spain with more than 2 M of inhabitants. Osakidetza is the public healthcare service of Basque Country and is structured in 13 different Integrated Health Organizations (IHO). About 80% of interactions with the health care system and 77% of health expenditure in the Basque Country are due to chronic conditions.

Basque Country has a strong primary care, that attempts to achieve a holistic view of the individual patient, and is based on an ongoing relationship between the patients and their doctor. This vision is supported and shared by the majority of the population, more than 92% of residents in the Basque Country believing that they receive good care from their GPs. 

In the health plan of the Health Department of the Basque Government within the five priority areas, Healthy Aging is one of them. The purpose is to promote active aging with actions aimed at maintaining the autonomy of people. It proposes comprehensive assessment mechanisms, interdisciplinary management,training in the use of new technologies and promotes volunteering and the maintenance of people in their usual environment.

The Reference Use Cases piloted in Basque Country PS:

  • Lifestyle-related early detection and interventions: Big Data Analytics techniques will be exploited to address risk stratification and early detection, based on lifestyles analysis in ageing population.
  • Diabetes Predictive modelling of glycaemic status: GATEKEEPER will provide a solution based on data federation in order to identify the different modes of the underlying glucose metabolism.
  • Primary and secondary stroke prevention: Image recognition algorithms will be used to detect stroke signs from images recorded at home. These algorithms, coupled with smart-home/smart-hospital interactions will activate early warning alarms, particularly for subjects affected by recurrent strokes.
  • Multi-chronic elderly patient management including polimedication: Different technologies will be taken into account in order to adjust individual care plans and integrate digital coaching systems to assist polymedicated patients. 
  • Parkinson's disease treatment DSS: sensors, digital applications, such as Smart TVs, that can be used to detect non-motor symptoms. The model will alert clinicians that the patient’s current medication plan is not optimal any more, and will derive suggestions on how to improve it.