The main aim of the project BeyondSilos was to enable the delivery of integrated care to older European citizens to support them to live independent lives in the community by providing the ICT tools necessary to integrate care pathways across organisations and locations, in particular between social and health care providers. One of the key areas of the integration was to provide common access to home platforms for all the cross‐sectorial care teams in order to improve care coordination and, therefore, the continuity of care.
In particular, this use case includes the analysis of the results achieved at Badalona Serveis Assistencials (BSA) in the frame of BeyondSilos by means of the MAFEIP tool. Participants in the case study were divided in Intervention and Control groups, and in two different integrated common care pathways for homecare support: short and long term. In this report, we focus on the integrated long‐term pathway for homecare support. The age of the participants ranged from 64 to 103 years and it included both females (62%) and males (38%). The participants were suffering heart failure or stroke plus another chronic disease, they lived at home (autonomous or in a dependency situation), and they had home care needs or an exclusion risk due to illness or disability of any condition