As the population ages, the number of people living with one or more chronic condition increases and with that the demands on health systems to provide care appropriate to their changing health needs also grows.
Achieving cost-effectiveness and optimal patient care is possible by bringing together professionals across the spectrum of care, ensuring a coordinated approach to promote quality, overcoming fragmentation and reducing duplication of services. This implies developing and implementing innovative models of care, transforming the health system towards patient-centered, efficient and effective care. A possible solution to the growing demand for long-term care for patients (mostly adults) with more than one chronic disease is the provision of integrative care, encompassed in different models and aiming
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