The BHCA is responsible for the public health care services in the eastern half of the Spanish province of Huesca. The BHCA covers all assistance levels: primary, specialized, socio sanitary and mental. The BHCA provides health care services to 100.000 inhabitants within a geographic area of 7.500 square kilometres. Population density is very low, being very dispersed though many villages sparsely populated. The orography of the zone very hard, does not help in order to have good communications; especially in the north part where the Pyrenees Mountains have their main peaks.
The BHCA is divided in fifteen geographic areas called “zonas de salud” (literally “health care zones”). In each of such “health care zones”, there is a Health Care Center that provides ongoing primary health care services to the citizens. Second level (specialized) health care services are provided by the General Hospital, placed in the geographical centre of the geographic area, Barbastro. This Hospital has two branches: one located in Monzón and a second one in Fraga, both covering certain specialities. Besides there is a socio sanitary centre located in the far South of the territory.
The BHCA heads on towards a scenario where an outstanding health care service is provided through the optimum management of public resources allocated whilst reaching a high level of customer satisfaction, fully backed by the citizens. Besides, all and every professionals working for the BHCA are motivated and highly involved in achieving this objective.
The objective is to provide an “end to end” health care service to the citizens and residents within the BHCA geographical area, by ensuring their easy and quick access to the service, understood as: promotion of healthy ways of life; prevention and protection against physical, environmental and biologic factors; provision of any care required in an illness situation; whilst keeping the highest degree of autonomy and insertion of patients in their environment and in the society in order to meet all his/her needs and expectations in terms of personal health.
The hospital has 160 beds available in the hospitalization area. Surgical area has 5 operating theatres. Ambulatory care is provide through offices in the hospital itself as well as in two specialized delegations, located 17 and 75 km away from the main site, respectively.
Medical specialized services available at the hospital are:
In the primary health care area there are 14 health care centres and 136 offices.
The health care sector has made a revolution in the way of managing the gap between the two levels of health care assistance, primary assistance and specialized assistance through the deployment of two strategic project, which the Aragon’s Health Service (Servicio Aragonés de la Salud) is now replicating through the rest of the organization.
The first project consisted on the development of a powerful intranet for the sanitary sector allowing the integration of the different IT systems available in the two levels of health care assistance (primary and specialized), which has been the starting point for the existence of the single record for patient shared among primary, specialized and sociosanitary attention. This approach has improved the availability and accessibility of the clinic data and improving consequently the assistance quality.
Also, a telemedicine system has been deployed allowing the daily contact and the sharing of knowledge among the different professionals in the health care area (practitioners, specialist, nurses, etc.)
Role in the Project
Our geographical area has traditionally depended on the primary economic sector. During centuries, basic food has been based in the kitchen garden, the farmyard, the olive oil and the wine, elements that have played a key role in our population diet; what today is known as Mediterranean diet. In this geographic area a big percentage of the population is elder people, being the average age higher than for the total of Aragon or Spain.
The dietetic advice oriented to maintain the health and prevent the nutritional shortages, as well as the degenerative sickness, are currently a frequent reason for a medical consultancy. Also, some patients need a therapeutic diet as a part of the treatment issued to attack their sickness.
The IT systems integration, a good coordination among the different levels of assistance and the high level of usage of the new technologies in the BHCA are the key reasons for it to become an appropriate scenario for the development of new health care programs developed by multidisciplinary teams.
Considering all these peculiarities and within the program of assistance to elder people we are going to focus our attention on their diet, trying to postpone the ageing process and improving his/her quality of life, whether at the physic, psychological or social level.
In order to get the maximum benefit from this program, it would be very convenient to have available some software tools with and inference machine tools that could provide dietetic consultancy based on the constitutional and environmental information provided by the patient.
The program is leaded by a multidisciplinary team compound by general practitioner, a health technician, a geriatrician, community nurses, a specialist in biostatistics and the adequate admin support.
In order to achieve the maximum from the proposed program, the initial scope will be targeted in two different “zonas de salud” (health care zones): one located in an urban area and another one belonging to the rural world.