Evaluation of integrated care services in Catalonia: Population-based and service-based real-life deployment protocols

Background: Comprehensive assessment of integrated care deployment constitutes a major challenge to ensure quality, sustainability and transferability of both healthcare policies and services in the transition toward a coordinated service delivery scenario. To this end, the manuscript articulates four different protocols aiming at assessing large-scale implementation of integrated care, which are being developed within the umbrella of the regional project Nextcare (2016-2019), undertaken to foster innovation in technologically-supported services for chronic multimorbid patients in Catalonia (ES) (7.5 M inhabitants). Whereas one of the assessment protocols is designed to evaluate population-based deployment of care coordination at regional level during the period 2011-2017, the other three are service-based protocols addressing: i) Home hospitalization; ii) Prehabilitation for major surgery; and, iii) Community-based interventions for frail elderly chronic patients. All three services have demonstrated efficacy and potential for health value generation. They reflect different implementation maturity levels. While full coverage of the entire urban health district of Barcelona-Esquerra (52

Colonial scientific-medical documentary films and the legitimization of an ideal state in post-war Spain

This paper explores the role of film and medical-health practices and discourses in the building and legitimating strategies of Franco's fascist regime in Spain. The analysis of five medical-colonial documentary films produced during the 1940s explores the relationship between mass media communication practices and techno-scientific knowledge production, circulation and management processes. These films portray a non-problematic colonial space where social order is articulated through scientific-medical practices and discourses that match the regime's need to consolidate and legitimize itself while asserting the inclusion-exclusion dynamics involved in the definition of social prototypes through processes of medicalization.O artigo explora o papel de práticas e discursos em saúde e cinema na construção e legitimação das estratégias do regime fascista de Franco na Espanha. A análise de cinco documentários médicos coloniais produzidos na década de 1940 explora a relação entre as práticas de comunicação de massa e os processos de produção, circulação e administração do conhecimento técnico-científico. Tais filmes retratam um espaço colonial não problemático onde a ordem social é articulada por meio de práticas e discursos médico-científicos que atendem à necessidade de consolidar e legitimar o regime, validando a dinâmica de inclusão-exclusão envolvida na representação de protótipos sociais por meio de processos de medicalização