Table 1.

Fourteen components of integrated care framing the 12 ICPs work.

Around the patient
1) Empowerment of the patient
2) Support for informal caregivers
3) Case management
4) Work conservation, socio-professional and socio-educational reintegration
Around professionals
5) Prevention: Involving several areas
6) Consultation and coordination
7) Intra- and transmural care continuity
8) Valorisation of the experiences of patient organizations
9) Integrated patient files
10) Multidisciplinary guidelines
At loco-regional level
11) Development of a quality culture
12) Adaptation of the financial system
13) Stratification of the risks within the population and mapping of the area
14) Change management