Relevance of clinical judgement and risk stratification in the success of integrated care for multimorbid patients

The Department of Health of the Basque Government launched in 2010 a new strategy to tackle the challenge of chronicity which aimed to re-orient the health system towards an integrated care model. In this paper we evaluate this strategy through a retrospective observational study with a historical control group based on data from the clinical and administrative databases of the Basque Health Service.