Activation of Stratification Strategies and Results of the interventions on frail patients of Healthcare Services (ASSEHS) European project is an international effort to bring together stratification related professionals from Health Services, Academia and Research centers from European countries to study current existing health risk stratification strategies and tools and the challenges to spread their use and the application on frail elderly patients.
To face the challenge of active and healthy ageing (AHA), European Health Systems and services should move towards proactive, anticipatory and integrated care.
Health care systems thus need to personalize services, put patients in the centre of care and provide services using the adequate resources. Population health risk management is emphasized through the use of tools to stratify people with chronic diseases according to their risk and offering support commensurate with this risk. Effective screening of frailty is key in optimizing care for frail population at risk.
Risk Stratification tools can help to identify complex frail and high risk patients and maintain these patients on the radar of the Health Services. Risk Stratification helps ensuring appropriate coverage of key secondary health risk prevention interventions, including managing disease stratification registers systematically by modelling expected versus actual prevalence and incidence, and thereby identifying practices where improvement is necessary. Systematic screening of groups of people in risk of suffering a disease constitutes a part of a broader area-level strategy on public health.
A Health System is an intricate network of health care structures with multiple levels of governance. There is not a unique model for the screening and stratification of people at risk of suffering frailty and the different configuration of almost any Health System of the world creates even more alternatives.
The analysis of Risk Stratification techniques in different Health Systems and the lessons learnt out of the implementation of stratification based interventions on the four Health Services in ASSEHS will help in generating useful conclusions and risk stratification solutions transferable to a variety of regions in the future.