Transforming Caring for Dependent Older People: A New Approach for Integrated Socio-Healthcare

The increasing ageing population and growing socioeconomic disparities in the Mediterranean region pose significant challenges to the provision of integrated socio-healthcare services. Current models often fail to address the complex needs of dependent older adults and those at risk of social exclusion, highlighting the need for a sustainable, person-centred approach.

This study aims to develop and theoretically ground the TEC-MED framework, a novel model for integrated socio-health care that ensures holistic, ethical, and culturally responsive care for vulnerable older populations.

A concept analysis following Walker and Avant's methodology was conducted, informed by prior empirical research. The framework was designed based on the nursing metaparadigm, incorporating interdisciplinary collaboration, digital health solutions, and policy integration at micro, meso, and macro levels.

The TEC-MED framework consists of six key dimensions (person, socio-health professionals, care context, service provision, governance, and financing) and five transversal values (quality research, gender equity, social inclusion, ethics, and transcultural care). The model enhances interdisciplinary coordination, digital innovation, and patient-centered care, addressing disparities in access and service fragmentation. Case studies demonstrate its applicability in diverse healthcare settings.

The TEC-MED framework offers an innovative and sustainable solution for improving socio-healthcare integration, ensuring dignified and inclusive care for dependent older adults. Its implementation has significant implications for clinical practice, policymaking, and professional training, reinforcing the humanisation of care while promoting health equity and system sustainability.