In this project we explore excess mortality in Catalonia in 2022, focusing on the impact of extreme heat episodes and distinguishing these effects from the direct and indirect impacts of COVID-19 and other causes. Our objectives are to analyze the geographical variability of heat-related mortality and estimate the proportion of excess deaths attributable to extreme heat. In the study we use spatiotemporal mixed models combining ecological and individual-level data to improve estimates and address biases and limitations present in standard models.

We intend to analyze the ecosystem of services for people with psychosocial disabilities in the Girona region, particularly in the context of the closure of long-stay mental health institutions and the development of a wide range of community-based services, including prevention, early intervention, employment support, decision-making support, and rights advocacy. In the study we will examine the distinctive features and governance of this service ecosystem, as well as evaluate the effectiveness, efficiency, and quality-of-life impact of current and intersectoral care practices, in line with European Commission priorities on prevention and early intervention in mental health.

We propose the development of a web-based platform, as a proof of concept, aimed at improving the quality and efficiency of healthcare services by analyzing the impact of social and environmental determinants on health and health inequalities in Spain. The platform will provide indicators across multiple territorial levels and will allow users to model associations between socioeconomic and environmental factors and health outcomes, as well as healthcare utilization. It will integrate historical and real-time data and include an early warning system to estimate health risks. In the project we will also emphasize data security, interoperability between healthcare systems, and training for healthcare professionals to support a more equitable, data-driven healthcare model.