Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS.

Autor:	Rodriguez-Blazquez C; National Centre of Epidemiology, Institute of Health Carlos III and CIBERNED, 28029 Madrid, Spain., João Forjaz M; National Centre of Epidemiology, Institute of Health Carlos III and REDISSEC, 28029 Madrid, Spain., Gimeno-Miguel A; EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain., Bliek-Bueno K; Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain., Poblador-Plou B; EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain., Pilar Luengo-Broto S; Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain., Guerrero-Fernández de Alba I; Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain., Maria Carriazo A; Regional Ministry of Health and Families of Andalusia, E-41020 Seville, Spain., Lama C; Regional Ministry of Health and Families of Andalusia, E-41020 Seville, Spain., Rodríguez-Acuña R; Andalusian Public Foundation Progress and Health (FPS), E-41092 Seville, Spain., Cosano I; Servicio Andaluz de Salud (SAS), San Jose de la Rinconada-Los Carteros Primary Care Center, E-41300 Seville, Spain., Bedoya JJ; Servicio Andaluz de Salud (SAS), Tiro de Pichon Primary Care Center, E-29006 Malaga, Spain., Angioletti C; Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore (UCSC), 00168 Rome, Italy., Carfì A; Centro di Medicina dell'Invecchiamento, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy., Di Paola A; Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore (UCSC), 00168 Rome, Italy., Navickas R; Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.; Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania., Jureviciene E; Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.; Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania., Dambrauskas L; Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.; Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania., Liseckiene I; Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania.; Department of Family Medicine, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania., Valius L; Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania.; Department of Family Medicine, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania., Urbonas G; Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania.; Department of Family Medicine, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania., Onder G; Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanita, 0161 Rome, Italy., Prados-Torres A; EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Jul 22; Vol. 17 (15). Date of Electronic Publication: 2020 Jul 22.
DOI:	10.3390/ijerph17155268
Abstrakt:	Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Italy, and Lithuania, within the Joint Action CHRODIS-PLUS. The effect of these pilot interventions was assessed pre- and post-implementation by 17 healthcare managers, using the Assessment of Chronic Illness Care (ACIC) measure, and by 226 patients with the Patient Assessment of Care for Chronic Conditions (PACIC+) survey. The ACIC total score significantly increased (5.23 to 6.71, p = 0.022) after the intervention, with differences across sites. A significant increase in the PACIC+ summary score was found ranging from 3.25 at baseline to 4.03 after the intervention ( p < 0.001), and 58% of the sample perceived an improvement in care. Higher PACIC+ scores after the intervention were associated to lower baseline values in the respective PACIC+ dimension and to greater changes in ACIC Part 1 (delivery system organization). The IMCM implementation can help improve the quality of care for patients with multimorbidity.
Databáze:	MEDLINE
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