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

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...

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Autores principales: Rodriguez-Blazquez, Carmen, João Forjaz, Maria, Gimeno-Miguel, Antonio, Bliek-Bueno, Kevin, Poblador-Plou, Beatriz, Pilar Luengo-Broto, Sara, Guerrero-Fernández de Alba, Inmaculada, Maria Carriazo, Ana, Lama, Carmen, Rodríguez-Acuña, Rafael, Cosano, Inmaculada, Bedoya, Juan José, Angioletti, Carmen, Carfì, Angelo, Di Paola, Antonella, Navickas, Rokas, Jureviciene, Elena, Dambrauskas, Laimis, Liseckiene, Ida, Valius, Leonas, Urbonas, Gediminas, Onder, Graziano, Prados-Torres, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432941/
https://www.ncbi.nlm.nih.gov/pubmed/32707791
http://dx.doi.org/10.3390/ijerph17155268
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author Rodriguez-Blazquez, Carmen
João Forjaz, Maria
Gimeno-Miguel, Antonio
Bliek-Bueno, Kevin
Poblador-Plou, Beatriz
Pilar Luengo-Broto, Sara
Guerrero-Fernández de Alba, Inmaculada
Maria Carriazo, Ana
Lama, Carmen
Rodríguez-Acuña, Rafael
Cosano, Inmaculada
Bedoya, Juan José
Angioletti, Carmen
Carfì, Angelo
Di Paola, Antonella
Navickas, Rokas
Jureviciene, Elena
Dambrauskas, Laimis
Liseckiene, Ida
Valius, Leonas
Urbonas, Gediminas
Onder, Graziano
Prados-Torres, Alexandra
author_facet Rodriguez-Blazquez, Carmen
João Forjaz, Maria
Gimeno-Miguel, Antonio
Bliek-Bueno, Kevin
Poblador-Plou, Beatriz
Pilar Luengo-Broto, Sara
Guerrero-Fernández de Alba, Inmaculada
Maria Carriazo, Ana
Lama, Carmen
Rodríguez-Acuña, Rafael
Cosano, Inmaculada
Bedoya, Juan José
Angioletti, Carmen
Carfì, Angelo
Di Paola, Antonella
Navickas, Rokas
Jureviciene, Elena
Dambrauskas, Laimis
Liseckiene, Ida
Valius, Leonas
Urbonas, Gediminas
Onder, Graziano
Prados-Torres, Alexandra
author_sort Rodriguez-Blazquez, Carmen
collection PubMed
description 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.
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spelling pubmed-74329412020-08-28 Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS Rodriguez-Blazquez, Carmen João Forjaz, Maria Gimeno-Miguel, Antonio Bliek-Bueno, Kevin Poblador-Plou, Beatriz Pilar Luengo-Broto, Sara Guerrero-Fernández de Alba, Inmaculada Maria Carriazo, Ana Lama, Carmen Rodríguez-Acuña, Rafael Cosano, Inmaculada Bedoya, Juan José Angioletti, Carmen Carfì, Angelo Di Paola, Antonella Navickas, Rokas Jureviciene, Elena Dambrauskas, Laimis Liseckiene, Ida Valius, Leonas Urbonas, Gediminas Onder, Graziano Prados-Torres, Alexandra Int J Environ Res Public Health Article 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. MDPI 2020-07-22 2020-08 /pmc/articles/PMC7432941/ /pubmed/32707791 http://dx.doi.org/10.3390/ijerph17155268 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rodriguez-Blazquez, Carmen
João Forjaz, Maria
Gimeno-Miguel, Antonio
Bliek-Bueno, Kevin
Poblador-Plou, Beatriz
Pilar Luengo-Broto, Sara
Guerrero-Fernández de Alba, Inmaculada
Maria Carriazo, Ana
Lama, Carmen
Rodríguez-Acuña, Rafael
Cosano, Inmaculada
Bedoya, Juan José
Angioletti, Carmen
Carfì, Angelo
Di Paola, Antonella
Navickas, Rokas
Jureviciene, Elena
Dambrauskas, Laimis
Liseckiene, Ida
Valius, Leonas
Urbonas, Gediminas
Onder, Graziano
Prados-Torres, Alexandra
Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title_full Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title_fullStr Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title_full_unstemmed Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title_short Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS
title_sort assessing the pilot implementation of the integrated multimorbidity care model in five european settings: results from the joint action chrodis-plus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432941/
https://www.ncbi.nlm.nih.gov/pubmed/32707791
http://dx.doi.org/10.3390/ijerph17155268
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