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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7432941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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