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Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective

The COVID-19 pandemic has abruptly changed care priority and delivery, delaying others like the multimorbidity approach. The Centro de Innovación en Salud ANCORA UC, the Health National Fund, and the Servicio de Salud Metropolitano Sur Oriente implemented a Multimorbidity Patient-Centered Care Model...

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Autores principales: Zamorano, Paula, Tellez, Alvaro, Muñoz, Paulina, Sapag, Jaime C., Martinez, Mayra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8939841/
https://www.ncbi.nlm.nih.gov/pubmed/35316285
http://dx.doi.org/10.1371/journal.pone.0265091
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author Zamorano, Paula
Tellez, Alvaro
Muñoz, Paulina
Sapag, Jaime C.
Martinez, Mayra
author_facet Zamorano, Paula
Tellez, Alvaro
Muñoz, Paulina
Sapag, Jaime C.
Martinez, Mayra
author_sort Zamorano, Paula
collection PubMed
description The COVID-19 pandemic has abruptly changed care priority and delivery, delaying others like the multimorbidity approach. The Centro de Innovación en Salud ANCORA UC, the Health National Fund, and the Servicio de Salud Metropolitano Sur Oriente implemented a Multimorbidity Patient-Centered Care Model as a pilot study in the public health network from 2017 to 2020. Its objective was to reorganize the single diagnosis standard care into a new one based on multimorbidity integrated care. It included incorporating new roles, services, and activities according to each patient’s risk stratification. This study aims to describe the perception of the health care teams regarding the impact of the COVID-19 pandemic on four main topics: how the COVID-19 pandemic affected the MCPM implementation, how participants adapted it, lessons learned, and recommendations for sustainability. We conducted a qualitative study with 35 semi-structured interviews between October and December 2020. Data analysis was codified, triangulated, and consolidated using MAXQDA 2020. Results showed that the pandemic paused the total of the implementation practically. Positive effects were the improvement of remote health care services, the activation of self-management, and the cohesion of the teamwork. In contrast, frequent abrupt changes and reorganization forced by pandemic evolution were negative effects. This study revealed the magnitude of the pandemic in the cancelation of health services and identified the urgent need to restart chronic services incorporating patient-centered care in our system.
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spelling pubmed-89398412022-03-23 Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective Zamorano, Paula Tellez, Alvaro Muñoz, Paulina Sapag, Jaime C. Martinez, Mayra PLoS One Research Article The COVID-19 pandemic has abruptly changed care priority and delivery, delaying others like the multimorbidity approach. The Centro de Innovación en Salud ANCORA UC, the Health National Fund, and the Servicio de Salud Metropolitano Sur Oriente implemented a Multimorbidity Patient-Centered Care Model as a pilot study in the public health network from 2017 to 2020. Its objective was to reorganize the single diagnosis standard care into a new one based on multimorbidity integrated care. It included incorporating new roles, services, and activities according to each patient’s risk stratification. This study aims to describe the perception of the health care teams regarding the impact of the COVID-19 pandemic on four main topics: how the COVID-19 pandemic affected the MCPM implementation, how participants adapted it, lessons learned, and recommendations for sustainability. We conducted a qualitative study with 35 semi-structured interviews between October and December 2020. Data analysis was codified, triangulated, and consolidated using MAXQDA 2020. Results showed that the pandemic paused the total of the implementation practically. Positive effects were the improvement of remote health care services, the activation of self-management, and the cohesion of the teamwork. In contrast, frequent abrupt changes and reorganization forced by pandemic evolution were negative effects. This study revealed the magnitude of the pandemic in the cancelation of health services and identified the urgent need to restart chronic services incorporating patient-centered care in our system. Public Library of Science 2022-03-22 /pmc/articles/PMC8939841/ /pubmed/35316285 http://dx.doi.org/10.1371/journal.pone.0265091 Text en © 2022 Zamorano et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zamorano, Paula
Tellez, Alvaro
Muñoz, Paulina
Sapag, Jaime C.
Martinez, Mayra
Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title_full Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title_fullStr Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title_full_unstemmed Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title_short Effect of COVID-19 pandemic on the implementation of a multimorbidity person-centered care model: A qualitative study from health teams’ perspective
title_sort effect of covid-19 pandemic on the implementation of a multimorbidity person-centered care model: a qualitative study from health teams’ perspective
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8939841/
https://www.ncbi.nlm.nih.gov/pubmed/35316285
http://dx.doi.org/10.1371/journal.pone.0265091
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