IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v122y2018i1p4-11.html
   My bibliography  Save this article

Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)

Author

Listed:
  • Palmer, Katie
  • Marengoni, Alessandra
  • Forjaz, Maria João
  • Jureviciene, Elena
  • Laatikainen, Tiina
  • Mammarella, Federica
  • Muth, Christiane
  • Navickas, Rokas
  • Prados-Torres, Alexandra
  • Rijken, Mieke
  • Rothe, Ulrike
  • Souchet, Laurène
  • Valderas, Jose
  • Vontetsianos, Theodore
  • Zaletel, Jelka
  • Onder, Graziano

Abstract

Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others.

Suggested Citation

  • Palmer, Katie & Marengoni, Alessandra & Forjaz, Maria João & Jureviciene, Elena & Laatikainen, Tiina & Mammarella, Federica & Muth, Christiane & Navickas, Rokas & Prados-Torres, Alexandra & Rijken, Mi, 2018. "Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)," Health Policy, Elsevier, vol. 122(1), pages 4-11.
  • Handle: RePEc:eee:hepoli:v:122:y:2018:i:1:p:4-11
    DOI: 10.1016/j.healthpol.2017.09.006
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851017302348
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2017.09.006?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hopman, Petra & de Bruin, Simone R. & Forjaz, Maria João & Rodriguez-Blazquez, Carmen & Tonnara, Giuseppe & Lemmens, Lidwien C. & Onder, Graziano & Baan, Caroline A. & Rijken, Mieke, 2016. "Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: A systematic literature review," Health Policy, Elsevier, vol. 120(7), pages 818-832.
    2. Marengoni, A. & Winblad, B. & Karp, A. & Fratiglioni, L., 2008. "Prevalence of chronic diseases and multimorbidity among the elderly population in Sweden," American Journal of Public Health, American Public Health Association, vol. 98(7), pages 1198-1200.
    3. de Bruin, Simone R. & Versnel, Nathalie & Lemmens, Lidwien C. & Molema, Claudia C.M. & Schellevis, François G. & Nijpels, Giel & Baan, Caroline A., 2012. "Comprehensive care programs for patients with multiple chronic conditions: A systematic literature review," Health Policy, Elsevier, vol. 107(2), pages 108-145.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jonás Carmona-Pírez & Beatriz Poblador-Plou & Antonio Poncel-Falcó & Jessica Rochat & Celia Alvarez-Romero & Alicia Martínez-García & Carmen Angioletti & Marta Almada & Mert Gencturk & A. Anil Sinaci , 2022. "Applying the FAIR4Health Solution to Identify Multimorbidity Patterns and Their Association with Mortality through a Frequent Pattern Growth Association Algorithm," IJERPH, MDPI, vol. 19(4), pages 1-10, February.
    2. Maria João Forjaz & Carmen Rodriguez-Blazquez & Inmaculada Guerrero-Fernández de Alba & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Alexandra Prados-Torres & on behalf of the CHRODIS Expert Group on M, 2019. "Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    3. Colombani, Françoise & Encrenaz, Gaëlle & Sibé, Matthieu & Quintard, Bruno & Ravaud, Alain & Saillour-Glénisson, Florence, 2022. "Development of an evidence-based reference framework for care coordination with a focus on the micro level of integrated care: A mixed method design study combining scoping review of reviews and nomin," Health Policy, Elsevier, vol. 126(3), pages 245-261.
    4. Leijten, Fenna R.M. & Struckmann, Verena & van Ginneken, Ewout & Czypionka, Thomas & Kraus, Markus & Reiss, Miriam & Tsiachristas, Apostolos & Boland, Melinde & de Bont, Antoinette & Bal, Roland & Bus, 2018. "The SELFIE framework for integrated care for multi-morbidity: Development and description," Health Policy, Elsevier, vol. 122(1), pages 12-22.
    5. Litchfield, Ian & Kingston, Beth & Narga, Dee & Turner, Alice, 2022. "The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK," Health Policy, Elsevier, vol. 126(8), pages 777-785.
    6. Ignatios Ioakeim-Skoufa & Mercedes Clerencia-Sierra & Aida Moreno-Juste & Carmen Elías de Molins Peña & Beatriz Poblador-Plou & Mercedes Aza-Pascual-Salcedo & Francisca González-Rubio & Alexandra Prad, 2022. "Multimorbidity Clusters in the Oldest Old: Results from the EpiChron Cohort," IJERPH, MDPI, vol. 19(16), pages 1-15, August.
    7. Cheng Cheng & Jie Bai & Cong‐Yan Yang & Ming Li & Kerry Inder & Sally Wai‐Chi Chan, 2019. "Patients' experiences of coping with multiple chronic conditions: A qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4400-4411, December.
    8. Lena H. A. Raaijmakers & Tjard R. Schermer & Mandy Wijnen & Hester E. van Bommel & Leslie Michielsen & Floris Boone & Jan H. Vercoulen & Erik W. M. A. Bischoff, 2023. "Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study," IJERPH, MDPI, vol. 20(5), pages 1-27, February.
    9. Mohammad Akhtar Hussain & Judith M Katzenellenbogen & Frank M Sanfilippo & Kevin Murray & Sandra C Thompson, 2018. "Complexity in disease management: A linked data analysis of multimorbidity in Aboriginal and non-Aboriginal patients hospitalised with atherothrombotic disease in Western Australia," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-18, August.
    10. Katie Palmer & Angelo Carfì & Carmen Angioletti & Antonella Di Paola & Rokas Navickas & Laimis Dambrauskas & Elena Jureviciene & Maria João Forjaz & Carmen Rodriguez-Blazquez & Alexandra Prados-Torres, 2019. "A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 16(24), pages 1-18, December.
    11. Carmen Rodriguez-Blazquez & Maria João Forjaz & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Beatriz Poblador-Plou & Sara Pilar Luengo-Broto & Inmaculada Guerrero-Fernández de Alba & Ana Maria Carriazo, 2020. "Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    12. Caballer-Tarazona, Vicent & Guadalajara-Olmeda, Natividad & Vivas-Consuelo, David, 2019. "Predicting healthcare expenditure by multimorbidity groups," Health Policy, Elsevier, vol. 123(4), pages 427-434.
    13. Javier González-Bueno & Daniel Sevilla-Sánchez & Emma Puigoriol-Juvanteny & Núria Molist-Brunet & Carles Codina-Jané & Joan Espaulella-Panicot, 2021. "Factors Associated with Medication Non-Adherence among Patients with Multimorbidity and Polypharmacy Admitted to an Intermediate Care Center," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    14. Ignatios Ioakeim-Skoufa & Beatriz Poblador-Plou & Jonás Carmona-Pírez & Jesús Díez-Manglano & Rokas Navickas & Luis Andrés Gimeno-Feliu & Francisca González-Rubio & Elena Jureviciene & Laimis Dambraus, 2020. "Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    15. Antonio Sarría-Santamera & Lorena Pinilla-Navas & Patricia González-Soriano & Iñaki Imaz-Iglesia & Teresa Moreno-Casbas & Teresa Corral, 2020. "Lessons from the Implementation of Pilot Practices to Tackle the Burden of Noncommunicable Diseases in Europe," IJERPH, MDPI, vol. 17(13), pages 1-6, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Struckmann, Verena & Leijten, Fenna R.M. & van Ginneken, Ewout & Kraus, Markus & Reiss, Miriam & Spranger, Anne & Boland, Melinde R.S. & Czypionka, Thomas & Busse, Reinhard & Rutten-van Mölken, Mauree, 2018. "Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review," Health Policy, Elsevier, vol. 122(1), pages 23-35.
    2. Maria João Forjaz & Carmen Rodriguez-Blazquez & Inmaculada Guerrero-Fernández de Alba & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Alexandra Prados-Torres & on behalf of the CHRODIS Expert Group on M, 2019. "Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    3. Stoop, Annerieke & de Bruin, Simone R. & Wistow, Gerald & Billings, Jenny & Ruppe, Georg & Leichsenring, Kai & Obermann, Konrad & Baan, Caroline A. & Nijpels, Giel, 2019. "Exploring improvement plans of fourteen European integrated care sites for older people with complex needs," Health Policy, Elsevier, vol. 123(12), pages 1135-1154.
    4. Lena H. A. Raaijmakers & Tjard R. Schermer & Mandy Wijnen & Hester E. van Bommel & Leslie Michielsen & Floris Boone & Jan H. Vercoulen & Erik W. M. A. Bischoff, 2023. "Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study," IJERPH, MDPI, vol. 20(5), pages 1-27, February.
    5. Katie Palmer & Angelo Carfì & Carmen Angioletti & Antonella Di Paola & Rokas Navickas & Laimis Dambrauskas & Elena Jureviciene & Maria João Forjaz & Carmen Rodriguez-Blazquez & Alexandra Prados-Torres, 2019. "A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 16(24), pages 1-18, December.
    6. Rijken, Mieke & Hujala, Anneli & van Ginneken, Ewout & Melchiorre, Maria Gabriella & Groenewegen, Peter & Schellevis, Franζois, 2018. "Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe," Health Policy, Elsevier, vol. 122(1), pages 44-52.
    7. Carmen Rodriguez-Blazquez & Maria João Forjaz & Antonio Gimeno-Miguel & Kevin Bliek-Bueno & Beatriz Poblador-Plou & Sara Pilar Luengo-Broto & Inmaculada Guerrero-Fernández de Alba & Ana Maria Carriazo, 2020. "Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    8. Joël Coste & José M Valderas & Laure Carcaillon-Bentata, 2022. "The epidemiology of multimorbidity in France: Variations by gender, age and socioeconomic factors, and implications for surveillance and prevention," PLOS ONE, Public Library of Science, vol. 17(4), pages 1-21, April.
    9. Laura Nedzinskienė & Elena Jurevičienė & Žydrūnė Visockienė & Agnė Ulytė & Roma Puronaitė & Vytautas Kasiulevičius & Edita Kazėnaitė & Greta Burneikaitė & Rokas Navickas, 2021. "Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    10. Althea La Foucade & Gershwin Davis & Nelleen Baboolal & Don Bethelmie & Christine Laptiste & Haleema Ali-Sisbane & Karl Theodore, 2020. "The socio-economic determinants of multimorbidity among the elderly population in Trinidad and Tobago," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-18, September.
    11. Héctor Pifarré i Arolas & Christian Dudel, 2019. "An Ordinal Measure of Population Health," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(3), pages 1219-1243, June.
    12. María Luisa Delgado-Losada & Jaime Bouhaben & Eduardo Arroyo-Pardo & Aránzazu Aparicio & Ana María López-Parra, 2022. "Loneliness, Depression, and Genetics in the Elderly: Prognostic Factors of a Worse Health Condition?," IJERPH, MDPI, vol. 19(23), pages 1-29, November.
    13. Dongjuan Xu & Greg Arling, 2023. "Are Frail Older People from Racial/Ethnic Minorities at Double Jeopardy of Putting off Healthcare during the Pandemic?," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    14. Tzu-Chueh Wang & Pou-Jen Ku & Hai-Lin Lu & Kung-Chuan Hsu & Damien Trezise & Hue-Yu Wang, 2019. "Association between Potentially Inappropriate Medication Use and Chronic Diseases in the Elderly," IJERPH, MDPI, vol. 16(12), pages 1-12, June.
    15. Leijten, Fenna R.M. & Struckmann, Verena & van Ginneken, Ewout & Czypionka, Thomas & Kraus, Markus & Reiss, Miriam & Tsiachristas, Apostolos & Boland, Melinde & de Bont, Antoinette & Bal, Roland & Bus, 2018. "The SELFIE framework for integrated care for multi-morbidity: Development and description," Health Policy, Elsevier, vol. 122(1), pages 12-22.
    16. Bahareh Eslami & Mirko Di Rosa & Henrique Barros & Francisco Torres-Gonzalez & Mindaugas Stankunas & Elisabeth Ioannidi-Kapolou & Jutta Lindert & Joaquim J F Soares & Giovanni Lamura & Maria Gabriella, 2019. "Lifetime abuse and somatic symptoms among older women and men in Europe," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-15, August.
    17. Annette Peart & Chris Barton & Virginia Lewis & Grant Russell, 2020. "A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(9-10), pages 1445-1456, May.
    18. Sara Santini & Vera Stara & Flavia Galassi & Alessandra Merizzi & Cornelia Schneider & Sabine Schwammer & Elske Stolte & Johannes Kropf, 2021. "User Requirements Analysis of an Embodied Conversational Agent for Coaching Older Adults to Choose Active and Healthy Ageing Behaviors during the Transition to Retirement: A Cross-National User Center," IJERPH, MDPI, vol. 18(18), pages 1-24, September.
    19. Francisco Ródenas-Rigla & David Conesa & Antonio López-Quílez & Estrella Durá-Ferrandis, 2021. "A Classification System for Decision-Making in the Management of Patients with Chronic Conditions," Sustainability, MDPI, vol. 13(23), pages 1-11, November.
    20. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees," IJERPH, MDPI, vol. 18(11), pages 1-14, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:122:y:2018:i:1:p:4-11. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.