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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

Author

Listed:
  • Carmen Rodriguez-Blazquez

    (National Centre of Epidemiology, Institute of Health Carlos III and CIBERNED, 28029 Madrid, Spain)

  • Maria João Forjaz

    (National Centre of Epidemiology, Institute of Health Carlos III and REDISSEC, 28029 Madrid, Spain)

  • Antonio Gimeno-Miguel

    (EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

  • Kevin Bliek-Bueno

    (Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

  • Beatriz Poblador-Plou

    (EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

  • Sara Pilar Luengo-Broto

    (Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

  • Inmaculada Guerrero-Fernández de Alba

    (Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

  • Ana Maria Carriazo

    (Regional Ministry of Health and Families of Andalusia, E-41020 Seville, Spain)

  • Carmen Lama

    (Regional Ministry of Health and Families of Andalusia, E-41020 Seville, Spain)

  • Rafael Rodríguez-Acuña

    (Andalusian Public Foundation Progress and Health (FPS), E-41092 Seville, Spain)

  • Inmaculada Cosano

    (Servicio Andaluz de Salud (SAS), San Jose de la Rinconada-Los Carteros Primary Care Center, E-41300 Seville, Spain)

  • Juan José Bedoya

    (Servicio Andaluz de Salud (SAS), Tiro de Pichon Primary Care Center, E-29006 Malaga, Spain)

  • Carmen Angioletti

    (Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore (UCSC), 00168 Rome, Italy)

  • Angelo Carfì

    (Centro di Medicina dell’Invecchiamento, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Antonella Di Paola

    (Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore (UCSC), 00168 Rome, Italy)

  • Rokas Navickas

    (Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
    Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania)

  • Elena Jureviciene

    (Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
    Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania)

  • Laimis Dambrauskas

    (Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
    Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania)

  • Ida Liseckiene

    (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)

  • Leonas Valius

    (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)

  • Gediminas Urbonas

    (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)

  • Graziano Onder

    (Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanita, 0161 Rome, Italy)

  • Alexandra Prados-Torres

    (EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain)

Abstract

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5268-:d:387840
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
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