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The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective

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  • Sanne J. Kuipers

    (Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands)

  • Anna P. Nieboer

    (Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands)

  • Jane M. Cramm

    (Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands)

Abstract

Background: Primary care delivery for multimorbid patients is complex, due to single disease–oriented guidelines, complex care needs, time constraints and the involvement of multiple healthcare professionals. Co-creation of care, based on the quality of communication and relationships between healthcare professionals and patients, may therefore be valuable. This longitudinal study investigates the relationships of co-creation of care to physical and social well-being and satisfaction with care among multimorbid patients in primary care. Methods: In 2017 and 2018, longitudinal surveys were conducted among multimorbid patients from seven primary care practices in Noord-Brabant, the Netherlands ( n = 138, age = 73.50 ± 9.99). Paired sample t-tests and multivariate regression analyses were performed. (3) Results: Co-creation of care improved significantly over time ( t = 2.25, p = 0.026), as did social well-being ( t = 2.31, p = 0.022) and physical well-being ( t = 2.72, p = 0.007) but not satisfaction with care (t = 0.18, p = 0.858). Improvements in co-creation of care from T0 to T1 were associated with social well-being (B = 0.157, p = 0.002), physical well-being (B = 0.216, p = 0.000) and satisfaction with care (B = 0.240, p = 0.000). (4) Conclusions: Thus, investment in co-creation of care by primary care practices may lead to better outcomes for multimorbid patients.

Suggested Citation

  • Sanne J. Kuipers & Anna P. Nieboer & Jane M. Cramm, 2020. "The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective," IJERPH, MDPI, vol. 17(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3201-:d:354064
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    References listed on IDEAS

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    1. Anna Nieboer & Siegwart Lindenberg & Anne Boomsma & Alinda Bruggen, 2005. "Dimensions Of Well-Being And Their Measurement: The Spf-Il Scale," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 73(3), pages 313-353, September.
    2. Johan Ormel & Siegwart Lindenberg & Nardi Steverink & Lois Verbrugge, 1999. "Subjective Well-Being and Social Production Functions," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 46(1), pages 61-90, January.
    3. Martin Pinquart & Silvia Sörensen, 2001. "Gender Differences in Self-Concept and Psychological Well-Being in Old Age," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(4), pages 195-213.
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    1. Marta Marsilio & Floriana Fusco & Eleonora Gheduzzi & Chiara Guglielmetti, 2021. "Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics," IJERPH, MDPI, vol. 18(7), pages 1-28, March.

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