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A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS
Open AccessArticle

Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health

1
Department of Epidemiology and Biostatistics, National School of Public Health and REDISSEC. Carlos III Institute of Health, 28029 Madrid, Spain
2
National Centre of Epidemiology and CIBERNED. Carlos III Institute of Health, 28029 Madrid, Spain
3
EpiChron Research Group, IIS Aragón, Teaching Unit of Preventive Medicine and Public Health, 50009 Zaragoza, Spain
4
EpiChron Research Group, Aragon Health Sciences Institute, IIS Aragón, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work and served as first co-authors.
These authors are mentioned in the acknowledgments.
Int. J. Environ. Res. Public Health 2019, 16(24), 5151; https://doi.org/10.3390/ijerph16245151
Received: 6 November 2019 / Revised: 8 December 2019 / Accepted: 12 December 2019 / Published: 17 December 2019
(This article belongs to the Special Issue Implementation of Interventions in Public Health)
The Integrated Multimorbidity Care Model (IMCM), developed by the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS), proposes a set of 16 multidimensional components (i.e., recommendations) to improve the care of persons with multimorbidity in Europe. This study aimed at analyzing the potential applicability of the IMCM. We followed a qualitative approach that comprised two phases: (1) The design of a case study based on empirical clinical data, which consisted of a hypothetical woman with multimorbidity, type 2 diabetes mellitus, mental health, and associated social problems, and (2) the creation of a consensus group to gather the opinions of a multidisciplinary group of experts and consider the potential applicability of the IMCM to our case study. Experts described how care should be delivered to this patient according to each model component, suggested the use of specific rating scales and tools to assess her needs in a comprehensive and regular way, and pointed our crucial health and social resources to improve her care process. Experts also highlighted patient-centered, integrated and tailored care as one of the keystones of quality healthcare. Our results suggest that the IMCM is applicable in complex patients with multimorbidity. View Full-Text
Keywords: multimorbidity; chrodis; Integrated Multimorbidity Care Model; comorbidity; chronic diseases; health promotion; disease prevention; implementation research; public health multimorbidity; chrodis; Integrated Multimorbidity Care Model; comorbidity; chronic diseases; health promotion; disease prevention; implementation research; public health
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Forjaz, M.J.; Rodriguez-Blazquez, C.; Guerrero-Fernández de Alba, I.; Gimeno-Miguel, A.; Bliek-Bueno, K.; Prados-Torres, A.; the CHRODIS Expert Group on Multimorbidity. Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health. Int. J. Environ. Res. Public Health 2019, 16, 5151.

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