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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

1
National Centre of Epidemiology, Institute of Health Carlos III and CIBERNED, 28029 Madrid, Spain
2
National Centre of Epidemiology, Institute of Health Carlos III and REDISSEC, 28029 Madrid, Spain
3
EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragon, REDISSEC, Miguel Servet University Hospital, 50009 Zaragoza, Spain
4
Teaching Unit of Preventive Medicine and Public Health, Miguel Servet University Hospital, 50009 Zaragoza, Spain
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Regional Ministry of Health and Families of Andalusia, E-41020 Seville, Spain
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Andalusian Public Foundation Progress and Health (FPS), E-41092 Seville, Spain
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Servicio Andaluz de Salud (SAS), San Jose de la Rinconada-Los Carteros Primary Care Center, E-41300 Seville, Spain
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Servicio Andaluz de Salud (SAS), Tiro de Pichon Primary Care Center, E-29006 Malaga, Spain
9
Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore (UCSC), 00168 Rome, Italy
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Centro di Medicina dell’Invecchiamento, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
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Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
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Department of Biomedical Research, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
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Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania
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Department of Family Medicine, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania
15
Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanita, 0161 Rome, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(15), 5268; https://doi.org/10.3390/ijerph17155268
Received: 5 June 2020 / Revised: 13 July 2020 / Accepted: 19 July 2020 / Published: 22 July 2020
(This article belongs to the Special Issue Population Health and Health Services)
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. View Full-Text
Keywords: multimorbidity; integrated multimorbidity care model; chronic diseases; implementation research; non-communicable diseases; integrated care; care model; individualized care plans; comprehensive assessment multimorbidity; integrated multimorbidity care model; chronic diseases; implementation research; non-communicable diseases; integrated care; care model; individualized care plans; comprehensive assessment
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MDPI and ACS Style

Rodriguez-Blazquez, C.; João Forjaz, M.; Gimeno-Miguel, A.; Bliek-Bueno, K.; Poblador-Plou, B.; Pilar Luengo-Broto, S.; Guerrero-Fernández de Alba, I.; Maria Carriazo, A.; Lama, C.; Rodríguez-Acuña, R.; Cosano, I.; Bedoya, J.J.; Angioletti, C.; Carfì, A.; Di Paola, A.; Navickas, R.; Jureviciene, E.; Dambrauskas, L.; Liseckiene, I.; Valius, L.; Urbonas, G.; Onder, G.; Prados-Torres, A. Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS. Int. J. Environ. Res. Public Health 2020, 17, 5268. https://doi.org/10.3390/ijerph17155268

AMA Style

Rodriguez-Blazquez C, João Forjaz M, Gimeno-Miguel A, Bliek-Bueno K, Poblador-Plou B, Pilar Luengo-Broto S, Guerrero-Fernández de Alba I, Maria Carriazo A, Lama C, Rodríguez-Acuña R, Cosano I, Bedoya JJ, Angioletti C, Carfì A, Di Paola A, Navickas R, Jureviciene E, Dambrauskas L, Liseckiene I, Valius L, Urbonas G, Onder G, Prados-Torres A. Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS. International Journal of Environmental Research and Public Health. 2020; 17(15):5268. https://doi.org/10.3390/ijerph17155268

Chicago/Turabian Style

Rodriguez-Blazquez, Carmen, Maria João Forjaz, Antonio Gimeno-Miguel, Kevin Bliek-Bueno, Beatriz Poblador-Plou, Sara Pilar Luengo-Broto, Inmaculada Guerrero-Fernández de Alba, Ana Maria Carriazo, Carmen Lama, Rafael Rodríguez-Acuña, Inmaculada Cosano, Juan J. Bedoya, Carmen Angioletti, Angelo Carfì, Antonella Di Paola, Rokas Navickas, Elena Jureviciene, Laimis Dambrauskas, Ida Liseckiene, Leonas Valius, Gediminas Urbonas, Graziano Onder, and Alexandra Prados-Torres. 2020. "Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS" International Journal of Environmental Research and Public Health 17, no. 15: 5268. https://doi.org/10.3390/ijerph17155268

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