Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS

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, Carmen Lama, Rafael Rodríguez-Acuña, Inmaculada Cosano, Juan José 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
Additional contact information
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
Elena Jureviciene: Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
Laimis Dambrauskas: Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania
Ida Liseckiene: Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania
Leonas Valius: Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 Kaunas, Lithuania
Gediminas Urbonas: Family Medicine Clinic, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, 50161 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

IJERPH, 2020, vol. 17, issue 15, 1-14

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.

Keywords: multimorbidity; integrated multimorbidity care model; chronic diseases; implementation research; non-communicable diseases; integrated care; care model; individualized care plans; comprehensive assessment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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