TY - JOUR
T1 - A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS
AU - Palmer, Katie
AU - Carfi, Angelo
AU - Angioletti, Carmen
AU - Di Paola, Antonella
AU - Navickas, Rokas
AU - Dambrauskas, Laimis
AU - Jureviciene, Elena
AU - Joao Forjaz, Maria
AU - Rodriguez-Blazquez, Carmen
AU - Prados-Torres, Alexandra
AU - Gimeno-Miguel, Antonio
AU - Cano-del Pozo, Mabel
AU - Bestue-Cardiel, Maria
AU - Leiva-Fernandez, Francisca
AU - Poses Ferrer, Elisa
AU - Carriazo, Ana M.
AU - Lama, Carmen
AU - Rodriguez-Acuna, Rafael
AU - Cosano, Inmaculada
AU - Jose Bedoya-Belmonte, Juan
AU - Liseckiene, Ida
AU - Barbolini, Mirca
AU - Txarramendieta, Jon
AU - De Manuel Keenoy, Esteban
AU - Fullaondo, Ane
AU - Rijken, Mieke
AU - Onder, Graziano
PY - 2019/12/2
Y1 - 2019/12/2
N2 - Patients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases the risk of negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related to fragmented care. In the context of Joint Action CHRODIS-PLUS, an implementation methodology was developed for the care model, which is being piloted in five sites. We aim to (1) explain the methodology used to implement the care model and (2) describe how the pilot sites have adapted and applied the proposed methodology. The model is being implemented in Spain (Andalusia and Aragon), Lithuania (Vilnius and Kaunas), and Italy (Rome). Local implementation working groups at each site adapted the model to local needs, goals, and resources using the same methodological steps: (1) Scope analysis; (2) situation analysis-''strengths, weaknesses, opportunities, threats'' (SWOT) analysis; (3) development and improvement of implementation methodology; and (4) final development of an action plan. This common implementation strategy shows how care models can be adapted according to local and regional specificities. Analysis of the common key outcome indicators at the post-implementation phase will help to demonstrate the clinical effectiveness, as well as highlight any difficulties in adapting a common Integrated Multimorbidity Care Model in different countries and clinical settings.
AB - Patients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases the risk of negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related to fragmented care. In the context of Joint Action CHRODIS-PLUS, an implementation methodology was developed for the care model, which is being piloted in five sites. We aim to (1) explain the methodology used to implement the care model and (2) describe how the pilot sites have adapted and applied the proposed methodology. The model is being implemented in Spain (Andalusia and Aragon), Lithuania (Vilnius and Kaunas), and Italy (Rome). Local implementation working groups at each site adapted the model to local needs, goals, and resources using the same methodological steps: (1) Scope analysis; (2) situation analysis-''strengths, weaknesses, opportunities, threats'' (SWOT) analysis; (3) development and improvement of implementation methodology; and (4) final development of an action plan. This common implementation strategy shows how care models can be adapted according to local and regional specificities. Analysis of the common key outcome indicators at the post-implementation phase will help to demonstrate the clinical effectiveness, as well as highlight any difficulties in adapting a common Integrated Multimorbidity Care Model in different countries and clinical settings.
U2 - 10.3390/ijerph16245044
DO - 10.3390/ijerph16245044
M3 - Article
VL - 16
SP - 5044
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 24
ER -