Patient-centeredness of integrated care programs for people with multimorbidity. Results from the European ICARE4EU project

Iris van der Heide, Sanne Snoeijs, Sabrina Quattrini, Verena Struckmann, Anneli Hujala, François Schellevis, Mieke Rijken

Research output: Contribution to journalArticle


Introduction This paper aims to support the implementation of patient-centered care for people with multimorbidity in Europe, by providing insight into ways in which patient-centeredness is currently shaped in integrated care programs for people with multimorbidity in European countries. Methods In 2014, expert organizations in 31 European countries identified 200 integrated care practices (‘programs’) in 25 countries of which 123 were included in our study. Managers of 112 programs from 24 countries completed a questionnaire about characteristics and results of the program, including questions on elements of patient-centeredness. Eight programs that were considered especially innovative or promising were analyzed in depth. Results Programs used various methodologies to involve people with multimorbidity in decision-making, such as motivational interviewing and narrative counseling techniques. In 79 programs individual care plans were developed together with patients. Few programs had already been systematically evaluated, but in one program it was shown that working with individual care plans based on patients’ goals and resources resulted in increased patient satisfaction with care. Various barriers to deliver patient-centered care were reported, including inadequate knowledge and skills of both patients and professionals. Conclusion In many European countries innovative approaches are applied to increase patient-centeredness of care for people with multimorbidity. To assess their potential benefits and conditions for implementation, thorough process and outcome evaluations of programs are urgently needed.

Original languageEnglish
Pages (from-to)36-43
Number of pages8
JournalHealth Policy
Issue number1
Publication statusPublished - Jan 1 2018


  • Europe
  • Integrated care programs
  • Multimorbidity
  • Patient-centeredness

ASJC Scopus subject areas

  • Health Policy

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