RT Journal Article
T1 A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS.
A1 Palmer, Katie
A1 Carfì, Angelo
A1 Angioletti, Carmen
A1 Di Paola, Antonella
A1 Navickas, Rokas
A1 Dambrauskas, Laimis
A1 Jureviciene, Elena
A1 João Forjaz, Maria
A1 Rodriguez-Blazquez, Carmen
A1 Prados-Torres, Alexandra
A1 Gimeno-Miguel, Antonio
A1 Cano-Del Pozo, Mabel
A1 Bestue-Cardiel, Maria
A1 Leiva-Fernandez, Francisca
A1 Poses Ferrer, Elisa
A1 Carriazo, Ana M
A1 Lama, Carmen
A1 Rodriguez-Acuña, Rafael
A1 Cosano, Inmaculada
A1 Bedoya-Belmonte, Juan Jose
A1 Liseckiene, Ida
A1 Barbolini, Mirca
A1 Txarramendieta, Jon
A1 de Manuel Keenoy, Esteban
A1 Fullaondo, Ane
A1 Rijken, Mieke
A1 Onder, Graziano
K1 Europe
K1 care manager
K1 care model
K1 chronic disease
K1 comprehensive assessment
K1 individualized care plans
K1 integrated care
K1 multimorbidity
K1 non-communicable diseases
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.
PB MDPI
YR 2019
FD 2019-11-06
LK http://hdl.handle.net/10668/14828
UL http://hdl.handle.net/10668/14828
LA en
NO Palmer K, Carfì A, Angioletti C, Di Paola A, Navickas R, Dambrauskas L, et al. A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS. Int J Environ Res Public Health. 2019 Dec 11;16(24):5044
DS RISalud
RD Mar 17, 2025