Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)
•Patients with multimorbidity have complex health needs.•There is alack of evidence-based recommendations specific to multimorbidity patients.•A consensus meeting was held to develop a framework multimorbidity patient care.•The Multimorbidity care model includes sixteen components across five domain...
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| Vydané v: | Health policy (Amsterdam) Ročník 122; číslo 1; s. 4 - 11 |
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| Hlavní autori: | , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Ireland
Elsevier B.V
01.01.2018
Elsevier Science Ltd |
| Predmet: | |
| ISSN: | 0168-8510, 1872-6054, 1872-6054 |
| On-line prístup: | Získať plný text |
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| Abstract | •Patients with multimorbidity have complex health needs.•There is alack of evidence-based recommendations specific to multimorbidity patients.•A consensus meeting was held to develop a framework multimorbidity patient care.•The Multimorbidity care model includes sixteen components across five domains.•These include: care delivery, decision and self-management support, technology, and community/social resources.
Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others. |
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| AbstractList | •Patients with multimorbidity have complex health needs.•There is alack of evidence-based recommendations specific to multimorbidity patients.•A consensus meeting was held to develop a framework multimorbidity patient care.•The Multimorbidity care model includes sixteen components across five domains.•These include: care delivery, decision and self-management support, technology, and community/social resources.
Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others. Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others. Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others.Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others. |
| Author | Marengoni, Alessandra Palmer, Katie Jureviciene, Elena Prados-Torres, Alexandra Mammarella, Federica Laatikainen, Tiina Navickas, Rokas Forjaz, Maria João Rothe, Ulrike Valderas, Jose Muth, Christiane Onder, Graziano Souchet, Laurène Zaletel, Jelka Vontetsianos, Theodore Rijken, Mieke |
| Author_xml | – sequence: 1 givenname: Katie surname: Palmer fullname: Palmer, Katie email: katie.palmer@ki.se organization: The Italian Medicines Agency (AIFA), 181 via del Tritone, 00187, Rome, Italy – sequence: 2 givenname: Alessandra surname: Marengoni fullname: Marengoni, Alessandra organization: The Italian Medicines Agency (AIFA), 181 via del Tritone, 00187, Rome, Italy – sequence: 3 givenname: Maria João surname: Forjaz fullname: Forjaz, Maria João organization: National School of Public Health, Institute of Health Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain – sequence: 4 givenname: Elena surname: Jureviciene fullname: Jureviciene, Elena organization: Vilnius University Hospital Santariskiu Klinikos (VULSK), g. 2, Vilnius, Lithuania – sequence: 5 givenname: Tiina surname: Laatikainen fullname: Laatikainen, Tiina organization: National Institute for Health and Welfare, University of Eastern Finland, Finland – sequence: 6 givenname: Federica surname: Mammarella fullname: Mammarella, Federica organization: The Italian Medicines Agency (AIFA), 181 via del Tritone, 00187, Rome, Italy – sequence: 7 givenname: Christiane surname: Muth fullname: Muth, Christiane organization: Institute of General Practice, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany – sequence: 8 givenname: Rokas surname: Navickas fullname: Navickas, Rokas organization: Vilnius University Hospital Santariskiu Klinikos (VULSK), g. 2, Vilnius, Lithuania – sequence: 9 givenname: Alexandra surname: Prados-Torres fullname: Prados-Torres, Alexandra organization: Aragon Health Sciences Institute, IIS Aragón, REDISSEC (ISCIII), University of Zaragoza, Pl +2, Paseo Isabel La Católica 1-3, 50009 Zaragoza, Spain – sequence: 10 givenname: Mieke surname: Rijken fullname: Rijken, Mieke organization: Netherlands Institute for Health Services Research (NIVEL), Otterstraat 118-124, 3513 CR Utrecht, The Netherlands – sequence: 11 givenname: Ulrike surname: Rothe fullname: Rothe, Ulrike organization: Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Germany – sequence: 12 givenname: Laurène surname: Souchet fullname: Souchet, Laurène organization: European Patients’ Forum (EPF) 31 rue du Commerce, 1000 Brussels, Belgium – sequence: 13 givenname: Jose surname: Valderas fullname: Valderas, Jose organization: Health Services & Policy Research, University of Exeter, St Luke’s Campus, Magdalen Road, Exeter EX1 2LU, United Kingdom – sequence: 14 givenname: Theodore surname: Vontetsianos fullname: Vontetsianos, Theodore organization: Sotiria General Hospital/1st RHA of Attica, Athens, 152 Mesogion Av., Athens 11527, Greece – sequence: 15 givenname: Jelka surname: Zaletel fullname: Zaletel, Jelka organization: National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia – sequence: 16 givenname: Graziano surname: Onder fullname: Onder, Graziano organization: The Italian Medicines Agency (AIFA), 181 via del Tritone, 00187, Rome, Italy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28967492$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 Elsevier B.V. Copyright © 2017 Elsevier B.V. All rights reserved. Copyright Elsevier Science Ltd. Jan 2018 |
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| Keywords | Individualized care plans Comprehensive assessment Care Multimorbidity Case manager Chronic care model |
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| Snippet | •Patients with multimorbidity have complex health needs.•There is alack of evidence-based recommendations specific to multimorbidity patients.•A consensus... Patients with multimorbidity have complex health needs but, due to the current traditional disease-oriented approach, they face a highly fragmented form of... |
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| SubjectTerms | Aging Cardiologists Care Case manager Chronic care model Chronic illnesses Community resources Comorbidity Comprehensive assessment Disease Experts Family physicians Geriatricians Health care Health care policy Health needs Individualized care plans Information systems Information technology Life cycles Medical personnel Medicine Morbidity Multimorbidity Neurologists Patients Physicians Practitioner patient relationship Psychologists Quality of care Social systems |
| Title | Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS) |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0168851017302348 https://dx.doi.org/10.1016/j.healthpol.2017.09.006 https://www.ncbi.nlm.nih.gov/pubmed/28967492 https://www.proquest.com/docview/2017038261 https://www.proquest.com/docview/1945719663 |
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