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
Hlavní autori: Palmer, Katie, Marengoni, Alessandra, Forjaz, Maria João, Jureviciene, Elena, Laatikainen, Tiina, Mammarella, Federica, Muth, Christiane, Navickas, Rokas, Prados-Torres, Alexandra, Rijken, Mieke, Rothe, Ulrike, Souchet, Laurène, Valderas, Jose, Vontetsianos, Theodore, Zaletel, Jelka, Onder, Graziano
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier B.V 01.01.2018
Elsevier Science Ltd
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ISSN:0168-8510, 1872-6054, 1872-6054
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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.
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
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  givenname: Maria João
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  fullname: Forjaz, Maria João
  organization: National School of Public Health, Institute of Health Carlos III, Monforte de Lemos 5, 28029 Madrid, Spain
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  surname: Jureviciene
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  organization: Vilnius University Hospital Santariskiu Klinikos (VULSK), g. 2, Vilnius, Lithuania
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  organization: Institute of General Practice, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany
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  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
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  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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ContentType Journal Article
Copyright 2017 Elsevier B.V.
Copyright © 2017 Elsevier B.V. All rights reserved.
Copyright Elsevier Science Ltd. Jan 2018
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Joint Action on Chronic Diseases and Promoting Healthy Ageing Across the Life Cycle (JA-CHRODIS)
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Issue 1
Keywords Individualized care plans
Comprehensive assessment
Care
Multimorbidity
Case manager
Chronic care model
Language English
License Copyright © 2017 Elsevier B.V. All rights reserved.
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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
Volume 122
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