Evidence map›Paper›PMID 31835691›Full record

ArticleInternational journal of environmental research and public health2019

A Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS.

Katie Palmer, Angelo Carfì, Carmen Angioletti, Antonella Di Paola, Rokas Navickas, Laimis Dambrauskas, Elena Jureviciene, Maria João Forjaz, Carmen Rodriguez-Blazquez, Alexandra Prados-Torres and 17 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Managing Non-Cancer Chronic Pain in Frail Older Adults: A Pilot Study Based on a Multidisciplinary Approach.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Multimorbidity Clusters in the Oldest Old: Results from the EpiChron Cohort.International journal of environmental research and public health · 2022
    Article
  7. Article
  8. Priorities and preferences for care of people with multiple chronic conditions.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  9. Transfer and Implementation Process of a Good Practice in Workplace Health Promotion.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Multimorbidity Patterns in the General Population: Results from the EpiChron Cohort Study.International journal of environmental research and public health · 2020
    Article
  16. Health Promotion Interventions: Lessons from the Transfer of Good Practices in CHRODIS-PLUS.International journal of environmental research and public health · 2020
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Katie PalmerDepartment of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore, 00136 Rome, Italy.
Angelo CarfìCentro di Medicina dell'Invecchiamento, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00136 Rome, Italy.
Carmen AngiolettiDepartment of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore and Centro di Medicina dell'Invecchiamento, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00136 Rome, Italy.
Antonella Di PaolaDepartment of Internal Medicine and Geriatrics, Università Cattolica del Sacro Cuore, 00136 Rome, Italy.
Rokas NavickasFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Laimis DambrauskasFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Elena JurevicieneFaculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Maria João ForjazNational School of Public Health and REDISSEC, Carlos III Institute of Health, ES-28029 Madrid, Spain.
Carmen Rodriguez-BlazquezNational Centre of Epidemiology and CIBERNED, Carlos III Institute of Health, ES-28029 Madrid, Spain.ORCID 0000-0003-3829-0675
Alexandra Prados-TorresEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, REDISSEC, 50009 Zaragoza, Spain.ORCID 0000-0002-5704-6056
Antonio Gimeno-MiguelEpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, REDISSEC, 50009 Zaragoza, Spain.ORCID 0000-0002-5440-1710
Mabel Cano-Del PozoGeneral Directorate of Healthcare, Health Department, 50017 Zaragoza, Spain.
María Bestué-CardielGeneral Directorate of Healthcare, Health Department, 50017 Zaragoza, Spain.
Francisca Leiva-FernándezMálaga-Guadalhorce Primary Care Teaching Unit, IBIMA, Andalusian Health Service, 29009 Málaga, Spain.
Elisa Poses FerrerAgency for Health Quality and Assessment of Catalonia (AQuAS), Government of Catalonia, 08005 Barcelona, Spain.ORCID 0000-0002-0424-2889
Ana M CarriazoRegional Ministry of Health and Families of Andalusia (CSFJA), E-41020 Seville, Spain.
Carmen LamaRegional Ministry of Health and Families of Andalusia (CSFJA), E-41020 Seville, Spain.
Rafael Rodríguez-AcuñaAndalusian Public Foundation Progress and Health (FPS), E-41092 Seville, Spain.
Inmaculada CosanoSan José de la Rinconada-Los Carteros Primary Care Center, Andalusian Health Service (Servicio Andaluz de Salud, SAS), E-41300 Seville, Spain.
Juan José Bedoya-BelmonteTiro de Pichón Primary Care Center, Andalusian Health Service (Servicio Andaluz de Salud, SAS), E-29006 Málaga, Spain.ORCID 0000-0002-9324-1916
Ida LiseckieneFaculty of Medicine, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania.
Mirca BarboliniEuropean Commission (DG Santè), 41225 Modena, Italy.
Jon TxarramendietaKronikgune Institute for Health Services Research, 48902 Basque Country, Spain.
Esteban de Manuel KeenoyKronikgune Institute for Health Services Research, 48902 Basque Country, Spain.ORCID 0000-0002-0527-7012
Ane FullaondoKronikgune Institute for Health Services Research, 48902 Basque Country, Spain.
Mieke RijkenNivel (Netherlands Institute for Health Services Research), 3513 CR Utrecht, The Netherlands.ORCID 0000-0001-6070-4091
Graziano OnderDepartment of Cardiovascular, Metabolic and Aging Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

MultimorbidityPatient Care PlanningAdultAgedAged, 80 and overChronic DiseaseDelivery of Health Care, IntegratedFemaleHumansLithuaniaMaleMiddle AgedPilot ProjectsProgram DevelopmentRomeSpaincare managercare modelchronic diseasecomprehensive assessmentEuropeindividualized care plansintegrated caremultimorbiditynon-communicable diseases

Identifiers

PMID31835691
PMCPMC6950053

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.