Observational studyBMC health services research2020
Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country.
Observational study in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03042039 (CareWell - Multi-level Integration for Patients With Complex Needs), which is not on this map. Cited by 17 papers, 8 of them syntheses that pooled it.
What it found
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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.
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.
CareWell - Multi-level Integration for Patients With Complex Needs
Who cites it
17 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review.BMC geriatrics · 2026Pooled it
- Population risk stratification tools and interventions for chronic disease management in primary care: a systematic literature review.BMC health services research · 2025Pooled it
- Can integrated care interventions strengthen primary care and improve outcomes for patients with chronic diseases? A systematic review and meta-analysis.Health research policy and systems · 2025Pooled it
- Community health services in European literature: A systematic review of their features, outcomes, and nursing contribution to care.International nursing review · 2024Pooled it
- The effects of community interventions on unplanned healthcare use in patients with multimorbidity: a systematic review.Journal of the Royal Society of Medicine · 2024Pooled it
- Organisation and integrated healthcare approaches for people living with HIV, multimorbidity, or both: a systematic review.BMC public health · 2023Pooled it
- Effectiveness of information and communication technology-based integrated care for older adults: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Pooled it
- Community-based management strategies for adults with multimorbidity: a systematic review of clinical and patient-centred outcomes.BMJ public health · 2026Article
- Gender differences in self-management activation among patients with multiple chronic diseases: a qualitative study.Archives of public health = Archives belges de sante publique · 2025Article
- Coordination of care in health systems for users with diabetes and hypertension: a scoping review.Revista latino-americana de enfermagem · 2025Article
- Care models for individuals with chronic multimorbidity: lessons for low- and middle-income countries.BMC health services research · 2024Article
- Patients' and next of kin's expectations and experiences of a mobile integrated care model with a home health care physician - a qualitative thematic study.BMC health services research · 2023Article
- Development and validation of predictive models for unplanned hospitalization in the Basque Country: analyzing the variability of non-deterministic algorithms.BMC medical informatics and decision making · 2023Article
- Article
- Socio-Healthcare for Older People in the Mediterranean Basin: An Integrative Review and Quality Appraisal.Public health nursing (Boston, Mass.)Review
- Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundOlder patients with multimorbidity have complex health and social care needs, associated with elevated use of health care resources. The aim of this study is to evaluate the impact of CareWell integrated care model for older patients with multimorbidity in the Basque Country.
methodsThe CareWell program for older patients with multimorbidity, based on the coordination between health providers, home-based care and patient empowerment, supported by information and communication technology tools. The program was deployed in four healthcare areas in the Basque Country. The control group was formed by two organizations in which the program had not been deployed and regular care procedures were applied. Participants, older patients (aged ≥65) with two or more chronic conditions (at least one being chronic obstructive pulmonary disease, chronic heart failure, or diabetes mellitus), categorized as complex according to a risk stratification algorithm, were followed up to 12 months. The impact of the program on the use of health resources, clinical effectiveness, and satisfaction was evaluated using a mixed-method approach. Semi-structured interviews were performed to assess satisfaction with the newly deployed model and mixed regression models to measure the effect of the intervention throughout the follow-up period.
resultsTwo hundred patients were recruited (101 intervention and 99 control), mostly males (63%) with a mean age of 79 years and age-adjusted Charlson Comorbidity Index of 9.7 on average. Relevant differences between the groups were observed for all dimensions. In the intervention group, the number of hospitalizations and visits to emergency centers was reduced, and the number of primary care contacts increased. Clinical changes were also observed, such as a decrease in the body mass index and blood glucose levels. The satisfaction level was high for all stakeholders.
conclusionThe implementation of CareWell integrated care model changed the profile of health resource utilization, strengthening the key role of primary care and reducing the number of emergency visits and hospitalizations. The satisfaction with this model of care was high.
trial registrationClinicalTrials.gov, NCT03042039 . Registered 3 February 2017 - Retrospectively registered.
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