ArticleBMC health services research2023
Evaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Performance measurement systems in primary health care: a systematic literature review.BMC health services research · 2025Pooled it
- Key performance indicators of hospital supply chain: a systematic review.BMC health services research · 2024Pooled it
- Quality indicators for the management of clinical simulation centers and laboratories: a scoping review.Revista latino-americana de enfermagem · 2026Article
- Designing a provider-led multimorbidity care model for fragmented insurance-based health systems: A mixed-methods study in Colombia.PloS one · 2026Article
- How to Refine and Prioritize Key Performance Indicators for Digital Health Interventions: Tutorial on Using Consensus Methodology to Enable Meaningful Evaluation of Novel Digital Health Interventions.Journal of medical Internet research · 2025Article
- Economic evaluation of a multimorbidity patient centered care model implemented in the Chilean public health system.BMC health services research · 2023Article
- Correction to: evaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile.BMC health services research · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplex health interventions involve deep organizational, structural, and cultural changes that challenge health teams and decision-makers. The explosion of chronic diseases has made the multimorbidity approach a global priority. The Centro de Innovación en Salud ANCORA UC implemented a Multimorbidity Patient-Centered Care Model in the Chilean public health system.
objectiveThis study aims to evaluate the progress of the implementation of the Multimorbidity Patient-Centered Care Model in seven primary care centers through key performance indicators.
methodsa set of indicators was designed to evaluate change management, operations, installation of new roles, and services and activities of the intervention strategy of the model. Key performance indicators were identified to monitor the implementation progress on minimal components for the model's sustainability. Each item was assigned against an expected minimum score of 67% of progress from the overall score. They were monitored twice in seven primary health centers in 2019 and 2020, which intervened 22,642 patients with the intervention.
resultsThe results showed that six of the seven primary care centers reached the minimum implementation threshold. The main advances were in operational conditions, and those with minor progress in implementation were the clinical services. Population size, organization, coordination of the health care teams, additional training, and decision-makers support were key factors that determined the degree of progress in a complex intervention.
conclusionIt was possible to measure the progression of the implementation of a complex intervention through key performance indicators delivering relevant information for decision-makers that pursue a successful and faithful implementation. This study provides a valuable tool for the national scale-up of a similar model started in Chile by the Ministry of Health and other countries.
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