Evidence map›Paper›PMID 37974085›Full record

ArticleBMC public health2023

Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system.

Jaime C Sapag, Mayra Martínez, Paula Zamorano, Teresita Varela, Álvaro Téllez, Esteban Irazoqui, Paulina Muñoz

Abstract read
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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Jaime C SapagDepartment of Family Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Mayra MartínezFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile.
Paula ZamoranoFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile. pfzamorano@uc.cl.
Teresita VarelaFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile.
Álvaro TéllezDepartment of Family Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Esteban IrazoquiFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile.
Paulina MuñozFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe progressive multimorbidity explosion has challenged Chile's health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile.

objectiveEvaluate the perspective of high-risk patients about the core elements of the model. METHODOLOGY: We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data.

resultsThe overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results.

conclusionsThe study reveals the perceptions about a complex multimorbidity intervention from the patient's perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases.

Indexed as

MultimorbidityPublic HealthChileCross-Sectional StudiesHumansPatient-Centered CareHigh-riskImplementationMultimorbidityPatientPerspective

Identifiers

PMID37974085
PMCPMC10655404

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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.