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Priorities and preferences for care of people with multiple chronic conditions.
- Source :
- Health Expectations; Aug2021, Vol. 24 Issue 4, p1300-1311, 12p, 3 Charts
- Publication Year :
- 2021
-
Abstract
- Background: To guide the development of high‐quality care for people with multiple chronic conditions, partners of the European Joint Action CHRODIS developed the Integrated Multimorbidity Care Model. To assess its suitability for improving care for people with multimorbidity in the Netherlands, the model was piloted in a primary care setting with both patients and care providers. Aim: This paper reports on the patient perspective, and aims to explore the priorities, underlying values and preferences for care of people with multimorbidity. Participants and methods: Twenty persons with multimorbidity (selected from general practice registries) participated in a focus group or telephone interview. Subsequently, a questionnaire was completed by 863 persons with multimorbidity registered with 14 general practices. Qualitative data were thematically analysed and quantitative data by means of descriptive statistics. Results: Frequently prioritized elements of care were the use of shared electronic health records, regular comprehensive assessments, self‐management support and shared decision making, and care coordination. Preferences for how these elements should be specifically addressed differed according to individual values (eg weighing safety against privacy) and needs (eg ways of coping with multimorbidity). Conclusion: The JA‐CHRODIS Integrated Multimorbidity Care Model reflects the priorities and preferences for care of people with multimorbidity in the Netherlands, which supports its relevance to guide the development of person‐centred integrated care for people with multiple chronic conditions in the Netherlands. Patient contribution: European patient experts contributed to the development and applicability assessment of the JA‐CHRODIS Integrated Multimorbidity Care Model; Dutch patients participated in focus groups, interviews and a survey. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC disease treatment
MEDICAL quality control
STATISTICS
FOCUS groups
SOCIAL support
RESEARCH methodology
SELF-management (Psychology)
PATIENT-centered care
INTERVIEWING
QUANTITATIVE research
MEDICAL care
PATIENTS
PATIENTS' attitudes
QUALITATIVE research
CONTINUUM of care
RESEARCH funding
QUESTIONNAIRES
DESCRIPTIVE statistics
DECISION making
INTEGRATED health care delivery
THEMATIC analysis
PSYCHOLOGICAL adaptation
EMPIRICAL research
ELECTRONIC health records
COMORBIDITY
HEALTH planning
PATIENT safety
MEDICAL needs assessment
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 24
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 151957732
- Full Text :
- https://doi.org/10.1111/hex.13262