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dc.contributor.authorPalmer, Katie
dc.contributor.authorCarfì, Angelo
dc.contributor.authorAngioletti, Carmen
dc.contributor.authorDi Paola, Antonella
dc.contributor.authorNavickas, Rokas
dc.contributor.authorDambrauskas, Laimis
dc.contributor.authorJureviciene, Elena
dc.contributor.authorForjaz, Maria João 
dc.contributor.authorRodriguez-Blazquez, Carmen 
dc.contributor.authorPrados-Torres, Alexandra
dc.contributor.authorGimeno-Miguel, Antonio
dc.contributor.authorCano-Del Pozo, Mabel
dc.contributor.authorBestué-Cardiel, María
dc.contributor.authorLeiva-Fernández, Francisca
dc.contributor.authorPoses Ferrer, Elisa
dc.contributor.authorCarriazo, Ana M
dc.contributor.authorLama, Carmen
dc.contributor.authorRodríguez-Acuña, Rafael
dc.contributor.authorCosano, Inmaculada
dc.contributor.authorBedoya-Belmonte, Juan José
dc.contributor.authorLiseckiene, Ida
dc.contributor.authorBarbolini, Mirca
dc.contributor.authorTxarramendieta, Jon
dc.contributor.authorde Manuel Keenoy, Esteban
dc.contributor.authorFullaondo, Ane
dc.contributor.authorRijken, Mieke
dc.contributor.authorOnder, Graziano
dc.date.accessioned2021-02-01T09:29:27Z
dc.date.available2021-02-01T09:29:27Z
dc.date.issued2019
dc.identifier.citationInt J Environ Res Public Health . 2019 Dec 11;16(24):5044.es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/11752
dc.description.abstractPatients 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.es_ES
dc.description.sponsorshipJoint Action CHRODIS-PLUS is funded by the Health Programme 2014–2020 of the European Union.es_ES
dc.language.isoenges_ES
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectEuropees_ES
dc.subjectcare manageres_ES
dc.subjectCare modeles_ES
dc.subjectChronic diseasees_ES
dc.subjectComprehensive assessmentes_ES
dc.subjectIndividualized care planses_ES
dc.subjectIntegrated carees_ES
dc.subjectMultimorbidityes_ES
dc.subjectNon-communicable diseaseses_ES
dc.subject.meshMultimorbidity es_ES
dc.subject.meshPatient Care Planning es_ES
dc.subject.meshAdult es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshChronic Disease es_ES
dc.subject.meshDelivery of Health Care, Integrated es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshLithuania es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshPilot Projects es_ES
dc.subject.meshProgram Development es_ES
dc.subject.meshRome es_ES
dc.subject.meshSpain es_ES
dc.titleA Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID31835691es_ES
dc.format.volume16es_ES
dc.format.number24es_ES
dc.identifier.doi10.3390/ijerph16245044es_ES
dc.contributor.funderUnión Europea 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1660-4601es_ES
dc.relation.publisherversionhttps://doi.org/10.3390/ijerph16245044es_ES
dc.identifier.journalInternational journal of environmental research and public healthes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Atribución 4.0 Internacional