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oai:repisalud.isciii.es:20.500.12105/110042025-04-24T17:59:41Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16973

00925njm 22002777a 4500 dc Gimeno-Miguel, Antonio author Bliek-Bueno, Kevin author Poblador-Plou, Beatriz author Pilar Luengo-Broto, Sara author Guerrero-Fernández de Alba, Inmaculada author Carriazo, Ana María author Lama, Carmen author Rodríguez-Acuña, Rafael author Cosano, Inmaculada author Bedoya, Juan José author Angioletti, Carmen author Carfì, Angelo author Di Paola, Antonella author Navickas, Rokas author Jureviciene, Elena author Dambrauskas, Laimis author Liseckiene, Ida author Valius, Leonas author Urbonas, Gediminas author Onder, Graziano author Prados-Torres, Alexandra author Rodriguez-Blazquez, Carmen author Forjaz, Maria João author 2020-07-22 Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Italy, and Lithuania, within the Joint Action CHRODIS-PLUS. The effect of these pilot interventions was assessed pre- and post-implementation by 17 healthcare managers, using the Assessment of Chronic Illness Care (ACIC) measure, and by 226 patients with the Patient Assessment of Care for Chronic Conditions (PACIC+) survey. The ACIC total score significantly increased (5.23 to 6.71, p = 0.022) after the intervention, with differences across sites. A significant increase in the PACIC+ summary score was found ranging from 3.25 at baseline to 4.03 after the intervention (p < 0.001), and 58% of the sample perceived an improvement in care. Higher PACIC+ scores after the intervention were associated to lower baseline values in the respective PACIC+ dimension and to greater changes in ACIC Part 1 (delivery system organization). The IMCM implementation can help improve the quality of care for patients with multimorbidity. Int J Environ Res Public Health . 2020 Jul 22;17(15):5268. 10.3390/ijerph17155268 1660-4601 International journal of environmental research and public health 32707791 http://hdl.handle.net/20.500.12105/11004 Multimorbidity Integrated multimorbidity care model Chronic diseases Implementation research Non-communicable diseases Integrated care Care model Individualized care plans Comprehensive assessment Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS.