Comprehensive care programs for patients with multiple chronic conditions: A systematic literature review

Bruin, Simone de; Versnel, Nathalie; Lemmens, Lidwien C.; Molema, Claudia C.M.; Schellevis, François G.; Nijpels, Giel; Baan, Caroline A.

doi:10.1016/j.healthpol.2012.06.006

Cited by 161 publications

(189 citation statements)

References 85 publications

(300 reference statements)

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“…Furthermore, an increasing number of people in Europe (about 50 million) are suffering from multiple chronic conditions or multimorbidity [2,3], of which 60% are people aged 65 years and older [4]. This leads to poor quality of life and high healthcare utilization, reflected in for example elevated numbers of primary care consultations and (ICTs) that could potentially improve self-management, information systems, remote monitoring and independent living solutions [11].…”

Section: Introductionmentioning

confidence: 99%

eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project

et al. 2018

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a b s t r a c tIntroduction: Care for people with multimorbidity requires an integrated approach in order to adequately meet their complex needs. In this respect eHealth could be of help. This paper aims to describe the implementation, as well as benefits and barriers of eHealth applications in integrated care programs targeting people with multimorbidity in European countries, including insights on older people 65+. Methods: Within the framework of the ICARE4EU project, in 2014, expert organizations in 24 European countries identified 101 integrated care programs based on selected inclusion criteria. Managers of these programs completed a related on-line questionnaire addressing various aspects including the use of eHealth. In this paper we analyze data from this questionnaire, in addition to qualitative information from six programs which were selected as 'high potential' for their innovative approach and studied in depth through site visits. Results: Out of 101 programs, 85 adopted eHealth applications, of which 42 focused explicitly on older people. In most cases Electronic Health Records (EHRs), registration databases with patients' data and tools for communication between care providers were implemented. Percentages were slightly higher for programs addressing older people. eHealth improves care integration and management processes. Inadequate funding mechanisms, interoperability and technical support represent major barriers. Conclusion: Findings seems to suggest that eHealth could support integrated care for (older) people with multimorbidity.

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Section: Introductionmentioning

confidence: 99%

eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project

et al. 2018

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“…Consequently, there will be growing numbers of older people who cope with multiple and/or chronic health conditions (De Bruin et al, 2012;World Health Organization, 2009) who likely require more extensive forms of health care (Eklund & Wilhelmson, 2009). To face up to this development governments of ageing populations need to adapt their health and care policies.…”

Section: Introductionmentioning

confidence: 99%

Perceived control in health care: A conceptual model based on experiences of frail older adults

Claassens

Widdershoven

Rhijn

et al. 2014

Journal of Aging Studies

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Frail older adults are increasingly encouraged to be in control of their health care, in Western societies. However, little is known about how they themselves perceive control in health care. Therefore, this study aims to investigate the concept of health care-related perceived control from the viewpoint of frail older adults. A qualitative interview study was conducted following a Grounded Theory approach. Thirty-two Dutch frail older adults, aged 65 and over, participated in 20 in-depth interviews (n = 20) and three focus group discussions (n = 12). Data were analysed according to techniques of coding and constant comparison. From this analysis constituting factors of perceived control emerged, providing elements of a conceptual model. Perceived control reflects the feeling or belief that health care is under control, which is constituted by five, either internal or external, factors: (I) self-confidence in organising professional and/or informal care, (II) self-confidence in health management in the home setting, (III) perceived support from people in the social network, (IV) perceived support from health care professionals and organisations, and (V) perceived support from (health care) infrastructure and services. Therefore, the concept does not only consist of people's own perceived efforts, but also includes the influence of external sources. Our conceptual model points out what external factors should be taken into consideration by health care professionals and policy makers when enhancing older people's perceived control. Moreover, it can serve as the basis for the development of a measurement instrument, to enable future quantitative research on health care-related perceived control among older adults.

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“…5 Chronic illness management (CIM), a care model which emphasizes continuity of care and promotes self-management support for patients, could therefore provide an opportunity to improve long-term outcomes post HTx given promising results in other chronic patient populations. 5,8,9 Studies in non-HTx populations have shown that CIM is associated with decreased healthcare utilization, 10,11 improvements in health-related behaviors, 12 increased quality-of-life, 11 and greater patient and caregiver satisfaction. 12 In transplantation, the reengineering of transplant follow-up care according to the principles of CIM has resulted in improved clinical outcomes, reduced health care utilization, and reduced costs.…”

Section: Introductionmentioning

confidence: 99%

“…5,8,9 Studies in non-HTx populations have shown that CIM is associated with decreased healthcare utilization, 10,11 improvements in health-related behaviors, 12 increased quality-of-life, 11 and greater patient and caregiver satisfaction. 12 In transplantation, the reengineering of transplant follow-up care according to the principles of CIM has resulted in improved clinical outcomes, reduced health care utilization, and reduced costs. 10,13 In the most recent guidelines for the care of HTx recipients, the International Society of Heart and Lung Transplantation (ISHLT) recommended that transplant centers utilize a multidisciplinary approach to patient management.…”

Section: Introductionmentioning

confidence: 99%

Heart transplant centers with multidisciplinary team show a higher level of chronic illness management – Findings from the International BRIGHT Study

et al. 2017

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a b s t r a c tObjectives: The objectives of this study were to: (1) explore the proportion of HTx centers that have a multidisciplinary team and (2) assess the relationship between multidisciplinarity and the level of chronic illness management (CIM). Background: The International Society for Heart and Lung Transplantation (ISHLT) recommends a multidisciplinary approach in heart transplant (HTx) follow-up care but little is known regarding the proportion of HTx centers that meet this recommendation and the impact on patient care. HTx centers

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Comprehensive care programs for patients with multiple chronic conditions: A systematic literature review

Cited by 161 publications

References 85 publications

eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project

eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project

Perceived control in health care: A conceptual model based on experiences of frail older adults

Heart transplant centers with multidisciplinary team show a higher level of chronic illness management – Findings from the International BRIGHT Study

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