Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country

Mateo-Abad, Maider; González, Nerea; Fullaondo, Ane; Merino, Marisa; Azkargorta, Lierni; Giné, Anna; Verdoy, Dolores; Vergara, Itziar; Keenoy, Esteban de Manuel

doi:10.1186/s12913-020-05473-2

Cited by 16 publications

(40 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 77 studies included, a total of 36 ICT-based integrated care practice models were included, of which only eight explicitly specified the rationale for their construction [ 17 18 19 20 21 22 23 24 ], with the Chronic Care Model (CCM) being used six times [ 17 18 19 20 21 22 ]. The 77 studies included 16 quasi-experimental studies [ 21 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 ], 11 randomized controlled trials [ 19 40 41 42 43 44 45 46 47 48 49 ], 10 cluster randomized controlled trials [ 17 24 50 51 52 53 54 55 56 57 ], 6 descriptive studies [ 58 59 60 61 62 63 ], 9 qualitative studies [ 18 23 64 65 66 67 68 69 70 ], 4 retrospective cohort studies [ 71 72 73 74 ], 5 working papers [ 75 76 77 78 ...…”

Section: Resultsmentioning

confidence: 99%

“…(7) Patient empowerment: Multidisciplinary team members develop an equal patient-care relationship with older adults and their caregivers, encouraging active participation in integrated care practices by stimulating patients’ inner potential, empowering them to make more decisions and choices, and sharing disease-related information and knowledge with them. The CareWell integrated care team run the empowerment program KronikOn for frail older adults and their caregivers, where primary and secondary nurses provided basic information to help patients understand their condition in order to explore and agree on the best way to care for themselves [ 36 37 77 78 ]. The Personalized Connected Care project used a mobile health self-management system for older adults and informal caregivers to access health information and communicate fully with the care team [ 49 ].…”

Section: Core Elements Of Ict-based Implementation Of Integrated Carementioning

confidence: 99%

See 1 more Smart Citation

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Yutong¹,

Yan²,

Qingyun³

et al. 2023

Int J Integr Care

View full text Add to dashboard Cite

Background: Integrated care is an important initiative to respond positively to the ageing of society and information and communication technology(ICT) plays an important role in facilitating the integration of functional and normative health and social care. The scoping review aims to synthesize evidence on the experience and practice of ICT-based implementation of integrated care for older adults. Methods: This study followed the research framework developed by Arksey and O’malley for the scoping review and systematically searched for relevant studies published between 1 January 2000 and 30 March 2022 from nine electronic databases, three specialist journals, three key institutional websites, 11 integrated care project websites, google scholar and references of the studies to be included. Two reviewers independently screened and extracted data and used thematic analysis to sort out and summarize the core elements, hindrances and facilitators of ICT-based integrated care. Results: A total of 77 studies were included in this study, including 36 ICT-based practice models of integrated care with seven core elements of implementation including single entry point, comprehensive geriatric assessment, personalized care planning, multidisciplinary case conferences, coordinated care, case management and patient empowerment, which generally had a positive effect on improving quality of life, caregiver burden and primary care resource utilization for older adults, but effectiveness evaluations remained Heterogeneity exists. The barriers and facilitators to ICT-based implementation of integrated care were grouped into four themes: demand-side factors, provider factors, technology factors and system factors. Conclusion: The implementation of ICT-based integrated care for the elderly is expected to improve the health status of both the supply and demand of services, but there is still a need to strengthen the supply of human resources, team training and collaboration, ICT systems and financial support in order to promote the wider use of ICT in integrated care.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Core Elements Of Ict-based Implementation Of Integrated Carementioning

confidence: 99%

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Yutong¹,

Yan²,

Qingyun³

et al. 2023

Int J Integr Care

View full text Add to dashboard Cite

show abstract

“…On the other hand, the maximum cut‐off age for inclusion reported in 10 studies (14.9%) ranged between 58 (Mattei da Silva et al., 2020) and 85 (Cooney et al., 2015) years old. Other selection criteria mainly focused on being frequent users of the services (Hudon et al., 2018, 2019) or being classified as complex according to a risk stratification (e.g., Mateo‐Abad, Fullaondo, et al., 2020; Mateo‐Abad, González, et al., 2020), absence of cognitive impairment or psychiatric disorders (Holtrop et al., 2017; Hotu et al., 2010), cancer and short life expectancy – range between 3 and 12 months (Ciccone et al., 2010; van den Dries et al., 2020), pregnancy (Luo et al., 2018), severe renal disease and dialysis (Ku & Kegels, 2014), insufficient language skills (Frei et al., 2014).…”

Section: Resultsmentioning

confidence: 99%

Organisational models in primary health care to manage chronic conditions: A scoping review

Longhini

Canzan

Mezzalira

et al. 2021

Health Social Care Comm

View full text Add to dashboard Cite

Chronic diseases are increasing incessantly, and more efforts are needed in order to develop effective organisational models in primary health care, which may address the challenges posed by the consequent multimorbidity. The aim of this study was to assess and map methods, interventions and outcomes investigated over the last decade regarding the effectiveness of chronic care organisational models in primary care settings. We conducted a scoping review including systematic reviews, clinical trials, and observational studies, published from 2010 to 2020, that evaluated the effectiveness of organisational models for chronic conditions in primary care settings, including home care, community, and general practice. We included 67 international studies out of the 6,540 retrieved studies. The prevalent study design was the observational design (25 studies, 37.3%), and 62 studies (92.5%) were conducted on the adult population. Four main models emerged, called complex integrated care models. These included models grounded on the Chronic Care Model framework and similar, case or care management, and models centred on involvement of pharmacists or community health workers. Across the organisational models, self-management support and multidisciplinary teams were the most common components. Clinical outcomes have been investigated the most, while caregiver outcomes have been detected in the minority of cases. Almost one-third of the included studies reported only significant effects in the outcomes. No sufficient data were available to determine the most effective models of care. However, more complex models seem to lead to better outcomes. In conclusion, in the development of more comprehensive organisational models to manage chronic conditions in primary health care, more efforts are needed on the paediatric population, on the inclusion of caregiver outcomes in the effectiveness evaluation of organisational models and on the involvement of social community resources. As regarding the studies investigating organisational models, more detailed descriptions should be provided with regard to interventions, and the training, roles and responsibilities of health and lay figures in delivering care.

show abstract

“…25 One study rated to moderate risk of bias had moderate risk of bias in five categories, 26 and the other had moderate risk of bias in two categories. 27 All four studies had unclear risk of bias in more than one category.…”

Section: Open Accessmentioning

confidence: 99%

Systematic review of patient-engagement interventions: potentials for enhancing person-centred care for older patients with multimorbidity

2021

View full text Add to dashboard Cite

IntroductionPerson-centred care based on systematic and comprehensive patient-engagement is gaining momentum across healthcare systems. Providing care that is responsive to the needs, values and priorities of each patient is important for patients, relatives and providers alike, not least for the growing population of older patients living with multi-morbidity and associated complex care trajectories.ObjectivesThe aim of this systematic review is to investigate the effects of patient engagement interventions for older patients with multimorbidity.MethodsSystematic review conducted in August 2021. Two reviewers independently screened the international databases Embase and PubMed. Reviewers carried out duplicate and independent data extraction and assessment of study quality. Grading of Recommendations Assessment, Development and Evaluation was used to assess the quality of the evidence for each study.ResultsWe included twelve studies from primary care setting and hospitals. The included studies were heterogeneous in terms of characteristics of populations, types of interventions to enhance patient-engagement, outcome measures and length of follow-up. Nine of the 12 included studies found significant improvements in health and patient-reported outcomes such as higher quality-adjusted life-years, fewer hospital visits and disease specific symptoms. Quality of the included studies was of low to moderate.ConclusionThis review identifies potential beneficial effects of interventions to enhance patient-engagement in older adults with multimorbidity. Nevertheless, the limited and very diverse evidence-based calls for more robust studies into efficient approaches to engaging older adults with multimorbidity in care trajectories.

show abstract

Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country

Cited by 16 publications

References 29 publications

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Information and Communication Technology Based Integrated Care for Older Adults: A Scoping Review

Organisational models in primary health care to manage chronic conditions: A scoping review

Systematic review of patient-engagement interventions: potentials for enhancing person-centred care for older patients with multimorbidity

Contact Info

Product

Resources

About