Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services
Introduction: Caring for patients with multimorbidity in general practice is increasing in amount and complexity. To integrate care for patients with multimorbidity and to support general practitioners (GPs), the Clinic for Multimorbidity (CM) was established in 2012 at Silkeborg Regional Hospital,...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-06-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7015 |
| _version_ | 1797777801405792256 |
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| author | Cathrine Bell Peter Vedsted Dorte Gunver Adsersen Kraus Ulrich Fredberg Linda Jeffery Marianne Bjørn Dahlgaard Rikke Aarhus Charlotte Weiling Appel |
| author_facet | Cathrine Bell Peter Vedsted Dorte Gunver Adsersen Kraus Ulrich Fredberg Linda Jeffery Marianne Bjørn Dahlgaard Rikke Aarhus Charlotte Weiling Appel |
| author_sort | Cathrine Bell |
| collection | DOAJ |
| description | Introduction: Caring for patients with multimorbidity in general practice is increasing in amount and complexity. To integrate care for patients with multimorbidity and to support general practitioners (GPs), the Clinic for Multimorbidity (CM) was established in 2012 at Silkeborg Regional Hospital, Denmark. This case study aims to describe the CM and the patients seen in it. Results: CM is an outpatient clinic that offers a comprehensive one-day assessment of the patient’s complete health status and medication. GPs can refer patients with complex multimorbidity (≥2 chronic conditions). It involves collaboration across medical specialties and healthcare professions. The assessment is completed with a multidisciplinary conference and recommendation. In all, 141 patients were referred to the CM between May 2012 and November 2017. The median age was 70 years, 80% had more than five diagnoses, and in median patients had a usage of 11 drugs (IQI, 7–15). Physical and mental health was reported low (SF-12 score: 26 and 42). In median four specialties were involved and 4 examinations (IQI, 3–5) conducted. Conclusion: The CM offers innovative care by bridging and exceeding conventional boundaries of disciplines, professions, organizations, and primary and specialized care. The patients represented a very complex group, requiring many examinations and involvement of several specialists. |
| first_indexed | 2024-03-12T23:09:45Z |
| format | Article |
| id | doaj.art-92315fb698ec492abb109bbbbcd33ac8 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-03-12T23:09:45Z |
| publishDate | 2023-06-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-92315fb698ec492abb109bbbbcd33ac82023-07-18T08:17:16ZengUbiquity PressInternational Journal of Integrated Care1568-41562023-06-0123252510.5334/ijic.70154980Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care ServicesCathrine Bell0https://orcid.org/0000-0003-2313-7889Peter Vedsted1https://orcid.org/0000-0003-2113-5599Dorte Gunver Adsersen Kraus2Ulrich Fredberg3https://orcid.org/0000-0002-7181-1113Linda Jeffery4Marianne Bjørn Dahlgaard5Rikke Aarhus6https://orcid.org/0000-0003-2367-8108Charlotte Weiling Appel7https://orcid.org/0000-0003-0397-9739Diagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, SilkeborgDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg; Research Unit for General Practice, Faculty of Health, Aarhus UniversityDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, SilkeborgDepartment of Rheumatology, Odense University Hospital, OdenseDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg; Hospital Pharmacy, Central Jutland RegionDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, SilkeborgDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, SilkeborgDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, SilkeborgIntroduction: Caring for patients with multimorbidity in general practice is increasing in amount and complexity. To integrate care for patients with multimorbidity and to support general practitioners (GPs), the Clinic for Multimorbidity (CM) was established in 2012 at Silkeborg Regional Hospital, Denmark. This case study aims to describe the CM and the patients seen in it. Results: CM is an outpatient clinic that offers a comprehensive one-day assessment of the patient’s complete health status and medication. GPs can refer patients with complex multimorbidity (≥2 chronic conditions). It involves collaboration across medical specialties and healthcare professions. The assessment is completed with a multidisciplinary conference and recommendation. In all, 141 patients were referred to the CM between May 2012 and November 2017. The median age was 70 years, 80% had more than five diagnoses, and in median patients had a usage of 11 drugs (IQI, 7–15). Physical and mental health was reported low (SF-12 score: 26 and 42). In median four specialties were involved and 4 examinations (IQI, 3–5) conducted. Conclusion: The CM offers innovative care by bridging and exceeding conventional boundaries of disciplines, professions, organizations, and primary and specialized care. The patients represented a very complex group, requiring many examinations and involvement of several specialists.https://account.ijic.org/index.php/up-j-ijic/article/view/7015integrated caremultimorbidityoutpatient clinicprimary carepolypharmacychronic disease |
| spellingShingle | Cathrine Bell Peter Vedsted Dorte Gunver Adsersen Kraus Ulrich Fredberg Linda Jeffery Marianne Bjørn Dahlgaard Rikke Aarhus Charlotte Weiling Appel Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services International Journal of Integrated Care integrated care multimorbidity outpatient clinic primary care polypharmacy chronic disease |
| title | Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services |
| title_full | Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services |
| title_fullStr | Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services |
| title_full_unstemmed | Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services |
| title_short | Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services |
| title_sort | clinic for multimorbidity an innovative approach to integrate general practice and specialized health care services |
| topic | integrated care multimorbidity outpatient clinic primary care polypharmacy chronic disease |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7015 |
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