Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system
Abstract Background The progressive multimorbidity explosion has challenged Chile’s health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile. Objective Evaluate the perspective of high-risk patients about the core...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-17220-3 |
| _version_ | 1797555983706226688 |
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| author | Jaime C. Sapag Mayra Martínez Paula Zamorano Teresita Varela Álvaro Téllez Esteban Irazoqui Paulina Muñoz |
| author_facet | Jaime C. Sapag Mayra Martínez Paula Zamorano Teresita Varela Álvaro Téllez Esteban Irazoqui Paulina Muñoz |
| author_sort | Jaime C. Sapag |
| collection | DOAJ |
| description | Abstract Background The progressive multimorbidity explosion has challenged Chile’s health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile. Objective Evaluate the perspective of high-risk patients about the core elements of the model. Methodology We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data. Results The overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results. Conclusions The study reveals the perceptions about a complex multimorbidity intervention from the patient’s perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases. |
| first_indexed | 2024-03-10T16:55:20Z |
| format | Article |
| id | doaj.art-d0f6ed5af3ff427a8b3f4a8bf21c73f4 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:55:20Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-d0f6ed5af3ff427a8b3f4a8bf21c73f42023-11-20T11:10:04ZengBMCBMC Public Health1471-24582023-11-012311810.1186/s12889-023-17220-3Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health systemJaime C. Sapag0Mayra Martínez1Paula Zamorano2Teresita Varela3Álvaro Téllez4Esteban Irazoqui5Paulina Muñoz6Department of Family Medicine, Pontificia Universidad Católica de ChileFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de ChileFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de ChileFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de ChileDepartment of Family Medicine, Pontificia Universidad Católica de ChileFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de ChileFacultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de ChileAbstract Background The progressive multimorbidity explosion has challenged Chile’s health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile. Objective Evaluate the perspective of high-risk patients about the core elements of the model. Methodology We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data. Results The overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results. Conclusions The study reveals the perceptions about a complex multimorbidity intervention from the patient’s perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases.https://doi.org/10.1186/s12889-023-17220-3MultimorbidityPatientPerspectiveHigh-riskImplementation |
| spellingShingle | Jaime C. Sapag Mayra Martínez Paula Zamorano Teresita Varela Álvaro Téllez Esteban Irazoqui Paulina Muñoz Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system BMC Public Health Multimorbidity Patient Perspective High-risk Implementation |
| title | Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system |
| title_full | Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system |
| title_fullStr | Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system |
| title_full_unstemmed | Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system |
| title_short | Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system |
| title_sort | evaluation of patients´ perspective on a multimorbidity patient centered care model piloted in the chilean public health system |
| topic | Multimorbidity Patient Perspective High-risk Implementation |
| url | https://doi.org/10.1186/s12889-023-17220-3 |
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