Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System
The multimorbidity approach involves promotional and preventive strategies. The demand for rehabilitation services has grown exponentially in recent years, leading to the urgency of rethinking care delivery. In Chile, there are laws, programs, and guidelines that, from their theoretical basis, inclu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2024-02-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7697 |
| _version_ | 1827317740935839744 |
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| author | Paula Zamorano Fernanda Calvo Ricardo Banda Javiera Fuentes Clara Molina Elena Medina Marcela Gonzalez-Madrid |
| author_facet | Paula Zamorano Fernanda Calvo Ricardo Banda Javiera Fuentes Clara Molina Elena Medina Marcela Gonzalez-Madrid |
| author_sort | Paula Zamorano |
| collection | DOAJ |
| description | The multimorbidity approach involves promotional and preventive strategies. The demand for rehabilitation services has grown exponentially in recent years, leading to the urgency of rethinking care delivery. In Chile, there are laws, programs, and guidelines that, from their theoretical basis, include a person-centered care focus. But in real practice, multiple barriers trigger important fragmentation of care. In response, a new strategy has been proposed to answer whether comprehensive rehabilitation care based on multimorbidity positively impacts the health system performance, people’s functionality, and quality of life, which will be implemented as a pilot study with a national scale-up focus. Resumen El enfoque de multimorbilidad implica estrategias promocionales y preventivas. La demanda de servicios de rehabilitación ha crecido exponencialmente en los últimos años, lo que ha llevado a la urgencia de repensar la organización y entrega de prestaciones. En Chile existen leyes, programas y lineamientos que, desde su base teórica, incluyen un enfoque de atención centrado en la persona. Pero en la práctica real, múltiples barreras generan una importante fragmentación de la atención. En respuesta, se ha propuesto una nueva estrategia para responder si una rehabilitación integral basada en el enfoque de la multimorbilidad impacta positivamente en el desempeño del sistema de salud, la funcionalidad de las personas y la calidad de vida, que se implementará como un estudio piloto con un enfoque de escalamiento nacional. Palabras clave: Cuidado centrado en la persona; rehabilitación; multimorbilidad; interdisciplina |
| first_indexed | 2024-04-24T23:44:58Z |
| format | Article |
| id | doaj.art-dfaf6df541e3411d9a2843b0e4465bc2 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-24T23:44:58Z |
| publishDate | 2024-02-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-dfaf6df541e3411d9a2843b0e4465bc22024-03-15T08:09:48ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-02-01247710.5334/ijic.76977593Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health SystemPaula Zamorano0https://orcid.org/0000-0002-4921-518XFernanda Calvo1https://orcid.org/0000-0002-3991-1923Ricardo Banda2https://orcid.org/0000-0001-8176-3891Javiera Fuentes3https://orcid.org/0000-0003-0720-2169Clara Molina4https://orcid.org/0009-0008-7623-2648Elena Medina5https://orcid.org/0009-0001-8416-0161Marcela Gonzalez-Madrid6https://orcid.org/0000-0002-1138-1537Innovación ANCORA UC, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago; Departamento de Ciencias de la Salud, Pontificia Universidad Católica de Chile, SantiagoDepartamento de Ciencias de la Salud, Pontificia Universidad Católica de Chile, SantiagoDepartamento de Ciencias de la Salud, Pontificia Universidad Católica de Chile, Santiago; Departamento de la Ciencia de la Ocupación y Terapia Ocupacional, Facultad de Medicina, Universidad de Chile, SantiagoDepartamento de Ciencias de la Salud, Pontificia Universidad Católica de Chile, Santiago, CL; School of Health Professions Education, Faculty of Health, Medicine and Health Sciences Maastricht University, MaastrichtDepartamento de Ciencias de la Salud, Pontificia Universidad Católica de Chile, SantiagoRed de Salud UCChristus, Unidad de RehabilitaciónDepartamento de Salud del Adulto y Senescente, Escuela de Enfermería, Pontificia Universidad Católica de Chile, SantiagoThe multimorbidity approach involves promotional and preventive strategies. The demand for rehabilitation services has grown exponentially in recent years, leading to the urgency of rethinking care delivery. In Chile, there are laws, programs, and guidelines that, from their theoretical basis, include a person-centered care focus. But in real practice, multiple barriers trigger important fragmentation of care. In response, a new strategy has been proposed to answer whether comprehensive rehabilitation care based on multimorbidity positively impacts the health system performance, people’s functionality, and quality of life, which will be implemented as a pilot study with a national scale-up focus. Resumen El enfoque de multimorbilidad implica estrategias promocionales y preventivas. La demanda de servicios de rehabilitación ha crecido exponencialmente en los últimos años, lo que ha llevado a la urgencia de repensar la organización y entrega de prestaciones. En Chile existen leyes, programas y lineamientos que, desde su base teórica, incluyen un enfoque de atención centrado en la persona. Pero en la práctica real, múltiples barreras generan una importante fragmentación de la atención. En respuesta, se ha propuesto una nueva estrategia para responder si una rehabilitación integral basada en el enfoque de la multimorbilidad impacta positivamente en el desempeño del sistema de salud, la funcionalidad de las personas y la calidad de vida, que se implementará como un estudio piloto con un enfoque de escalamiento nacional. Palabras clave: Cuidado centrado en la persona; rehabilitación; multimorbilidad; interdisciplinahttps://account.ijic.org/index.php/up-j-ijic/article/view/7697integrated carerehabilitationmultimorbidity careinterdisciplinarity |
| spellingShingle | Paula Zamorano Fernanda Calvo Ricardo Banda Javiera Fuentes Clara Molina Elena Medina Marcela Gonzalez-Madrid Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System International Journal of Integrated Care integrated care rehabilitation multimorbidity care interdisciplinarity |
| title | Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System |
| title_full | Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System |
| title_fullStr | Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System |
| title_full_unstemmed | Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System |
| title_short | Integrating Comprehensive Rehabilitation Care to Multimorbidity Approach: A Challenge for the Chilean Public Health System |
| title_sort | integrating comprehensive rehabilitation care to multimorbidity approach a challenge for the chilean public health system |
| topic | integrated care rehabilitation multimorbidity care interdisciplinarity |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7697 |
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