Priorities and Preferences for Care of People with Multiple Chronic Conditions

Overview

Journal Health Expect

Publisher Wiley

Specialty Public Health

Date 2021 May 3

PMID 33938597

Citations 7

Authors

Mieke Rijken

Rene Stussgen

Chantal Leemrijse

Mieke J L Bogerd

Joke C Korevaar

Affiliations

Soon will be listed here.

Abstract

Background: To guide the development of high-quality care for people with multiple chronic conditions, partners of the European Joint Action CHRODIS developed the Integrated Multimorbidity Care Model. To assess its suitability for improving care for people with multimorbidity in the Netherlands, the model was piloted in a primary care setting with both patients and care providers.

Aim: This paper reports on the patient perspective, and aims to explore the priorities, underlying values and preferences for care of people with multimorbidity.

Participants And Methods: Twenty persons with multimorbidity (selected from general practice registries) participated in a focus group or telephone interview. Subsequently, a questionnaire was completed by 863 persons with multimorbidity registered with 14 general practices. Qualitative data were thematically analysed and quantitative data by means of descriptive statistics.

Results: Frequently prioritized elements of care were the use of shared electronic health records, regular comprehensive assessments, self-management support and shared decision making, and care coordination. Preferences for how these elements should be specifically addressed differed according to individual values (eg weighing safety against privacy) and needs (eg ways of coping with multimorbidity).

Conclusion: The JA-CHRODIS Integrated Multimorbidity Care Model reflects the priorities and preferences for care of people with multimorbidity in the Netherlands, which supports its relevance to guide the development of person-centred integrated care for people with multiple chronic conditions in the Netherlands.

Patient Contribution: European patient experts contributed to the development and applicability assessment of the JA-CHRODIS Integrated Multimorbidity Care Model; Dutch patients participated in focus groups, interviews and a survey.

Citing Articles

The impact of living with multiple long-term conditions (multimorbidity) on everyday life - a qualitative evidence synthesis.

Holland E, Matthews K, Macdonald S, Ashworth M, Laidlaw L, Cheung K BMC Public Health. 2024; 24(1):3446.

PMID: 39696210 PMC: 11654051. DOI: 10.1186/s12889-024-20763-8.

Priorities for multimorbidity management and research in cancer: a Delphi study of Australian cancer survivors, clinicians, and researchers.

Venchiarutti R, Dhillon H, Ee C, Hart N, Jefford M, Koczwara B J Cancer Surviv. 2024; .

PMID: 39354281 DOI: 10.1007/s11764-024-01686-0.

Perceptions and experiences of living with and providing care for multimorbidity: A qualitative interview study.

Simpson G, Morrison L, Santer M, Hijryana M, Farmer A, Dambha-Miller H J Multimorb Comorb. 2024; 14:26335565241240820.

PMID: 38529048 PMC: 10962039. DOI: 10.1177/26335565241240820.

Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study.

Raaijmakers L, Schermer T, Wijnen M, van Bommel H, Michielsen L, Boone F Int J Environ Res Public Health. 2023; 20(5).

PMID: 36900842 PMC: 10001916. DOI: 10.3390/ijerph20053824.

Differences in Demographics of Vaccinees, Access to, and Satisfaction with SARS-CoV-2 Vaccination Procedures between German General Practices and Mass Vaccination Centers.

Jentzsch A, Geier A, Bleckwenn M, Schrimpf A Vaccines (Basel). 2022; 10(11).

PMID: 36366332 PMC: 9696883. DOI: 10.3390/vaccines10111823.

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