Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)
Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)
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DOI：
10.1016/j.healthpol.2017.09.006
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发表时间：
2018-01-01
期刊：
影响因子：
3.3
通讯作者：
Onder, Graziano
中科院分区：
文献类型：
--
作者：
Palmer, Katie;Marengoni, Alessandra;Onder, Graziano
患有多发性硬化症的患者具有复杂的健康需求，但由于目前传统的以疾病为导向的方法，他们面临着高度分散的护理形式，导致效率低下，无效，甚至可能有害的临床干预。有有限的证据对多病患者的综合和多维护理途径。举行了一次专家共识会议，以在欧洲联盟资助的一个项目内制定一个可在整个欧洲适用的多病患者护理框架;慢性病和促进整个生命周期健康老龄化联合行动。专家包括代表护理提供者和患者的不同群体，包括全科医生、家庭医学医生、神经科医生、老年病学家、内科医生、心脏病学家、内分泌学家、糖尿病学家、流行病学家、心理学家和患者组织的代表。确定了五个领域的十六个组成部分（提供护理;决策支持;自我管理支持;信息系统和技术;以及社会和社区资源）。这些指南中描述了每个组成部分的描述和目的，沿着了关键特征和与多病患者的相关性的总结。由于缺乏针对多病患者的循证建议，这种护理模式需要在不同的欧洲环境中进行评估和验证，以具体研究多病患者如何从这种护理模式中受益，以及某些组件是否比其他组件更重要。(C)2017爱思唯尔B. V.保留所有权利。
Patients with multimorbidity have complex health needs but, due to the current traditional disease oriented approach, they face a highly fragmented form of care that leads to inefficient, ineffective, and possibly harmful clinical interventions. There is limited evidence on available integrated and multidimensional care pathways for multimorbid patients. An expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS). The experts included a diverse group representing care providers and patients, and included general practitioners, family medicine physicians, neurologists, geriatricians, internists, cardiologists, endocrinologists, diabetologists, epidemiologists, psychologists, and representatives from patient organizations. Sixteen components across five domains were identified (Delivery of Care; Decision Support; Self Management Support; Information Systems and Technology; and Social and Community Resources). The description and aim of each component are described in these guidelines, along with a summary of key characteristics and relevance to multimorbid patients. Due to the lack of evidence-based recommendations specific to multimorbid patients, this care model needs to be assessed and validated in different European settings to examine specifically how multimorbid patients will benefit from this care model, and whether certain components have more importance than others. (C) 2017 Elsevier B.V. All rights reserved.