Iris van der Heide1, Sanne Snoeijs2, Sabrina Quattrini3, Verena Struckmann4, Anneli Hujala5, François Schellevis6, Mieke Rijken2. 1. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. Electronic address: i.vanderheide@nivel.nl. 2. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. 3. Centre for Socio-Economic Research on Ageing, National Institute of Health and Science on Ageing (INRCA), Ancona, Italy. 4. Technical University of Berlin, Berlin, Germany. 5. University of Eastern Finland, Kuopio, Finland. 6. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands; VU University, Amsterdam, The Netherlands.
Abstract
INTRODUCTION: This paper aims to support the implementation of patient-centered care for people with multimorbidity in Europe, by providing insight into ways in which patient-centeredness is currently shaped in integrated care programs for people with multimorbidity in European countries. METHODS: In 2014, expert organizations in 31 European countries identified 200 integrated care practices ('programs') in 25 countries of which 123 were included in our study. Managers of 112 programs from 24 countries completed a questionnaire about characteristics and results of the program, including questions on elements of patient-centeredness. Eight programs that were considered especially innovative or promising were analyzed in depth. RESULTS: Programs used various methodologies to involve people with multimorbidity in decision-making, such as motivational interviewing and narrative counseling techniques. In 79 programs individual care plans were developed together with patients. Few programs had already been systematically evaluated, but in one program it was shown that working with individual care plans based on patients' goals and resources resulted in increased patient satisfaction with care. Various barriers to deliver patient-centered care were reported, including inadequate knowledge and skills of both patients and professionals. CONCLUSION: In many European countries innovative approaches are applied to increase patient-centeredness of care for people with multimorbidity. To assess their potential benefits and conditions for implementation, thorough process and outcome evaluations of programs are urgently needed.
INTRODUCTION: This paper aims to support the implementation of patient-centered care for people with multimorbidity in Europe, by providing insight into ways in which patient-centeredness is currently shaped in integrated care programs for people with multimorbidity in European countries. METHODS: In 2014, expert organizations in 31 European countries identified 200 integrated care practices ('programs') in 25 countries of which 123 were included in our study. Managers of 112 programs from 24 countries completed a questionnaire about characteristics and results of the program, including questions on elements of patient-centeredness. Eight programs that were considered especially innovative or promising were analyzed in depth. RESULTS: Programs used various methodologies to involve people with multimorbidity in decision-making, such as motivational interviewing and narrative counseling techniques. In 79 programs individual care plans were developed together with patients. Few programs had already been systematically evaluated, but in one program it was shown that working with individual care plans based on patients' goals and resources resulted in increased patient satisfaction with care. Various barriers to deliver patient-centered care were reported, including inadequate knowledge and skills of both patients and professionals. CONCLUSION: In many European countries innovative approaches are applied to increase patient-centeredness of care for people with multimorbidity. To assess their potential benefits and conditions for implementation, thorough process and outcome evaluations of programs are urgently needed.
Authors: Magdalena Rzewuska; Ana Carolina Guidorizzi Zanetti; Zoë C Skea; Leonardo Moscovici; Camila Almeida de Oliveira; João Mazzoncini de Azevedo-Marques Journal: PLoS One Date: 2021-05-13 Impact factor: 3.240
Authors: Annerieke Stoop; Manon Lette; Eliva A Ambugo; Erica Wirrmann Gadsby; Nick Goodwin; Julie MacInnes; Mirella Minkman; Gerald Wistow; Nick Zonneveld; Giel Nijpels; Caroline A Baan; Simone R de Bruin Journal: Int J Integr Care Date: 2020-06-26 Impact factor: 5.120