Miniatura

Fitxers

cano2017_2627.pdf (1020.01 KB)

Tipus de document

Article

Versió

Versió publicada

Data de publicació

2017-07-14

Llicència de publicació

cc by (c) Cano et al., 2017
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/114193

Protocol for regional implementation of community-based collaborative management of complex chronic patients

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Resum

Over the last few years, the epidemics of noncommunicable diseases and the need for cost-containment1 are triggering factors for a profound transformation of the way we approach delivery of care for chronic patients. In this new scenario, conventional disease-oriented approaches, centered on the management of clinical episodes, are being replaced by patient-centered integrated care services,2 as promoted by the World Health Organization. Lessons learnt from deployment experiences4, 5 following patient-centered approaches are being disseminated as good practices.6 However, there are several factors that need further attention, such as the need for further assessment of implementation strategies in real-world scenarios and the lack of transferability from progress achieved in disease-oriented integrated care to management of complex chronic patients (CCP).5, 7 Likewise, efficacy achieved in integrated care interventions, assessed through randomized controlled trials, may not translate into effectiveness at health system level. In addition, poor comparability among experiences on management of multimorbidity emerges as an important hurdle for the adoption of integrated care. In this regard, the lack of an operational definition for CCP is not a negligible factor, as it clearly limits an appropriate service workflow design, which, in turn, precludes both evaluation and comparability of reported experiences.

Descripció

Matèries

Malalties cròniques, Política regional

Matèries (anglès)

Chronic diseases, Economic zoning

Citació

Col·leccions

Articles publicats en revistes (ISGlobal)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Medicina)

Citació

CANO FRANCO, Isaac, DUEÑAS ESPÍN, Ivan, HERNÁNDEZ, Carme, BATLLE, Jordi de, BENAVENT ÀREU, Jaume, CONTEL, Joan carles, BALTAXE, Erik, ESCARRABILL SANGLAS, Joan, FERNANDEZ, Juan manuel, GARCÍA AYMERICH, Judith, MAS, Miquel àngel, MIRALLES BARRACHINA, Felip, MOHARRA, Montserrat, PIERA, Jordi, SALAS, Tomas, SANTAEUGÈNIA GONZÀLEZ, Sebastià j., SOLER PORCAR, Néstor, TORRES, Gerard, VARGIU, Eloisa, VELA, Emili, ROCA TORRENT, Josep. Protocol for regional implementation of community-based
                collaborative management of complex chronic patients. _NPJ Primary Care Respiratory Medicine_. 2017. Vol. 27, núm. 1. [consulta: 5 de desembre de 2025]. ISSN: 2055-1010. [Disponible a: https://hdl.handle.net/2445/114193]

Exportar metadades

JSON - METS

Compartir registre