000088280 001__ 88280
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000088280 0247_ $$2doi$$a10.3390/ijerph16245044
000088280 0248_ $$2sideral$$a116450
000088280 037__ $$aART-2019-116450
000088280 041__ $$aeng
000088280 100__ $$aPalmer, K.
000088280 245__ $$aA Methodological Approach for Implementing an Integrated Multimorbidity Care Model: Results from the Pre-Implementation Stage of Joint Action CHRODIS-PLUS
000088280 260__ $$c2019
000088280 5060_ $$aAccess copy available to the general public$$fUnrestricted
000088280 5203_ $$aPatients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases the risk of negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related to fragmented care. In the context of Joint Action CHRODIS-PLUS, an implementation methodology was developed for the care model, which is being piloted in five sites. We aim to (1) explain the methodology used to implement the care model and (2) describe how the pilot sites have adapted and applied the proposed methodology. The model is being implemented in Spain (Andalusia and Aragon), Lithuania (Vilnius and Kaunas), and Italy (Rome). Local implementation working groups at each site adapted the model to local needs, goals, and resources using the same methodological steps: (1) Scope analysis; (2) situation analysis-"strengths, weaknesses, opportunities, threats" (SWOT) analysis; (3) development and improvement of implementation methodology; and (4) final development of an action plan. This common implementation strategy shows how care models can be adapted according to local and regional specificities. Analysis of the common key outcome indicators at the post-implementation phase will help to demonstrate the clinical effectiveness, as well as highlight any difficulties in adapting a common Integrated Multimorbidity Care Model in different countries and clinical settings.
000088280 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000088280 590__ $$a2.849$$b2019
000088280 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b32 / 170 = 0.188$$c2019$$dQ1$$eT1
000088280 591__ $$aENVIRONMENTAL SCIENCES$$b105 / 265 = 0.396$$c2019$$dQ2$$eT2
000088280 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b58 / 193 = 0.301$$c2019$$dQ2$$eT1
000088280 592__ $$a0.739$$b2019
000088280 593__ $$aHealth, Toxicology and Mutagenesis$$c2019$$dQ2
000088280 593__ $$aPublic Health, Environmental and Occupational Health$$c2019$$dQ2
000088280 593__ $$aPollution$$c2019$$dQ2
000088280 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000088280 700__ $$aCarfi, A.
000088280 700__ $$aAngioletti, C.
000088280 700__ $$aDi Paola, A.
000088280 700__ $$aNavickas, R.
000088280 700__ $$aDambrauskas, L.
000088280 700__ $$aJureviciene, E.
000088280 700__ $$aForjaz, M.J.
000088280 700__ $$aRodriguez-Blazquez, C.
000088280 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.
000088280 700__ $$0(orcid)0000-0002-5440-1710$$aGimeno-Miguel, A.
000088280 700__ $$aCano-del Pozo, M.
000088280 700__ $$aBestue-Cardiel, M.
000088280 700__ $$aLeiva-Fernandez, F.
000088280 700__ $$aFerrer, E.P.
000088280 700__ $$aCarriazo, A.M.
000088280 700__ $$aLama, C.
000088280 700__ $$aRodriguez-Acuna, R.
000088280 700__ $$aCosano, I.
000088280 700__ $$aBedoya-Belmonte, J.J.
000088280 700__ $$aLiseckiene, I.
000088280 700__ $$aBarbolini, M.
000088280 700__ $$aTxarramendieta, J.
000088280 700__ $$aKeenoy, E.D.
000088280 700__ $$aFullaondo, A.
000088280 700__ $$aRijken, M.
000088280 700__ $$aOnder, G.
000088280 773__ $$g16, 24 (2019), 5044 [18 pp.]$$pInt. j. environ. res. public health$$tInternational Journal of Environmental Research and Public Health$$x1661-7827
000088280 8564_ $$s676869$$uhttps://zaguan.unizar.es/record/88280/files/texto_completo.pdf$$yVersión publicada
000088280 8564_ $$s450008$$uhttps://zaguan.unizar.es/record/88280/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000088280 909CO $$ooai:zaguan.unizar.es:88280$$particulos$$pdriver
000088280 951__ $$a2020-07-16-09:56:21
000088280 980__ $$aARTICLE