Multimorbilidad en medicina de familia y los principios Ariadne. Un enfoque centrado en la persona
Prados-Torres, A. (Universidad de Zaragoza) ; del Cura-González, I. ; Prados-Torres, J.D. ; Leiva-Fernández, F. ; López-Rodríguez, J.A. ; Calderón-Larrañaga, A. ; Muth, C.
Resumen: La multimorbilidad, definida como la presencia de dos o más enfermedades crónicas en un mismo individuo, conlleva consecuencias negativas para la persona e importantes retos para los sistemas sanitarios. En atención primaria, donde recae esencialmente la atención de este grupo de pacientes, la consulta es más compleja que la de un paciente con una única enfermedad debido, entre otros, al hecho de tener que manejar mayor cantidad de información clínica, disponer de poca evidencia científica para abordar la multimorbilidad, y tener que coordinar la labor de múltiples profesionales para garantizar la continuidad asistencial. Además, para poder implementar correctamente los planes de tratamiento en estos pacientes es necesario un proceso de toma de decisiones compartida médico-paciente. Entre las distintas herramientas disponibles para apoyar dicho proceso, recientemente se ha desarrollado una dirigida específicamente a pacientes con multimorbilidad en atención primaria y que se describe en el presente artículo: los principios Ariadne.
Multimorbidity, defined as the coexistence of two or more chronic conditions in one same individual, has negative consequences for people suffering from it and it poses a real challenge for health systems. In primary care, where most of these patients are attended, the clinical management of multimorbidity can be a complex task due, among others, to the high volume of clinical information that needs to be handled, the scarce scientific evidence available to approach multimorbidity, and the need for coordination among multiple health providers to guarantee continuity of care. Moreover, the adequate implementation of the care plan in these patients requires a process of shared decision making between patient and physician. One of the available tools to support this process, which is specifically directed to patients with multimorbidity in primary care, is described in the present article: the Ariadne principles.
Idioma: Español
DOI: 10.1016/j.aprim.2016.11.013
Año: 2017
Publicado en: Atencion Primaria 49, 5 (2017), 300-307
ISSN: 0212-6567
Factor impacto JCR: 1.148 (2017)
Categ. JCR: PRIMARY HEALTH CARE rank: 14 / 19 = 0.737 (2017) - Q3 - T3
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 96 / 154 = 0.623 (2017) - Q3 - T2
Factor impacto SCIMAGO: 0.288 - Family Practice (Q2) - Medicine (miscellaneous) (Q3)
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00276
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00572
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00996
Financiación: info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0004
Financiación: info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0005
Tipo y forma: Article (Published version)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Med.Pr.,Sal.Públ.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
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Multimorbidity, defined as the coexistence of two or more chronic conditions in one same individual, has negative consequences for people suffering from it and it poses a real challenge for health systems. In primary care, where most of these patients are attended, the clinical management of multimorbidity can be a complex task due, among others, to the high volume of clinical information that needs to be handled, the scarce scientific evidence available to approach multimorbidity, and the need for coordination among multiple health providers to guarantee continuity of care. Moreover, the adequate implementation of the care plan in these patients requires a process of shared decision making between patient and physician. One of the available tools to support this process, which is specifically directed to patients with multimorbidity in primary care, is described in the present article: the Ariadne principles.
Idioma: Español
DOI: 10.1016/j.aprim.2016.11.013
Año: 2017
Publicado en: Atencion Primaria 49, 5 (2017), 300-307
ISSN: 0212-6567
Factor impacto JCR: 1.148 (2017)
Categ. JCR: PRIMARY HEALTH CARE rank: 14 / 19 = 0.737 (2017) - Q3 - T3
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 96 / 154 = 0.623 (2017) - Q3 - T2
Factor impacto SCIMAGO: 0.288 - Family Practice (Q2) - Medicine (miscellaneous) (Q3)
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00276
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00572
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI15-00996
Financiación: info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0004
Financiación: info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0005
Tipo y forma: Article (Published version)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Med.Pr.,Sal.Públ.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2019-07-09-11:31:27)
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Record created 2018-06-25, last modified 2019-07-09