Evaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile

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dc.article.number439
dc.catalogadorcrc
dc.contributor.authorVarela, Teresita
dc.contributor.authorZamorano Pichard, Paula Francisca
dc.contributor.authorMuñoz, Paulina
dc.contributor.authorRain, Carolina
dc.contributor.authorIrazoqui, Esteban
dc.contributor.authorSapag Muñoz de la Peña, Jaime
dc.contributor.authorTellez, Alvaro
dc.date.accessioned2023-05-11T16:27:31Z
dc.date.available2023-05-11T16:27:31Z
dc.date.issued2023
dc.date.updated2023-05-07T00:02:42Z
dc.description.abstractAbstract Background Complex health interventions involve deep organizational, structural, and cultural changes that challenge health teams and decision-makers. The explosion of chronic diseases has made the multimorbidity approach a global priority. The Centro de Innovación en Salud ANCORA UC implemented a Multimorbidity Patient-Centered Care Model in the Chilean public health system. Objective This study aims to evaluate the progress of the implementation of the Multimorbidity Patient-Centered Care Model in seven primary care centers through key performance indicators. Methods a set of indicators was designed to evaluate change management, operations, installation of new roles, and services and activities of the intervention strategy of the model. Key performance indicators were identified to monitor the implementation progress on minimal components for the model’s sustainability. Each item was assigned against an expected minimum score of 67% of progress from the overall score. They were monitored twice in seven primary health centers in 2019 and 2020, which intervened 22,642 patients with the intervention. Results The results showed that six of the seven primary care centers reached the minimum implementation threshold. The main advances were in operational conditions, and those with minor progress in implementation were the clinical services. Population size, organization, coordination of the health care teams, additional training, and decision-makers support were key factors that determined the degree of progress in a complex intervention. Conclusion It was possible to measure the progression of the implementation of a complex intervention through key performance indicators delivering relevant information for decision-makers that pursue a successful and faithful implementation. This study provides a valuable tool for the national scale-up of a similar model started in Chile by the Ministry of Health and other countries.
dc.fechaingreso.objetodigital2023-05-07
dc.fuente.origenAutoarchivo
dc.identifier.citationVarela, T., Zamorano, P., Muñoz, P. et al. Evaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile. BMC Health Serv Res 23, 439 (2023). https://doi.org/10.1186/s12913-023-09412-9
dc.identifier.doi10.1186/s12913-023-09412-9
dc.identifier.issn1472-6963
dc.identifier.urihttps://doi.org/10.1186/s12913-023-09412-9
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/66955
dc.information.autorucFacultad de Medicina ;Sapag Muñoz de la Peña, Jaime ; 0000-0003-2227-8233 ;3511
dc.information.autorucFacultad de Economía y Administración;Zamorano Pichard, Paula Francisca;s/i;230522
dc.information.autorucEscuela de Medicina;Tellez Tellez Alvaro Rodrigo; s/i;99828
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final9
dc.pagina.inicio1
dc.revistaBMC Health Services Research
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectMultimorbidity
dc.subjectKey performance indicators
dc.subjectImplementation
dc.subjectProgress
dc.subjectPatient-centered
dc.subjectModel
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleEvaluation of the implementation progress through key performance indicators in a new multimorbidity patient-centered care model in Chile
dc.typeartículo
dc.volumen23
sipa.codpersvinculados99828
sipa.codpersvinculados230522
sipa.codpersvinculados3511
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