Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system

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dc.article.number2264
dc.catalogadoraba
dc.contributor.authorSapag Muñoz de la Peña, Jaime
dc.contributor.authorMartínez Pérez, Mayra Alicia
dc.contributor.authorZamorano, Paula
dc.contributor.authorVarela, Teresita
dc.contributor.authorTéllez, Álvaro
dc.contributor.authorIrazoqui Soto, Esteban
dc.contributor.authorMuñoz C., Paulina
dc.date.accessioned2023-11-21T13:20:03Z
dc.date.available2023-11-21T13:20:03Z
dc.date.issued2023
dc.date.updated2023-11-19T01:03:38Z
dc.description.abstractBackground The progressive multimorbidity explosion has challenged Chile’s health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile. Objective Evaluate the perspective of high-risk patients about the core elements of the model. Methodology We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data. Results The overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results. Conclusions The study reveals the perceptions about a complex multimorbidity intervention from the patient’s perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases.
dc.fechaingreso.objetodigital2023-11-21
dc.fuente.origenBiomed Central
dc.identifier.doi10.1186/s12889-023-17220-3
dc.identifier.issn1471-2458
dc.identifier.pubmedidPMID: 37974085
dc.identifier.pubmedidPMCID: PMC10655404
dc.identifier.urihttps://doi.org/10.1186/s12889-023-17220-3
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75379
dc.information.autorucEscuela de Medicina; Sapag Muñoz De La Peña, Jaime; 0000-0003-2227-8233; 3511
dc.information.autorucEscuela de Psicología; Martínez Pérez, Mayra Alicia; 0000-0002-9807-0992; 146627
dc.information.autorucEscuela de Medicina; Téllez, Álvaro; 0000-0003-1667-6243; 99828
dc.information.autorucEscuela de Enfermería; Irazoqui Soto, Esteban; S/I; 82861
dc.information.autorucEscuela de Enfermería; Muñoz C., Paulina; 0000-0001-8197-8518; 156200
dc.issue.numero1
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final8
dc.pagina.inicio1
dc.revistaBMC Public Health
dc.rightsacceso abierto
dc.subjectMultimorbidity
dc.subjectPatient, Perspective
dc.subjectHigh-risk
dc.subjectImplementation
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.ods04 Quality education
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa04 Educación de calidad
dc.titleEvaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system
dc.typeartículo
dc.volumen23
sipa.codpersvinculados3511
sipa.codpersvinculados146627
sipa.codpersvinculados99828
sipa.codpersvinculados82861
sipa.codpersvinculados156200
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