A Patient-Centred Redesign Framework to Support System-Level Process Changes for Multimorbidities and Chronic...

Area of Science:

• Healthcare Management
• Public Health
• Chronic Disease Management

Background:

• Increasing prevalence and costs of multimorbidities necessitate new care models.
• Current systems often focus on single diseases, failing to address complex patient needs.
• Integrated care systems are crucial for effective multimorbidity management.

Purpose of the Study:

• To present a novel patient-centered redesign framework for system-level changes.
• To apply this framework within four chronic disease prevention and management services.
• To discuss early results and spread opportunities of the pilot initiative.

Main Methods:

• Development of a novel patient-centered redesign framework.
• Embedding patient perspectives and the chronic care model.
• Application and pilot testing of the framework across four service areas.

Main Results:

• Early results from the pilot initiative indicate potential for improved care delivery.
• The framework demonstrated feasibility in supporting system-level process changes.
• Identified opportunities for broader implementation and spread of the initiative.

Conclusions:

• The novel patient-centered framework offers a promising approach to managing multimorbidities.
• System-level changes focusing on integrated care are essential for effective chronic disease management.
• Further spread and evaluation of the framework are warranted to optimize patient care.