Patient-Centred Innovations for Persons with Multimorbidity: funded evaluation protocol.

Area of Science:

• Health Services Research
• Clinical Innovation
• Patient-Centered Care

Background:

• High prevalence of multimorbidity requires health system reevaluation.
• The Patient-Centred Innovations for Persons with Multimorbidity program aims to identify and assess patient-centered innovations.
• Focus on improving care for individuals with multiple chronic conditions.

Purpose of the Study:

• To explore innovations in patient-centered multimorbidity care.
• To evaluate the effectiveness of these innovations using randomized controlled trials.
• To understand how innovations function for patients, healthcare professionals, and policymakers.

Main Methods:

• Concurrent triangulation mixed-methods study across Quebec and Ontario.
• Qualitative descriptive study to explore innovations.
• Two randomized controlled trials with wait-list control and health administrative data matching.

Main Results:

• Primary outcomes include patient education and self-efficacy.
• Secondary outcomes encompass health status, quality of life, distress, behaviors, and costs.
• The study aims to determine the efficacy and mechanisms of multimorbidity care innovations.

Conclusions:

• This protocol outlines a comprehensive mixed-method approach to address multimorbidity care.
• The findings will inform the development and implementation of effective patient-centered innovations.
• The research seeks to answer critical questions about the impact and implementation of care innovations for multimorbidity.