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MULTIPAP Study: Improving healthcare for patients with multimorbidity
Alexandra Prados-Torres1, Isabel Del Cura-González2, Juan Daniel Prados-Torres3
1EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute, Miguel Servet University Hospital, Zaragoza, Spain.
Summary
The MULTIPAP intervention significantly improved medication appropriateness in older adults with multiple health conditions. While quality of life did not show significant improvement, the GP e-training component was feasible and well-received.
Area of Science:
- Gerontology
- Primary Care Medicine
- Clinical Pharmacy
Background:
- Rising multimorbidity presents significant challenges to healthcare systems and necessitates effective clinical strategies.
- The MULTIPAP Study investigates interventions for patients with multiple chronic conditions and polypharmacy.
Purpose of the Study:
- To assess the effectiveness of a patient-centered intervention for elderly patients (65-74 years) experiencing multimorbidity and polypharmacy.
Main Methods:
- A pragmatic cluster-randomised trial involving 117 GPs and 593 patients in Spanish primary care.
- Intervention included GP e-training on multimorbidity and shared decision-making, alongside patient-centered interviews.
Main Results:
- A significant reduction in the Medication Appropriateness Index (MAI) was observed after 6 months (adjusted difference -1.81, P=0.021).
- No significant improvements were found in quality of life measures (EQ-5D-5L) after 12 months.
Conclusions:
- The MULTIPAP intervention effectively enhances medication appropriateness in patients with multimorbidity.
- GP e-training is a feasible and accepted method for addressing multimorbidity and polypharmacy in primary care.
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