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A complex intervention for multimorbidity in primary care: A feasibility study.

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  • 1Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg University Hospital, Frederiksberg, Denmark.

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Summary

A patient-centered complex intervention for multimorbidity was feasible. Patients and healthcare professionals found the intervention acceptable, highlighting improved care coordination and patient involvement.

Keywords:
Multimorbiditycross-sectional collaborationextended consultationsfeasibility studyhealth-care organizationintegrated caremedicine assessmentpatient involvementprimary care

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Area of Science:

  • Primary care research
  • Health services research
  • Geriatric medicine

Background:

  • Multimorbidity, the co-occurrence of multiple chronic conditions, presents significant challenges in healthcare delivery.
  • Existing care models often struggle to address the complex needs of patients with multiple chronic diseases.

Purpose of the Study:

  • To evaluate the feasibility of a patient-centered complex intervention for multimorbidity (CIM) within a general practice setting.
  • To assess the acceptability of the CIM among patients and healthcare professionals.

Main Methods:

  • A feasibility study involving patients aged 18+ with at least two of three chronic conditions (diabetes, COPD, heart conditions) and recent hospital contact.
  • The CIM incorporated extended consultations, nurse care manager support, cross-sectoral collaboration, structured care plans, and medication reviews.
  • Feasibility was assessed via validated questionnaires, observations, and focus groups with patients and healthcare professionals.

Main Results:

  • Forty-eight patients (mean age 72.2) with multiple chronic conditions were included.
  • Patient focus groups revealed pre-existing care coordination gaps, benefits from extended consultations, and a desire for treatment involvement.
  • Healthcare professionals emphasized the importance of patient-centered care and organizational change.

Conclusions:

  • The patient-centered complex intervention for multimorbidity was found to be acceptable by both patients and healthcare professionals.
  • The study suggests that the CIM is a feasible approach to improve care coordination for patients with multiple chronic conditions.