Comparison between attention and experiences of chronic complex patients: A multicentric study

Area of Science:

• Gerontology
• Primary Care Medicine
• Health Services Research

Background:

• The chronic care model identifies high-risk patients needing specialized support.
• Spain has a large aging population, necessitating effective chronic disease management.

Purpose of the Study:

• To analyze the functional status and experiences of complex patients (levels 3-4 risk) in Spanish primary care.
• To evaluate patient and caregiver satisfaction with existing care systems.

Main Methods:

• Mixed-methods design (COREQ) involving 206 chronic pluripathological patients in Spain.
• Quantitative data collection using Barthel, Mini-mental, Zarit, IEXPAC, and Braden scales.
• Qualitative data collection via individual semi-structured interviews exploring patient experiences.

Main Results:

• Patients were over 78 years old, required moderate physical dependence, and received support from children.
• Qualitative analysis revealed patient awareness of illness and concern for the future.
• Overall satisfaction was reported with caregiver and health system support.

Conclusions:

• This is the first multicenter study of its kind in Spain focusing on high-risk chronic patients.
• New organizational models emphasizing advanced clinical practice and shared responsibility are crucial.
• Integrating patients and caregivers as co-responsible partners enhances the care process.