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Related Experiment Videos

Patient-Centred Care for Multimorbid Patients: A Scoping Review.

Ine Van den Wyngaert1, Bert Vaes1, Nicolas Delvaux1

  • 1Academic Centre for General Practice, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 7 Blok g-Bus 7001, 3000 Leuven, Belgium.

Journal of Clinical Medicine
|May 27, 2026
PubMed
Summary

Patient-centered care programs for multimorbidity show mixed results in primary care. A care coordinator intervention showed positive effects across all Triple Aim domains, improving patient experience.

Keywords:
multimorbiditymultiple chronic conditionspatient-centredprimary care

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Area of Science:

  • Healthcare Management
  • Public Health
  • Primary Care Research

Background:

  • The Belgian healthcare system's single-disease focus challenges multimorbid patients and providers.
  • Multimorbidity, involving two or more chronic conditions, requires integrated care strategies.
  • Existing care models struggle to adapt to evolving medical landscapes and complex patient needs.

Purpose of the Study:

  • To identify and assess patient-centered care programs for multimorbid patients in primary care.
  • To evaluate the impact of intervention elements on the Triple Aim (improving patient experience, population health, and reducing costs).
  • To inform the development of a framework for managing multimorbid patient care.

Main Methods:

  • A scoping review was conducted following PRISMA-ScR guidelines.
  • Searches included PubMed, Cochrane, Embase, reference tracking, and grey literature (Jan 2000 - Aug 2023).
  • Studies evaluating patient-centered interventions for adult multimorbid patients in primary care were included.

Main Results:

  • 39 studies were selected from 7020 identified papers.
  • Interventions were categorized at patient, professional, and organizational levels.
  • Intervention elements more frequently improved healthcare experience than health status or behavior.
  • Care coordinators were the only intervention showing positive results across all Triple Aim domains.

Conclusions:

  • This review offers an overview of current patient-centered multimorbidity interventions.
  • Findings can guide the creation of a comprehensive framework for multimorbid care.
  • Future research should prioritize patient experience and robust outcome evaluation.