Author, as appears in the article.: Gavaldà-Espelta E; Del Mar Lleixà-Fortuño M; Baucells-Lluis J; Ferré-Ferraté M; Mora-López G; Tomàs-Navarro B; Curto-Romeu C; Lucas-Noll J; Aguilar Martin C; Gonçalves AQ; Ferré-Grau C

Department: Infermeria

URV's Author/s: Ferré Grau, Carmen / Lleixà Fortuño, Maria del Mar / Mora López, Gerard

Keywords: Validity Quality of life Qualitative research Primary health care People Multimorbidity Integrated health care systems Information technology Implementation science Health Complex interventions Chronic disease

Abstract: INTRODUCTION: Integrated care models aim to provide solutions to fragmentation of care by improving coordination. This study will evaluate the effectiveness of a new integrated care model (Salut + Social), which will promote the coordination and communication between social and healthcare services in southern Catalonia (Spain) to improve quality of life, adherence to treatment and access to medical services for patients with chronic conditions, and also to reduce caregiver burden. Additionally, we will evaluate the experience of caregivers, health professionals and social workers with the new model implemented. METHODS AND ANALYSIS: A clinical trial using mixed methodology will be carried out. The intervention consists of improving the coordination between the social and healthcare sectors during a 6-month period, by means of information and communication technology (ICT) tools that operate as an interface for the integrated care model. The study subjects are primary care patients with chronic health and social conditions that can benefit from a collaborative and coordinated approach. A sample size of 141 patients was estimated. Questionnaires that assess quality of life, treatment adherence, medical service and caregiver burden will be used at baseline and at 6, 9, and 12 months after the beginning of the study. The principal variable is quality of life. For statistical analysis, comparisons of means and proportions at different time points will be performed. A discussion group and semi-structured interviews will be conducted with the aim of improving the care model taking into account the opinions of professionals and caregivers. A thematic content analysis will be carried out. ETHICS AND DISSEMINATION: This study protocol has been approved by the Clinical Research Ethics Committee of the Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (code P17/100). Articles will be published in international, peer-reviewed scientific journals. TRIAL REGISTRATION: Clinical-Trials.gov: NCT04164160.

Thematic Areas: Saúde coletiva Odontología Nutrição Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina iii Medicina ii Medicina i Matemática / probabilidade e estatística Interdisciplinar Geografía General medicine Farmacia Ensino Engenharias iv Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Astronomia / física Antropologia / arqueologia

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 00257974

Author's mail: mar.lleixa@urv.cat carme.ferre@urv.cat gerard.mora@urv.cat

Author identifier: 0000-0003-1411-8790 0000-0002-5307-1553 0000-0001-5229-0394 0000-0002-3152-3360

Record's date: 2023-02-19

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://journals.lww.com/md-journal/fulltext/2020/05080/effectiveness_of_the_integrated_care_model.31.aspx

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Medicine. 99 (19): e19994-

APA: Gavaldà-Espelta E; Del Mar Lleixà-Fortuño M; Baucells-Lluis J; Ferré-Ferraté M; Mora-López G; Tomàs-Navarro B; Curto-Romeu C; Lucas-Noll J; Aguilar Ma (2020). Effectiveness of the integrated care model Salut+Social in patients with chronic conditions: A mixed methods study protocol. Medicine, 99(19), e19994-. DOI: 10.1097/MD.0000000000019994

Article's DOI: 10.1097/MD.0000000000019994

Entity: Universitat Rovira i Virgili

Journal publication year: 2020

Publication Type: Journal Publications