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Innovative Health and Social Integrated Care Model Effectiveness to Improve Quality Care for Chronic Patients: A Single Group Assignment Clinical Trial

  • Dades identificatives

    Identificador: imarina:9331757
    Autors:
    Gavalda-Espelta, EsterLleixa-Fortuno, Maria Del MarBaucells-Lluis, JordiFerre-Ferrate, MariaCurto-Romeu, ClaudiaLucas-Noll, JorginaAriza, Macarena PozoCastro-Blanco, ElisabetSaez, Jose FernandezMartin, Carina AguilarGoncalves, Alessandra QueirogaFerre-Grau, Carmen
    Resum:
    Background: Patients with chronic disease have become one of the major challenges for health and social protection systems in developed countries. Integrated care models (ICM) have demonstrably improved the quality of care of chronic patients. However, new models of integration need further evaluation of its effectiveness and outcomes. Methods: The ICM studied promoted coordination between the health and social sectors during a 6-month period, through an ad hoc developed application (app) that enabled a constant flow of communication between professionals from both sectors. Patients’ quality of life, treatment adherence, chronic patient experience and caregiver overload were assessed by questionnaires at baseline, at the end of the intervention and 6 months post-intervention. Results: The implementation of the new health and social ICM permitted new case detection and medical and social services offered to chronic patients. Furthermore, the quality of life and treatment adherence of patients and caregiver overload were significantly improved. These positive effects lasted at least 6 months after the intervention. Conclusions: Integrated care may facilitate access to care services, increase perceived patient quality of life and treatment adherence. Enhanced access to medical and social services from complex chronic patients may have important implications for caregivers and the care systems who are struggling to adapt to an expanding demand.
  • Altres:

    Autor segons l'article: Gavalda-Espelta, Ester; Lleixa-Fortuno, Maria Del Mar; Baucells-Lluis, Jordi; Ferre-Ferrate, Maria; Curto-Romeu, Claudia; Lucas-Noll, Jorgina; Ariza, Macarena Pozo; Castro-Blanco, Elisabet; Saez, Jose Fernandez; Martin, Carina Aguilar; Goncalves, Alessandra Queiroga; Ferre-Grau, Carmen
    Departament: Infermeria
    Autor/s de la URV: Ferré Grau, Carmen / Gavalda Espelta, Ester / Lleixà Fortuño, Maria del Mar / Lucas Noll, Jorgina
    Paraules clau: Quality of life Integrated healthcare systems Information and communication technology (ict) Implementation science Chronic disease
    Resum: Background: Patients with chronic disease have become one of the major challenges for health and social protection systems in developed countries. Integrated care models (ICM) have demonstrably improved the quality of care of chronic patients. However, new models of integration need further evaluation of its effectiveness and outcomes. Methods: The ICM studied promoted coordination between the health and social sectors during a 6-month period, through an ad hoc developed application (app) that enabled a constant flow of communication between professionals from both sectors. Patients’ quality of life, treatment adherence, chronic patient experience and caregiver overload were assessed by questionnaires at baseline, at the end of the intervention and 6 months post-intervention. Results: The implementation of the new health and social ICM permitted new case detection and medical and social services offered to chronic patients. Furthermore, the quality of life and treatment adherence of patients and caregiver overload were significantly improved. These positive effects lasted at least 6 months after the intervention. Conclusions: Integrated care may facilitate access to care services, increase perceived patient quality of life and treatment adherence. Enhanced access to medical and social services from complex chronic patients may have important implications for caregivers and the care systems who are struggling to adapt to an expanding demand.
    Àrees temàtiques: Sociology and political science Sociologia i política Health policy & services Health policy Health care sciences & services Health (social science) Enfermagem Ciencias sociales
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: ester.gavaldae@urv.cat mar.lleixa@urv.cat jorgina.lucas@estudiants.urv.cat ester.gavaldae@urv.cat carme.ferre@urv.cat
    Identificador de l'autor: 0000-0003-1411-8790 0000-0001-6380-6843 0000-0002-5307-1553 0000-0001-5229-0394
    Data d'alta del registre: 2024-10-12
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://ijic.org/articles/10.5334/ijic.6759
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: International Journal Of Integrated Care. 23 (4): 2-
    Referència de l'ítem segons les normes APA: Gavalda-Espelta, Ester; Lleixa-Fortuno, Maria Del Mar; Baucells-Lluis, Jordi; Ferre-Ferrate, Maria; Curto-Romeu, Claudia; Lucas-Noll, Jorgina; Ariza, (2023). Innovative Health and Social Integrated Care Model Effectiveness to Improve Quality Care for Chronic Patients: A Single Group Assignment Clinical Trial. International Journal Of Integrated Care, 23(4), 2-. DOI: 10.5334/ijic.6759
    DOI de l'article: 10.5334/ijic.6759
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2023
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Health (Social Science),Health Care Sciences & Services,Health Policy,Health Policy & Services,Sociology and Political Science
    Quality of life
    Integrated healthcare systems
    Information and communication technology (ict)
    Implementation science
    Chronic disease
    Sociology and political science
    Sociologia i política
    Health policy & services
    Health policy
    Health care sciences & services
    Health (social science)
    Enfermagem
    Ciencias sociales
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