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Effectiveness of the integrated care model Salut+Social in patients with chronic conditions: A mixed methods study protocol

  • Identification data

    Identifier: imarina:6389901
    Handle: https://hdl.handle.net/20.500.11797/imarina6389901
    Authors:
    Gavaldà-Espelta EDel Mar Lleixà-Fortuño MBaucells-Lluis JFerré-Ferraté MMora-López GTomàs-Navarro BCurto-Romeu CLucas-Noll JAguilar Martin CGonçalves AQFerré-Grau C
    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 Et

  • Others:

    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 / Gavalda Espelta, Ester / Lleixà Fortuño, Maria del Mar / Lucas Noll, Jorgina / Mora López, Gerard
    Keywords: Validity Spain Social work Quality of life Qualitative research Primary health care People Patient care team Multimorbidity Models, organizational Intersectoral collaboration Integrated health care systems Information technology Implementation science Humans Health Delivery of health care, integrated 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: ester.gavaldae@urv.cat mar.lleixa@urv.cat gerard.mora@urv.cat jorgina.lucas@estudiants.urv.cat ester.gavaldae@urv.cat carme.ferre@urv.cat
    Author identifier: 0000-0003-1411-8790 0000-0002-3152-3360 0000-0001-6380-6843 0000-0002-5307-1553 0000-0001-5229-0394
    Record's date: 2024-10-19
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://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
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2020
    Publication Type: Journal Publications

  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Validity
    Spain
    Social work
    Quality of life
    Qualitative research
    Primary health care
    People
    Patient care team
    Multimorbidity
    Models, organizational
    Intersectoral collaboration
    Integrated health care systems
    Information technology
    Implementation science
    Humans
    Health
    Delivery of health care, integrated
    Complex interventions
    Chronic disease
    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

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