Author, as appears in the article.: Gavaldà-Espelta, E; Lleixà-Fortuño, MD; Baucells-Lluis, J; Ferré-Ferraté, M; Tomàs-Navarro, B; Curto-Romeu, C; Lucas-Noll, J; Ariza, MP; Castro-Blanco, E; Sáez, JF; Martín, CA; 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
Keywords: Quality of life Integrated healthcare systems Information and communication technology (ict) Implementation science Chronic disease
Abstract: 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.
Thematic Areas: Sociology and political science Sociologia i política Health policy & services Health policy Health care sciences & services Health (social science) Enfermagem Ciencias sociales
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: ester.gavaldae@urv.cat mar.lleixa@urv.cat carme.ferre@urv.cat ester.gavaldae@urv.cat jorgina.lucas@estudiants.urv.cat
Author identifier: 0000-0003-1411-8790 0000-0002-5307-1553 0000-0001-5229-0394 0000-0001-6380-6843
Record's date: 2024-06-15
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://ijic.org/articles/10.5334/ijic.6759
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: International Journal Of Integrated Care. 23 (4):
APA: Gavaldà-Espelta, E; Lleixà-Fortuño, MD; Baucells-Lluis, J; Ferré-Ferraté, M; Tomàs-Navarro, B; Curto-Romeu, C; Lucas-Noll, J; Ariza, MP; Castro-Blanco (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), -. DOI: 10.5334/ijic.6759
Article's DOI: 10.5334/ijic.6759
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV