作者
Petra Hopman, Simone R De Bruin, Maria João Forjaz, Carmen Rodriguez-Blazquez, Giuseppe Tonnara, Lidwien C Lemmens, Graziano Onder, Caroline A Baan, Mieke Rijken
发表日期
2016/7/1
来源
Health Policy
卷号
120
期号
7
页码范围
818-832
出版商
Elsevier
简介
Objective
To describe comprehensive care programs targeting multimorbid and/or frail patients and to estimate their effectiveness regarding improvement of patient and caregiver related outcomes, healthcare utilization and costs.
Methods
Systematic search in six electronic databases for scientific papers published between January 2011 and March 2014, supplemented by reference tracking. Wagner's Chronic Care Model (CCM) was used to operationalize comprehensive care. The quality of the included studies was assessed, and a best-evidence synthesis was applied.
Results
Nineteen publications were included describing effects of eighteen comprehensive care programs for multimorbid or frail patients, of which only one was implemented in a European country. Programs varied in target groups, settings, interventions and number of CCM components addressed. Providing comprehensive care might result in …
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