Department of Family Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Department of Public Health Pontificia, Universidad Católica de Chile, Santiago, Chile.
BMC Public Health. 2023 Nov 16;23(1):2264. doi: 10.1186/s12889-023-17220-3.
The progressive multimorbidity explosion has challenged Chile's health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile.
Evaluate the perspective of high-risk patients about the core elements of the model.
We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data.
The overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results.
The study reveals the perceptions about a complex multimorbidity intervention from the patient's perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases.
进行性多种疾病的爆发对智利和全球的卫生系统提出了挑战。ANCORA UC 创新中心在智利实施了一种新的以多病共存患者为中心的护理模式。
评估高危患者对该模型核心要素的看法。
我们进行了一项横断面电话调查，考虑应用一个包含 13 个项目的问卷。其中，9 个是李克特量表问题，分值为 1 到 7，1 个二分问题和 3 个开放式问题。共有 231 名在基层医疗中心接受该模型护理的高危患者参与了这项研究。定量数据经过编码、整合和分析，使用 SPSS 软件。我们对不同变量及其潜在关联进行了描述性和分析性统计技术评估。对定性数据进行了主题分析。
总分为 5.84（范围：1 到 7），标准差为 1.25。得分最高的问题是与个性化护理和基层医疗团队相关的问题。得分最低的是关于初级护士与医院住院护理之间连续性的问题。患者的治疗结果因他们所在的医疗中心而异。关于社会人口学特征，年龄对结果没有显著影响。
该研究从患者的角度揭示了对复杂多病共存干预措施的看法。它补充了对卫生服务利用评估的影响，为决策者提供了支持，目前正在扩大在我国实施的类似战略，也可以考虑在其他国家处理非传染性疾病。
