메뉴 건너뛰기




Volumn 122, Issue 1, 2018, Pages 4-11

Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS)

(16)  Palmer, Katie a   Marengoni, Alessandra a,b   Forjaz, Maria João c   Jureviciene, Elena d   Laatikainen, Tiina e   Mammarella, Federica a   Muth, Christiane f   Navickas, Rokas d   Prados Torres, Alexandra g   Rijken, Mieke h   Rothe, Ulrike i   Souchet, Laurène j   Valderas, Jose k   Vontetsianos, Theodore l   Zaletel, Jelka m   Onder, Graziano a,n  


Author keywords

Care; Case manager; Chronic care model; Comprehensive assessment; Individualized care plans; Multimorbidity

Indexed keywords

AGING; CARDIOLOGIST; CHRONIC DISEASE; CONFERENCE PAPER; CONSENSUS DEVELOPMENT; DECISION SUPPORT SYSTEM; ENDOCRINOLOGIST; EPIDEMIOLOGIST; EUROPE; EUROPEAN UNION; FAMILY MEDICINE; GENERAL PRACTITIONER; GERIATRICIAN; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH PROMOTION; HUMAN; INTERNIST; MEDICAL INFORMATION; MEDICAL TECHNOLOGY; MULTIPLE CHRONIC CONDITIONS; NEUROLOGIST; PROGRAM DEVELOPMENT; PSYCHOLOGIST; SELF CARE; CASE MANAGEMENT; CONSENSUS; HEALTHY AGING;

EID: 85030030026     PISSN: 01688510     EISSN: 18726054     Source Type: Journal    
DOI: 10.1016/j.healthpol.2017.09.006     Document Type: Conference Paper
Times cited : (196)

References (44)
  • 1
    • 84862492500 scopus 로고    scopus 로고
    • Designing health care for the most common chronic condition-multimorbidity
    • Tinetti, M.E., Fried, T.R., Boyd, C.M., Designing health care for the most common chronic condition-multimorbidity. JAMA 307 (2012), 2493–2494.
    • (2012) JAMA , vol.307 , pp. 2493-2494
    • Tinetti, M.E.1    Fried, T.R.2    Boyd, C.M.3
  • 2
    • 84904818346 scopus 로고    scopus 로고
    • Incidence and predictors of multimorbidity in the elderly: a population-based longitudinal study
    • Melis, R., Marengoni, A., Angleman, S., Fratiglioni, L., Incidence and predictors of multimorbidity in the elderly: a population-based longitudinal study. PLoS One, 9, 2014, e103120.
    • (2014) PLoS One , vol.9 , pp. e103120
    • Melis, R.1    Marengoni, A.2    Angleman, S.3    Fratiglioni, L.4
  • 3
    • 45549105637 scopus 로고    scopus 로고
    • Prevalence of chronic diseases and multimorbidity among the elderly population in Sweden
    • Marengoni, A., Winblad, B., Karp, A., Fratiglioni, L., Prevalence of chronic diseases and multimorbidity among the elderly population in Sweden. American Journal of Public Health 98 (2008), 1198–1200.
    • (2008) American Journal of Public Health , vol.98 , pp. 1198-1200
    • Marengoni, A.1    Winblad, B.2    Karp, A.3    Fratiglioni, L.4
  • 5
    • 84863426446 scopus 로고    scopus 로고
    • Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
    • Barnett, K., Mercer, S.W., Norbury, M., Watt, G., Wyke, S., Guthrie, B., Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380 (2012), 37–43.
    • (2012) Lancet , vol.380 , pp. 37-43
    • Barnett, K.1    Mercer, S.W.2    Norbury, M.3    Watt, G.4    Wyke, S.5    Guthrie, B.6
  • 6
    • 84926420298 scopus 로고    scopus 로고
    • Joint Action on Chronic D, Promoting Healthy Ageing across the Life C. Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS)
    • Onder, G., Palmer, K., Navickas, R., Jureviciene, E., Mammarella, F., Strandzheva, M., et al. Joint Action on Chronic D, Promoting Healthy Ageing across the Life C. Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS). European Journal of Internal Medicine 26 (2015), 157–159.
    • (2015) European Journal of Internal Medicine , vol.26 , pp. 157-159
    • Onder, G.1    Palmer, K.2    Navickas, R.3    Jureviciene, E.4    Mammarella, F.5    Strandzheva, M.6
  • 8
    • 84958768959 scopus 로고    scopus 로고
    • Health-related needs of people with multiple chronic diseases: differences and underlying factors
    • Hopman, P., Schellevis, F.G., Rijken, M., Health-related needs of people with multiple chronic diseases: differences and underlying factors. Quality of Life Research 25 (2016), 651–660.
    • (2016) Quality of Life Research , vol.25 , pp. 651-660
    • Hopman, P.1    Schellevis, F.G.2    Rijken, M.3
  • 9
    • 84866265901 scopus 로고    scopus 로고
    • Managing patients with multimorbidity: systematic review of interventions in primary care and community settings
    • Smith, S.M., Soubhi, H., Fortin, M., Hudon, C., O'Dowd, T., Managing patients with multimorbidity: systematic review of interventions in primary care and community settings. BMJ, 345, 2012, e5205.
    • (2012) BMJ , vol.345 , pp. e5205
    • Smith, S.M.1    Soubhi, H.2    Fortin, M.3    Hudon, C.4    O'Dowd, T.5
  • 10
    • 84963956001 scopus 로고    scopus 로고
    • Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: a systematic literature review
    • Hopman, P., de Bruin, S.R., Forjaz, M.J., Rodriguez-Blazquez, C., Tonnara, G., Lemmens, L.C., et al. Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: a systematic literature review. Health Policy 120 (2016), 818–832.
    • (2016) Health Policy , vol.120 , pp. 818-832
    • Hopman, P.1    de Bruin, S.R.2    Forjaz, M.J.3    Rodriguez-Blazquez, C.4    Tonnara, G.5    Lemmens, L.C.6
  • 11
    • 84865994241 scopus 로고    scopus 로고
    • Comprehensive care programs for patients with multiple chronic conditions: a systematic literature review
    • de Bruin, S.R., Versnel, N., Lemmens, L.C., Molema, C.C., Schellevis, F.G., Nijpels, G., et al. Comprehensive care programs for patients with multiple chronic conditions: a systematic literature review. Health Policy 107 (2012), 108–145.
    • (2012) Health Policy , vol.107 , pp. 108-145
    • de Bruin, S.R.1    Versnel, N.2    Lemmens, L.C.3    Molema, C.C.4    Schellevis, F.G.5    Nijpels, G.6
  • 12
    • 84864046851 scopus 로고    scopus 로고
    • Interventions for improving outcomes in patients with multimorbidity in primary care and community settings
    • Smith, S.M., Wallace, E., O'Dowd, T., Fortin, M., Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database of Systematic Reviews, 3, 2016, CD006560.
    • (2016) Cochrane Database of Systematic Reviews , vol.3 , pp. CD006560
    • Smith, S.M.1    Wallace, E.2    O'Dowd, T.3    Fortin, M.4
  • 13
    • 84876670732 scopus 로고    scopus 로고
    • Care coordination for patients with complex health profiles in inpatient and outpatient settings
    • Berry, L.L., Rock, B.L., Smith Houskamp, B., Brueggeman, J., Tucker, L., Care coordination for patients with complex health profiles in inpatient and outpatient settings. Mayo Clinic Proceedings 88 (2013), 184–194.
    • (2013) Mayo Clinic Proceedings , vol.88 , pp. 184-194
    • Berry, L.L.1    Rock, B.L.2    Smith Houskamp, B.3    Brueggeman, J.4    Tucker, L.5
  • 14
    • 79952584191 scopus 로고    scopus 로고
    • The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial
    • Boult, C., Reider, L., Leff, B., Frick, K.D., Boyd, C.M., Wolff, J.L., et al. The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial. Archives of Internal Medicine 171 (2011), 460–466.
    • (2011) Archives of Internal Medicine , vol.171 , pp. 460-466
    • Boult, C.1    Reider, L.2    Leff, B.3    Frick, K.D.4    Boyd, C.M.5    Wolff, J.L.6
  • 15
    • 84874752989 scopus 로고    scopus 로고
    • A multifactorial interdisciplinary intervention reduces frailty in older people: randomized trial
    • Cameron, I.D., Fairhall, N., Langron, C., Lockwood, K., Monaghan, N., Aggar, C., et al. A multifactorial interdisciplinary intervention reduces frailty in older people: randomized trial. BMC Medicine, 11, 2013, 65.
    • (2013) BMC Medicine , vol.11 , pp. 65
    • Cameron, I.D.1    Fairhall, N.2    Langron, C.3    Lockwood, K.4    Monaghan, N.5    Aggar, C.6
  • 16
    • 84990232950 scopus 로고    scopus 로고
    • Primary care-based complex care management: using an interdisciplinary geriatric approach to improve care for frequently admitted patients in a safety net primary care clinic
    • Davis, E., Janssen, J., Johnson, A., Fontil, V., Aronson, L., Handley, M., et al. Primary care-based complex care management: using an interdisciplinary geriatric approach to improve care for frequently admitted patients in a safety net primary care clinic. Journal of General Internal Medicine, 28, 2013, 445.
    • (2013) Journal of General Internal Medicine , vol.28 , pp. 445
    • Davis, E.1    Janssen, J.2    Johnson, A.3    Fontil, V.4    Aronson, L.5    Handley, M.6
  • 17
    • 84885643490 scopus 로고    scopus 로고
    • Improving patient outcomes with better care transitions: the role for home health
    • Fleming, M.O., Haney, T.T., Improving patient outcomes with better care transitions: the role for home health. Cleveland Clinic Journal of Medicine 80:Electronic Suppl 1 (2013), eS2–6.
    • (2013) Cleveland Clinic Journal of Medicine , vol.80 , Issue.Electronic Suppl 1 , pp. eS2-6
    • Fleming, M.O.1    Haney, T.T.2
  • 18
    • 84862837353 scopus 로고    scopus 로고
    • Geriatric inpatient units in the care of hospitalized frail adults with a history of heart failure
    • Gharacholou, S., Sloane, R., Cohen, H., Schmader, K., Geriatric inpatient units in the care of hospitalized frail adults with a history of heart failure. International Journal of Gerontology 6 (2012), 112–116.
    • (2012) International Journal of Gerontology , vol.6 , pp. 112-116
    • Gharacholou, S.1    Sloane, R.2    Cohen, H.3    Schmader, K.4
  • 22
    • 84879899081 scopus 로고    scopus 로고
    • Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication: randomized clinical trial to test efficacy
    • Marek, K.D., Stetzer, F., Ryan, P.A., Bub, L.D., Adams, S.J., Schlidt, A., et al. Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication: randomized clinical trial to test efficacy. Nursing Research 62 (2013), 269–278.
    • (2013) Nursing Research , vol.62 , pp. 269-278
    • Marek, K.D.1    Stetzer, F.2    Ryan, P.A.3    Bub, L.D.4    Adams, S.J.5    Schlidt, A.6
  • 23
    • 84885044743 scopus 로고    scopus 로고
    • Effectiveness of interdisciplinary primary care approach to reduce disability in community dwelling frail older people: cluster randomised controlled trial
    • Metzelthin, S.F., van Rossum, E., de Witte, L.P., Ambergen, A.W., Hobma, S.O., Sipers, W., et al. Effectiveness of interdisciplinary primary care approach to reduce disability in community dwelling frail older people: cluster randomised controlled trial. BMJ, 347, 2013, f5264.
    • (2013) BMJ , vol.347 , pp. f5264
    • Metzelthin, S.F.1    van Rossum, E.2    de Witte, L.P.3    Ambergen, A.W.4    Hobma, S.O.5    Sipers, W.6
  • 24
    • 84863839185 scopus 로고    scopus 로고
    • Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home
    • Rosenberg, T., Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home. Journal of the American Geriatrics Society 60 (2012), 1340–1346.
    • (2012) Journal of the American Geriatrics Society , vol.60 , pp. 1340-1346
    • Rosenberg, T.1
  • 25
    • 79953683713 scopus 로고    scopus 로고
    • Impact of a medication management system on nursing home admission rate in a community-dwelling nursing home-eligible Medicaid population
    • Schulz, R.M., Porter, C., Lane, M., Cornman, C., Branham, L., Impact of a medication management system on nursing home admission rate in a community-dwelling nursing home-eligible Medicaid population. American Journal of Geriatric Pharmacotherapy 9 (2011), 69–79.
    • (2011) American Journal of Geriatric Pharmacotherapy , vol.9 , pp. 69-79
    • Schulz, R.M.1    Porter, C.2    Lane, M.3    Cornman, C.4    Branham, L.5
  • 29
    • 84859785957 scopus 로고    scopus 로고
    • Hospital to home: a transition program for frail older adults
    • quiz 24-5
    • Watkins, L., Hall, C., Kring, D., Hospital to home: a transition program for frail older adults. Professional Case Management 17 (2012), 117–123 quiz 24-5.
    • (2012) Professional Case Management , vol.17 , pp. 117-123
    • Watkins, L.1    Hall, C.2    Kring, D.3
  • 30
    • 84868597373 scopus 로고    scopus 로고
    • Towards rational approaches of health care utilization in complex patients: an exploratory randomized trial comparing a novel combined clinic to multiple specialty clinics in patients with renal disease-cardiovascular disease-diabetes
    • iii
    • Weber, C., Beaulieu, M., Djurdjev, O., Er, L., Taylor, P., Ignaszewski, A., et al. Towards rational approaches of health care utilization in complex patients: an exploratory randomized trial comparing a novel combined clinic to multiple specialty clinics in patients with renal disease-cardiovascular disease-diabetes. Nephrology, Dialysis, Transplantation 27:Suppl. 3 (2012), 104–110 iii.
    • (2012) Nephrology, Dialysis, Transplantation , vol.27 , pp. 104-110
    • Weber, C.1    Beaulieu, M.2    Djurdjev, O.3    Er, L.4    Taylor, P.5    Ignaszewski, A.6
  • 31
    • 84922986965 scopus 로고    scopus 로고
    • Multimorbidity-older adults need health care that can count past one
    • Banerjee, S., Multimorbidity-older adults need health care that can count past one. Lancet 385 (2015), 587–589.
    • (2015) Lancet , vol.385 , pp. 587-589
    • Banerjee, S.1
  • 32
    • 85040153559 scopus 로고    scopus 로고
    • http://www.chrodis.eu.
  • 33
    • 0002567354 scopus 로고    scopus 로고
    • Chronic disease management: what will it take to improve care for chronic illness?
    • Wagner, E.H., Chronic disease management: what will it take to improve care for chronic illness?. Effective Clinical Practice 1 (1998), 2–4.
    • (1998) Effective Clinical Practice , vol.1 , pp. 2-4
    • Wagner, E.H.1
  • 34
    • 0033147161 scopus 로고    scopus 로고
    • A survey of leading chronic disease management programs: are they consistent with the literature
    • Wagner, E.H., Davis, C., Schaefer, J., Von Korff, M., Austin, B., A survey of leading chronic disease management programs: are they consistent with the literature. Managed Care Quarterly 7 (1999), 56–66.
    • (1999) Managed Care Quarterly , vol.7 , pp. 56-66
    • Wagner, E.H.1    Davis, C.2    Schaefer, J.3    Von Korff, M.4    Austin, B.5
  • 36
    • 0032896456 scopus 로고    scopus 로고
    • Association of comorbidity with disability in older women: the Women's Health and Aging Study
    • Fried, L.P., Bandeen-Roche, K., Kasper, J.D., Guralnik, J.M., Association of comorbidity with disability in older women: the Women's Health and Aging Study. Journal of Clinical Epidemiology 52 (1999), 27–37.
    • (1999) Journal of Clinical Epidemiology , vol.52 , pp. 27-37
    • Fried, L.P.1    Bandeen-Roche, K.2    Kasper, J.D.3    Guralnik, J.M.4
  • 38
    • 84871018764 scopus 로고    scopus 로고
    • Universal health outcome measures for older persons with multiple chronic conditions
    • Universal health outcome measures for older persons with multiple chronic conditions. Journal of the American Geriatrics Society 60 (2012), 2333–2341.
    • (2012) Journal of the American Geriatrics Society , vol.60 , pp. 2333-2341
  • 39
    • 78649880930 scopus 로고    scopus 로고
    • Multimorbidity: a challenge for evidence-based medicine
    • Campbell-Scherer, D., Multimorbidity: a challenge for evidence-based medicine. Evidence Based Medicine 15 (2010), 165–166.
    • (2010) Evidence Based Medicine , vol.15 , pp. 165-166
    • Campbell-Scherer, D.1
  • 40
    • 85040141587 scopus 로고    scopus 로고
    • OfDIaHR. Guidelines on Human Rights Education for Health Workers
    • Printed in Poland by Sungraf
    • ODIHR, OfDIaHR. Guidelines on Human Rights Education for Health Workers. 2013, Printed in Poland by Sungraf.
    • (2013)
    • ODIHR1
  • 41
    • 85040144801 scopus 로고    scopus 로고
    • Ascertaining Barrier for Compliance: policies for safe, effective and cost-effective use of medicines in Europe. Final report of the ABS Project (Deliverable 7.1)
    • team A, Ascertaining Barrier for Compliance: policies for safe, effective and cost-effective use of medicines in Europe. Final report of the ABS Project (Deliverable 7.1)., 2012.
    • (2012)
    • team, A.1
  • 42
    • 85040143524 scopus 로고    scopus 로고
    • http://www.euro.who.int/__data/assets/pdf_file/0004/315787/66wd15e_FFA_IHSD_160535.pdf?ua=1.
  • 43
    • 84926408317 scopus 로고    scopus 로고
    • Multimorbidity in people with type 2 diabetes in the Basque Country (Spain): Prevalence, comorbidity clusters and comparison with other chronic patients
    • Alonso-Moran, E., Orueta, J.F., Esteban, J.I., Axpe, J.M., Gonzalez, M.L., Polanco, N.T., et al. Multimorbidity in people with type 2 diabetes in the Basque Country (Spain): Prevalence, comorbidity clusters and comparison with other chronic patients. European Journal of Internal Medicine 26 (2015), 197–202.
    • (2015) European Journal of Internal Medicine , vol.26 , pp. 197-202
    • Alonso-Moran, E.1    Orueta, J.F.2    Esteban, J.I.3    Axpe, J.M.4    Gonzalez, M.L.5    Polanco, N.T.6
  • 44
    • 85040146099 scopus 로고    scopus 로고
    • www.stampar.hr/sites/default/files/Aktualno/novosti/2016/Docs/ja-chrodis-multimorbidity-care-model-application.pdf.


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.