ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 68
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Evaluation and development of a patient-centred integrated
care model for patients with complicated multimorbidity
Dr Barbara Barrett1,2, Marius Brostrøm Kousgaard2, Dr Sanne Lykke Lundstrøm1,3, Anna Bernhardt2,
John Sahl-Andersen2, E/Prof Susanne Reventlow2, E/Prof Anne Frølich1,2
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Innovation and Research Centre for Multimorbidity, Slagelse Hospital, Region Zealand, 2Section
of General Practice and Research Unit for General Practice, Institute of Public Health, University of
Copenhagen, 3Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital,
Capital Region of Denmark
Background
To improve the quality of integrated care for patients with complicated multimorbidity, a new researchbased care model ‘Complex intervention for patients with complicated multimorbidity model’ (CIM2) is
presently being tested for feasibility and acceptance in a pilot RCT study in two regions of Denmark.
The CIM2 consists of: (1) a three-hour teaching program for health professionals in GPs’ practices,
hospital and municipalities; (2) a 45-minute extended patient-centred overview consultation in general
practice; (3) the development of an individual care plan together with the patient that is shared with
the hospital and municipality; (4) additional consultation(s) depending on the patients’ needs; and (5)
a follow-up extended overview consultation after 12 months. The model is evaluated quantitatively as
well as qualitatively, and results will contribute to further improvement of the model.
Aim
The aim of the qualitative evaluation is to investigate how the CIM2 is experienced by health
professionals and patients in relation to acceptability, workability, patient centredness and crosssectorial collaboration.
Methods
An in-depth evaluation with a mix of qualitative methods was carried out by a team of researchers
during the spring of 2023: (1) semistructured interviews with health professionals in general practice,
municipalities and hospitals; (2) semistructured interviews with 15 patients with complex multimorbidity;
(3) video recordings of extended consultations in general practice; and (4) participant observations
following selected participants cross sectors. A collaborative inductive analytical approach was
conducted.
Results
Results regarding patients’ and professionals’ experience of the CIM2 is reported with a focus on
themes of importance in relation to improvement of the CIM2 towards a focused, patient-centred
integrated health service.
Conclusions
The findings of the qualitative evaluation contribute to the limited knowledge on the most appropriate
organisation of high-quality patient-centred and integrated care services for people with complicated
multimorbidity.
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