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dc.contributor.authorRijken M
dc.contributor.authorHujala A
dc.contributor.authorvan Ginneken E
dc.contributor.authorMelchiorre MG
dc.contributor.authorGroenewegen P
dc.contributor.authorSchellevis F
dc.date.accessioned2018-01-11T09:15:08Z
dc.date.available2018-01-11T09:15:08Z
dc.date.issued2018
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/5157
dc.description.abstractIn response to the growing populations of people with multiple chronic diseases, new models of care are currently being developed in European countries to better meet the needs of these people. This paper aims to describe the occurrence and characteristics of various types of integrated care practices in European countries that target people with multimorbidity. Data were analysed from multimorbidity care practices participating in the Innovating care for people with multiple chronic conditions (ICARE4EU) project, covering all 28 EU Member States, Iceland, Norway and Switzerland. A total of 112 practices in 24 countries were included: 65 focus on patients with any combination of chronic diseases, 30 on patients with a specific chronic disease with all kinds of comorbidities and 17 on patients with a combination of specific chronic diseases. Practices that focus on a specific index disease or a combination of specific diseases are less extensive regarding the type, breadth and degree of integration than practices that focus on any combination of diseases. The latter type is more often seen in countries where more disciplines, e.g. community nurses, physiotherapists, social workers, work in the same primary care practice as the general practitioners. Non-disease specific practices put more emphasis on patient involvement and provide more comprehensive care, which are important preconditions for person-centered multimorbidity care.en
dc.language.isoENen
dc.publisherElsevier BVen
dc.relation.ispartofseriesHEALTH POLICYen
dc.relation.urihttp://dx.doi.org/10.1016/j.healthpol.2017.10.002en
dc.rightsCC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectMultimorbidityen
dc.subjectIntegrated careen
dc.subjectEuropeen
dc.subjectChronic diseaseen
dc.titleManaging multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europeen
dc.description.versionpublished versionen
dc.contributor.departmentSosiaali- ja terveysjohtamisen laitos / Toimintaen
uef.solecris.id50570532en
dc.type.publicationinfo:eu-repo/semantics/articleen
dc.rights.accessrights© Authorsen
dc.relation.doi10.1016/j.healthpol.2017.10.002en
dc.description.reviewstatuspeerRevieweden
dc.format.pagerange44-52en
dc.relation.issn0168-8510en
dc.relation.issue1en
dc.relation.volume122en
dc.rights.accesslevelopenAccessen
dc.type.okmA1en
dc.type.versioninfo:eu-repo/semantics/publishedVersionen
uef.solecris.openaccessHybridijulkaisukanavassa ilmestynyt avoin julkaisu


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