Managing multimorbidity: Profiles of integrated care approaches targeting people with multiple chronic conditions in Europe
Open accessAbstract
In 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 28EU 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.
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In many countries, patients receiving home care services typically live with comorbid conditions and have high functional and cognitive impairment rates.
“In many countries worldwide, patients receiving home care services typically live with comorbid conditions, with high functional and cognitive impairment rates [30–32].”
From The hospital-to-home care transition experience of home care clients: an exploratory study using patient journey mapping (2023) · cites this paper as [32]
The Introduction discusses functional impairment among some people with multiple chronic conditions, while §3.3.2 reports how often multimorbidity care practices provide home care. Neither passage describes the prevalence of comorbid conditions or functional and cognitive impairment among home-care recipients in many countries. Searches for home-care patients and cognitive impairment found no such evidence in our copy. (LLM, conf=0.72)
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“In many countries worldwide, patients receiving home care services typically live with comorbid conditions, with high functional and cognitive impairment rates [30– 32].”
Background
- Authors
- Rijken, M., Hujala, A., van Ginneken, E., Melchiorre, M. G., Groenewegen, P., & Schellevis, F.
- Affiliations
- Netherlands Institute for Health Services Research (NL)
- University of Eastern Finland (FI)
- Istituto Nazionale di Riposo e Cura per Anziani (IT)
- Utrecht University (NL)
- Corresponding author
- Rijken, Mieke
- Venue
- Health Policy
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 122
- Issue
- 1
- Pages
- 44-52
- ISSN
- 0168-8510 (ISSN-L)
- OpenAlex
- W2765233497
- Cited by
- 124
- References
- 30
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 12 · 2023: 16 · 2022: 25 · 2021: 19 · 2020: 17 · 2019: 11 · 2018: 1 · 2017: 1
- FWCI
- 6.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Health Policy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
- UEF eRepo (University of Eastern Finland) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- Health Programme of the European Union
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Keywords
- multimorbidity, integrated care, models of care, primary care, patient involvement, person-centred care, multidisciplinary care, community nurses, social workers, physiotherapists, Europe
- MeSH terms
- Multimorbidity, Chronic Disease, Europe, Humans, Patient-Centered Care, Delivery of Health Care, Integrated
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