Cited by 219Chronic Disease Management StrategiesPrimary Care and Health OutcomesPatient-Provider Communication in Healthcare

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What are the effective elements in patient-centered and multimorbidity care? A scoping review

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Poitras, Marie-Eve, Maltais, Marie-Eve, Bestard-Denommé, Louisa, Stewart, Moira, Fortin, Martin·2018·BMC Health Services Research

DOI 10.1186/s12913-018-3213-8PMC PMC6001147

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Abstract

BACKGROUND: Interventions to improve patient-centered care for persons with multimorbidity are in constant growth. To date, the emphasis has been on two separate kinds of interventions, those based on a patient-centered care approach with persons with chronic disease and the other ones created specifically for persons with multimorbidity. Their effectiveness in primary healthcare is well documented. Currently, none of these interventions have synthesized a patient-centered care approach for care for multimorbidity. The objective of this project is to determine the particular elements of patient-centered interventions and interventions for persons with multimorbidity that are associated with positive health-related outcomes for patients. METHOD: A scoping review was conducted as the method supports the rapid mapping of the key concepts underpinning a research area and the main sources and types of evidence available. A five-stage approach was adopted: (1) identifying the research question; (2) identifying relevant studies; (3) selecting studies; (4) charting the data; and (5) collating, summarizing and reporting results. We searched for interventions for persons with multimorbidity or patient-centered care in primary care. Relevant studies were identified in four systematic reviews (Smith et al. (2012;2016), De Bruin et al. (2012), and Dwamena et al. (2012)). Inductive analysis was performed. RESULTS: Four systematic reviews and 98 original studies were reviewed and analysed. Elements of interventions can be grouped into three main types and clustered into seven categories of interventions: 1) Supporting decision process and evidence-based practice; 2) Providing patient-centered approaches; 3) Supporting patient self-management; 4) Providing case/care management; 5) Enhancing interdisciplinary team approach; 6) Developing training for healthcare providers; and 7) Integrating information technology. Providing patient-oriented approaches, self-management support interventions and developing training for healthcare providers were the most frequent categories of interventions with the potential to result in positive impact for patients with chronic diseases. CONCLUSION: This scoping review provides evidence for the adaption of patient-centered interventions for patients with multimorbidity. Findings from this scoping review will inform the development of a toolkit to assist chronic disease prevention and management programs in reorienting patient care.

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Fig. 2 Interventions, elements and positive health-related outcomesCC BY · PubMed Central

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Background
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Additional file 1 of Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review
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Additional file 2 of Expanded nursing roles to promote person-centred care for people with cognitive impairment in acute care (ENROLE-acute): study protocol for a controlled clinical trial, process and economic evaluation
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Additional file 3 of Patient-centeredness in the multimorbid elderly: a focus group study
Kanat, M., Schaefer, J., Kivelitz, L., Dirmaier, J., Voigt-Radloff, S., Heimbach, B., & Glattacker, M. (2021) · Figshare · doi:10.6084/m9.figshare.16829074
Additional file 1 of Patient-centeredness in the multimorbid elderly: a focus group study
Kanat, M., Schaefer, J., Kivelitz, L., Dirmaier, J., Voigt-Radloff, S., Heimbach, B., & Glattacker, M. (2021) · Figshare · doi:10.6084/m9.figshare.16829062
Additional file 3 of Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review
Dufour, É., Bolduc, J., Leclerc-Loiselle, J., Charette, M., Dufour, I., Roy, D. A., Poirier, A.-A., & Duhoux, A. (2023) · Figshare · doi:10.6084/m9.figshare.24079675
Additional file 4 of Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review
Dufour, É., Bolduc, J., Leclerc-Loiselle, J., Charette, M., Dufour, I., Roy, D. A., Poirier, A.-A., & Duhoux, A. (2023) · Figshare · doi:10.6084/m9.figshare.24079678
Additional file 2 of Validation of patient- and GP-reported core sets of quality indicators for older adults with multimorbidity in primary care: results of the cross-sectional observational MULTIqual validation study
Schäfer, I., Schulze, J., Glassen, K., Breckner, A., Hansen, H., Rakebrandt, A., Berg, J., Blozik, E., Szecsenyi, J., Lühmann, D., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26582970
Additional file 1 of Caring for high-need patients
Hempel, S., Bolshakova, M., Hochman, M. E., Jimenez, E. E., Thompson, G., Motala, A., Ganz, D. A., Gabrielian, S. E., Edwards, S. T., Zenner, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24630333
Additional file 1 of Validation of patient- and GP-reported core sets of quality indicators for older adults with multimorbidity in primary care: results of the cross-sectional observational MULTIqual validation study
Schäfer, I., Schulze, J., Glassen, K., Breckner, A., Hansen, H., Rakebrandt, A., Berg, J., Blozik, E., Szecsenyi, J., Lühmann, D., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26582967
Additional file 1 of People-centred primary health care: a scoping review
Khatri, R. B., Wolka, E., Nigatu, F., Zewdie, A., Erku, D., Endalamaw, A., & Assefa, Y. A. (2024) · Figshare · doi:10.6084/m9.figshare.26637834
Additional file 1 of Defining a patient-centered approach to cancer survivorship care: development of the patient centered survivorship care index (PC-SCI)
Mead, K., Wang, Y., Cleary, S., Arem, H., & Pratt‐Chapman, M. L. (2021) · Figshare · doi:10.6084/m9.figshare.17284047
Additional file 2 of Patient-centeredness in the multimorbid elderly: a focus group study
Kanat, M., Schaefer, J., Kivelitz, L., Dirmaier, J., Voigt-Radloff, S., Heimbach, B., & Glattacker, M. (2021) · Figshare · doi:10.6084/m9.figshare.16829068
Additional file 1 of Expanded nursing roles to promote person-centred care for people with cognitive impairment in acute care (ENROLE-acute): study protocol for a controlled clinical trial, process and economic evaluation
von der Lühe, V., Roos, M., Löbberding, M., Scholten, N., Müller, W., Hellmich, M., Simic, D., Köpke, S., & Dichter, M. (2023) · Figshare · doi:10.6084/m9.figshare.24819582
Additional file 1 of Patient-centered outcomes and outcome measurements for people aged 65 years and older—a scoping review
Andersson, Å. G., Dahlkvist, L., & Kurland, L. (2024) · Figshare · doi:10.6084/m9.figshare.26061471

Authors: Poitras, M.-E., Maltais, M.-E., Bestard-Denommé, L., Stewart, M., & Fortin, M.
Affiliations: Western University (CA)
Université de Sherbrooke (CA)
ORCID: Poitras, Marie-Eve
Stewart, Moira
Fortin, Martin
Venue: BMC Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2018-06-14
Volume: 18
Issue: 1
Pages: 446-446
ISSN: 1472-6963 (ISSN-L)
DOI: 10.1186/s12913-018-3213-8
PMC: PMC6001147
OpenAlex: W2807719804
Cited by: 219
References: 92
Citations by year: 2026: 15 · 2025: 13 · 2024: 40 · 2023: 46 · 2022: 40 · 2021: 29 · 2020: 27 · 2019: 8 · 2018: 1
FWCI: 12.69
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (tdm)
Locations: BMC Health Services Research (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, other-oa)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: Institute of Health Services and Policy Research (297943)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: multimorbidity, patient-centered care, primary care, chronic disease management, patient self-management, case management, interdisciplinary teams, health professions education, information technology integration, evidence-based practice, health outcomes
MeSH terms: Multiple Chronic Conditions, Delivery of Health Care, Humans, Primary Health Care, Patient-Centered Care, Evidence-Based Practice

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What are the effective elements in patient-centered and multimorbidity care? A scoping review

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