Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Aug;24(4):1300-1311.
doi: 10.1111/hex.13262. Epub 2021 May 3.

Priorities and preferences for care of people with multiple chronic conditions

Mieke Rijken  1   2 , René Stüssgen  1   3 , Chantal Leemrijse  1 , Mieke J L Bogerd  4 , Joke C Korevaar  1
Affiliations

Priorities and preferences for care of people with multiple chronic conditions

Mieke Rijken et al. Health Expect. 2021 Aug.

Abstract

Background: To guide the development of high-quality care for people with multiple chronic conditions, partners of the European Joint Action CHRODIS developed the Integrated Multimorbidity Care Model. To assess its suitability for improving care for people with multimorbidity in the Netherlands, the model was piloted in a primary care setting with both patients and care providers.

Aim: This paper reports on the patient perspective, and aims to explore the priorities, underlying values and preferences for care of people with multimorbidity.

Participants and methods: Twenty persons with multimorbidity (selected from general practice registries) participated in a focus group or telephone interview. Subsequently, a questionnaire was completed by 863 persons with multimorbidity registered with 14 general practices. Qualitative data were thematically analysed and quantitative data by means of descriptive statistics.

Results: Frequently prioritized elements of care were the use of shared electronic health records, regular comprehensive assessments, self-management support and shared decision making, and care coordination. Preferences for how these elements should be specifically addressed differed according to individual values (eg weighing safety against privacy) and needs (eg ways of coping with multimorbidity).

Conclusion: The JA-CHRODIS Integrated Multimorbidity Care Model reflects the priorities and preferences for care of people with multimorbidity in the Netherlands, which supports its relevance to guide the development of person-centred integrated care for people with multiple chronic conditions in the Netherlands.

Patient contribution: European patient experts contributed to the development and applicability assessment of the JA-CHRODIS Integrated Multimorbidity Care Model; Dutch patients participated in focus groups, interviews and a survey.

Keywords: delivery of health care; health priorities; integrated; multiple chronic conditions; patient preference; primary health care; qualitative research; survey.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflict of interest to declare.

References

    1. World Health Organization (WHO) . Innovative care for chronic conditions: building blocks for action. Geneva: World Health Organization; 2002.
    1. Excoffier S, Herzig L, N'Goran AA, Déruaz‐Luyet A, Haller DM. Prevalence of multimorbidity in general practice: a cross‐sectional study within the Swiss Sentinel Surveillance System (Sentinella). BMJ Open. 2018;8(3):e019616. - PMC - PubMed
    1. Violan C, Foguet‐Boreu Q, Flores‐Mateo G, et al. Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One. 2014;9(7):e102149. - PMC - PubMed
    1. Barnett K, Mercer SW, 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. 2012;380(9836):37‐43. - PubMed
    1. Prazeres F, Santiago L. Prevalence of multimorbidity in the adult population attending primary care in Portugal: a cross‐sectional study. BMJ Open. 2015;5:e009287. - PMC - PubMed

Publication types

LinkOut - more resources