A Patient-Centred Care Model for Complicated Multimorbidity
Study Overview
This study focuses on improving care for patients with multiple health conditions who often experience disjointed treatment services. We have developed a structured care model called CIM2, tailored specifically for these patients.
Key Elements of CIM2
CIM2 includes five main components:
- Training for Healthcare Professionals
- Comprehensive Consultations in general practice
- Nurse Care Coordinator to assist in patient planning
- Follow-Up Care Services in general practice
- Enhanced Integration between general practice, local municipalities, and hospitals
Pilot Study Details
We will conduct a pilot study with 350 patients from 14 general practices in Denmark. Participants will be randomly assigned to either the CIM2 intervention or standard care.
Measuring Success
The main goal is to assess patient experiences using the Patient Assessment Chronic Illness Care Questionnaire (PACIC). We will also evaluate:
- Health-related quality of life (using EuroQol-5 Domain questionnaire – EQ-5D-5L)
- Treatment burden (measured by the Multimorbidity Treatment Burden Questionnaire – MTBQ)
Data Collection and Evaluation
We will gather data on chronic conditions, patient demographics, and healthcare use. Outcomes will be tracked before, during, and after the intervention. Additionally, we will conduct interviews with healthcare professionals and patients for qualitative feedback.
Cost-Effectiveness Analysis
The study will also assess the cost-effectiveness of CIM2, using standard health care rates to provide comprehensive insights.
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