An innovative multimorbidity patient-centered care model in Chile: implementation evaluation results

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dc.article.number127
dc.catalogadorpva
dc.contributor.authorSapag Muñoz de la Peña, Jaime
dc.contributor.authorMartínez Pérez, Mayra Alicia
dc.contributor.authorZamorano Pichard, Paula Francisca
dc.contributor.authorVarela Yuraszeck, Teresita Inés
dc.contributor.authorMuñoz, Paulina
dc.contributor.authorSeguel Araus, Romina Javiera
dc.contributor.authorIrazoqui Soto, Esteban
dc.contributor.authorTellez, Alvaro
dc.date.accessioned2025-05-16T16:23:35Z
dc.date.available2025-05-16T16:23:35Z
dc.date.issued2025
dc.date.updated2025-05-11T00:04:23Z
dc.description.abstractBackground The impact of non-communicable diseases and multimorbidity challenges health systems worldwide. Latin America faces an urgent need to develop practical innovations in that regard. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model (MPCM) pilot in Chile between 2017 and 2020. MPCM aimed to reorganize health services from a fragmented diagnosis-based perspective towards a new approach based on patient’s needs and offer intervention strategies according to their multimorbidity risk. This article aims to report the evaluation of the implementation process of MPCM in the Southeast Metropolitan Health District in Chile. Methods The study design corresponds to an implementation collaborative evaluation of MPCM innovation using qualitative methodology. Two main questions guided the research: (1) How has MPCM been implemented in its pilot phase? Moreover, (2) What are the main learnings from the MPCM pilot phase and their contribution to its scalability at the national level? In addition, the Consolidated Framework for Implementation Research and the Outcomes for Implementation Research were considered in the theoretical approach. Results Thirty-five (35) interviews were conducted with 69 professionals and key stakeholders involved in the implementation process of MPCM, including health practitioners, transition nurses who coordinate the intervention with the affiliated hospitals, managers, and the implementation team. Overall, the results were positive, suggesting that a complex innovation of this kind may be implemented successfully. Key lessons learned should be considered for scaling up MPCM to the national level. Some critical barriers to implementation were high staff turnover and the COVID-19 pandemic, while leadership and team commitment were relevant facilitators. Conclusions This study represents a new step in evaluating an innovative model for addressing multimorbidity in Chile. The scaling up phase requires careful consideration of all lessons learned, as well as a robust evaluation and monitoring plan. This research represents the first evaluative analysis of MPCM in the context of a complex innovation adapted to enhance public health policies using implementation evaluation approaches. Implementation Science is a fundamental approach to fostering quality improvement strategies for health care in Latin America.
dc.fechaingreso.objetodigital2025-05-11
dc.fuente.origenBiomed Central
dc.identifier.citationArchives of Public Health. 2025 May 09;83(1):127
dc.identifier.doi10.1186/s13690-025-01516-4
dc.identifier.issn2049-3258
dc.identifier.urihttps://doi.org/10.1186/s13690-025-01516-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/104340
dc.information.autorucEscuela de Medicina; Sapag Muñoz de la Peña, Jaime; 0000-0003-2227-8233; 3511
dc.information.autorucEscuela de Psicología; Martínez Pérez, Mayra Alicia; S/I; 146627
dc.information.autorucFacultad de Economía y Administración; Zamorano Pichard, Paula Francisca; S/I; 230522
dc.information.autorucEscuela de Medicina; Varela Yuraszeck, Teresita Inés; S/I; 149031
dc.information.autorucEscuela de Enfermería; Seguel Araus, Romina Javiera; S/I; 234401
dc.information.autorucEscuela de Enfermería; Irazoqui Soto, Esteban; S/I; 82861
dc.information.autorucEscuela de Medicina; Tellez, Alvaro; 0000-0003-1667-6243; 99828
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.publisherSpringer Nature
dc.revistaArchives of Public Health
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectMultimorbidity
dc.subjectChronic care
dc.subjectImplementation evaluation
dc.subjectPrimary health care
dc.subjectHealth care innovation
dc.subjectLatin America
dc.subjectChile
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAn innovative multimorbidity patient-centered care model in Chile: implementation evaluation results
dc.typeartículo
dc.volumen83
sipa.codpersvinculados3511
sipa.codpersvinculados146627
sipa.codpersvinculados230522
sipa.codpersvinculados149031
sipa.codpersvinculados234401
sipa.codpersvinculados82861
sipa.codpersvinculados99828
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