Impact of a high-risk multimorbidity integrated care implemented at the public health system in Chile

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dc.contributor.authorZamorano, Paula
dc.contributor.authorMunoz, Paulina
dc.contributor.authorEspinoza, Manuel
dc.contributor.authorTellez, Alvaro
dc.contributor.authorVarela, Teresita
dc.contributor.authorSuarez, Francisco
dc.contributor.authorFernandez, Maria Jose
dc.date.accessioned2025-01-20T21:05:13Z
dc.date.available2025-01-20T21:05:13Z
dc.date.issued2022
dc.description.abstractDuring recent years, multimorbidity has taken relevance because of the impact of causes in the system, people, and their families, which has been a priority in the health care plan. Interventions strategies and their implementation are still an emerging topic. In this context, Centro de Innovacion en Salud ANCORA UC, together with Servicio de Salud Metropolitano Sur Oriente, implemented as a pilot study High-Risk Multimorbidity Integrated Care strategy. This study aimed to evaluate the impact of this strategy in terms of health services utilization and mortality. A cohort study was conducted with high-risk patients with multimorbidity, stratified by ACG (R), intervened between April 2017 and December 2019. The studied population was 3,933 patients who belonged to similar size and location primary care centers. The impact analysis was performed used generalized linear models. Results showed that intervened patients had a significantly lower incidence in mortality (OR 0.56; 95% CI 0.40-0.77), hospital admissions, length of stay, and the number of hospital emergency consultancies. With the proper barriers and facilitators of a real context intervention, the implementation process allowed the systematization and consolidation of the intervention provided in this study. The training for new roles and the constant implementation support from the Centro de Innovacion en Salud ANCORA UC team were essential in the progress and success of the intervention. A complete description of the high-risk intervention strategy is provided to contribute to this emerging topic and facilitate its scale-up. We can conclude that this complex intervention was feasible to be implemented in a real context. The Ministry of Health has taken the systematization and consolidation of the conditions for the national scale-up.
dc.fuente.origenWOS
dc.identifier.doi10.1371/journal.pone.0261953
dc.identifier.issn1932-6203
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0261953
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93294
dc.identifier.wosidWOS:000812798500021
dc.issue.numero1
dc.language.isoen
dc.revistaPlos one
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleImpact of a high-risk multimorbidity integrated care implemented at the public health system in Chile
dc.typeartículo
dc.volumen17
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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