![]() Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ and Greene SM (2005) Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). JBI Database of Systematic Reviews and Implementation Reports 13, 70–78. Pain 16, 87–101.Ĭordeiro L, Rittenmeyer L and Soares CB (2015) Action research methodology in the health care field: a scoping review protocol. ![]() Aspects of the reliability and validity of the visual analogue scale. ![]() Journal of the American Medical Association 294, 716–724.Ĭarlsson AM (1983) Assessment of chronic pain. neurology) Hospital care Integrative medicine Mental health (e.g. These may include: Primary care Specialty medical care (e.g. The Annals of Family Medicine 12, 573–576.īoyd CM, Darer J, Boult C, Fried LP, Boult L and Wu AW (2005) Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. Whole Person Care (WPC) is a person-centered and interprofessional healthcare model that offers comprehensive and coordinated services to address physical, behavioral, psychological, and social needs. This study will provide a proactive person-centered approach for persons with multimorbidity in primary care and estimate its potential impact on quadruple outcomes.Īction-based research chronic diseases general practice multimorbidity person-centered care primary care quadruple aim.īodenheimer T and Sinsky C (2014) From triple to quadruple aim: care of the patient requires care of the provider. In the pilot-test phase, a nested case cohort study allows to explore the impact of the new approach on 'Quadruple aim' outcomes comparing persons with and without exposure to the new care approach. Furthermore, shared decisions between GP and patient are made on treatment goals and follow-up. Starting point for the first cycle is a 'person-centered consultation' of up to 1 h in which the GP discusses the health status and health care needs of the patient. In each cycle, experiences of patients and primary care professionals from 13 practices will be collected via interviews, observations and focus groups. The proactive person-centered approach will be developed using an action-based research design consisting of multiple plan-act-observe-reflect-adjust cycles. Mixed methods with a development and pilot-testing phase. A group of Dutch general practitioners (GPs) took the initiative to develop such a care approach. However, examples on how to provide more person-centered care and evidence of its impact are scarce. A more comprehensive, person-centered approach is advocated for persons with multiple morbidities. Patients with multimorbidity often receive highly fragmented care that may lead to inefficient, ineffective and potentially harmful treatments and neglect of essential health needs. The management of people with multiple chronic diseases challenges health care systems designed around single disease. To develop a proactive person-centered care approach for persons with (multiple) chronic diseases in general practice, and to explore the impact on 'Quadruple aims': experiences of patients and professionals, patient outcomes and costs of resources use.
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