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Publicatie datum
Regular workshop: Innovative care practices for people with multimorbidity in Europe.
Schellevis, F., Ginneken, E. van. Regular workshop: Innovative care practices for people with multimorbidity in Europe. European Journal of Public Health: 2015, 25(spl. 3) 46. Abstract: 8th European Public Health Conference: "Health in Europe - from global to local policies, methods and practices". 14-17 oktober 2015 in Milan.
An estimated 50 million people in the European Union live with multiple chronic diseases and this number is expected to increase in the near future. As multimorbidity deeply impacts on many domains of life, providing integrated care that is tailored to the specific health care and social needs of people with multimorbidity seems most appropriate. However, most European healthcare systems are not designed to provide integrated care, and chronic disease management programs which do provide integrated care are usually disease-specific. However, innovative integrated care practices that are organized around patients’ needs rather than their specific disease(s) are currently being developed and implemented at a local or regional level in many European countries. These care practices may be valuable examples to learn from for other regions or countries that are searching for novel approaches to improve care for people with multimorbidity. The EC funded ICARE4EU project (2013-2016) identified 101 care practices in 24 European countries that have been implemented mostly on a local level to provide integrated care for people with multiple chronic conditions. As integrated care should be patient-centred, proactive and well-coordinated multidisciplinary care, using new technologies and supporting patients’ self-management and the collaboration between care providers, the ICARE4EU team analysed the strengths and weaknesses of these care practices from four perspectives:
1. their patient-centredness,
2. their level and methods of integration of services,
3. their use of eHealth technologies to support the delivery system, collaboration and individual skills of caregivers and patients,
4. their financing system.
In addition, eight practices (all in different European countries) that were considered as ‘high potential’ from one or more of these perspectives were visited by the ICARE4EU team and their characteristics, pros and cons were studied in depth. The aim of this workshop is to discuss the results of our analysis with a wide audience of researchers and policymakers interested in research and policy questions on how to design and implement integrated care for people with multimorbidity that is sustainable and of high quality in European countries.
The workshop starts with an introduction on the challenges attending the provision of care for people with multimorbidity in Europe and an overview of the main characteristics of the 101 identified integrated care practices that respond to these challenges each in their own way. In the second presentation the management and professional issues of the integration of care services is addressed. The third presentation answers the question on how, and to what extent, patient-centredness is improved in these care practices. The use of eHealth technologies in these care practices is the central theme of the fourth presentation. In the last presentation the issue of how these care practices are financed is addressed.
Key messages
Integrated care practices for people with multimorbidity in Europe differ in implementation. Differences in management, financing, eHealth, and patientcentredness provide clues for future practices.
1. their patient-centredness,
2. their level and methods of integration of services,
3. their use of eHealth technologies to support the delivery system, collaboration and individual skills of caregivers and patients,
4. their financing system.
In addition, eight practices (all in different European countries) that were considered as ‘high potential’ from one or more of these perspectives were visited by the ICARE4EU team and their characteristics, pros and cons were studied in depth. The aim of this workshop is to discuss the results of our analysis with a wide audience of researchers and policymakers interested in research and policy questions on how to design and implement integrated care for people with multimorbidity that is sustainable and of high quality in European countries.
The workshop starts with an introduction on the challenges attending the provision of care for people with multimorbidity in Europe and an overview of the main characteristics of the 101 identified integrated care practices that respond to these challenges each in their own way. In the second presentation the management and professional issues of the integration of care services is addressed. The third presentation answers the question on how, and to what extent, patient-centredness is improved in these care practices. The use of eHealth technologies in these care practices is the central theme of the fourth presentation. In the last presentation the issue of how these care practices are financed is addressed.
Key messages
Integrated care practices for people with multimorbidity in Europe differ in implementation. Differences in management, financing, eHealth, and patientcentredness provide clues for future practices.
An estimated 50 million people in the European Union live with multiple chronic diseases and this number is expected to increase in the near future. As multimorbidity deeply impacts on many domains of life, providing integrated care that is tailored to the specific health care and social needs of people with multimorbidity seems most appropriate. However, most European healthcare systems are not designed to provide integrated care, and chronic disease management programs which do provide integrated care are usually disease-specific. However, innovative integrated care practices that are organized around patients’ needs rather than their specific disease(s) are currently being developed and implemented at a local or regional level in many European countries. These care practices may be valuable examples to learn from for other regions or countries that are searching for novel approaches to improve care for people with multimorbidity. The EC funded ICARE4EU project (2013-2016) identified 101 care practices in 24 European countries that have been implemented mostly on a local level to provide integrated care for people with multiple chronic conditions. As integrated care should be patient-centred, proactive and well-coordinated multidisciplinary care, using new technologies and supporting patients’ self-management and the collaboration between care providers, the ICARE4EU team analysed the strengths and weaknesses of these care practices from four perspectives:
1. their patient-centredness,
2. their level and methods of integration of services,
3. their use of eHealth technologies to support the delivery system, collaboration and individual skills of caregivers and patients,
4. their financing system.
In addition, eight practices (all in different European countries) that were considered as ‘high potential’ from one or more of these perspectives were visited by the ICARE4EU team and their characteristics, pros and cons were studied in depth. The aim of this workshop is to discuss the results of our analysis with a wide audience of researchers and policymakers interested in research and policy questions on how to design and implement integrated care for people with multimorbidity that is sustainable and of high quality in European countries.
The workshop starts with an introduction on the challenges attending the provision of care for people with multimorbidity in Europe and an overview of the main characteristics of the 101 identified integrated care practices that respond to these challenges each in their own way. In the second presentation the management and professional issues of the integration of care services is addressed. The third presentation answers the question on how, and to what extent, patient-centredness is improved in these care practices. The use of eHealth technologies in these care practices is the central theme of the fourth presentation. In the last presentation the issue of how these care practices are financed is addressed.
Key messages
Integrated care practices for people with multimorbidity in Europe differ in implementation. Differences in management, financing, eHealth, and patientcentredness provide clues for future practices.
1. their patient-centredness,
2. their level and methods of integration of services,
3. their use of eHealth technologies to support the delivery system, collaboration and individual skills of caregivers and patients,
4. their financing system.
In addition, eight practices (all in different European countries) that were considered as ‘high potential’ from one or more of these perspectives were visited by the ICARE4EU team and their characteristics, pros and cons were studied in depth. The aim of this workshop is to discuss the results of our analysis with a wide audience of researchers and policymakers interested in research and policy questions on how to design and implement integrated care for people with multimorbidity that is sustainable and of high quality in European countries.
The workshop starts with an introduction on the challenges attending the provision of care for people with multimorbidity in Europe and an overview of the main characteristics of the 101 identified integrated care practices that respond to these challenges each in their own way. In the second presentation the management and professional issues of the integration of care services is addressed. The third presentation answers the question on how, and to what extent, patient-centredness is improved in these care practices. The use of eHealth technologies in these care practices is the central theme of the fourth presentation. In the last presentation the issue of how these care practices are financed is addressed.
Key messages
Integrated care practices for people with multimorbidity in Europe differ in implementation. Differences in management, financing, eHealth, and patientcentredness provide clues for future practices.