TY - JOUR
KW - Chronic Disease/epidemiology/psychology/rehabilitation/therapy
KW - Delivery of Health Care, Integrated/methods/organization & administration
KW - Humans
KW - intersectoral collaboration
KW - Models, Organizational
KW - Patient Care Team
KW - Quality of Life
KW - Social Work
KW - Spain
AU - E. Gavaldà-Espelta
AU - Del Mar Lleixà-Fortuño
AU - J. Baucells-Lluis
AU - M. Ferré-Ferraté
AU - G. Mora-López
AU - B. Tomàs-Navarro
AU - C. Curto-Romeu
AU - J. Lucas-Noll
AU - Aguilar Martin
AU - A. Q. Gonçalves
AU - C. Ferré-Grau
A1 - 
AB - INTRODUCTION: Integrated care models aim to provide solutions to fragmentation of care by improving coordination. This study will evaluate the effectiveness of a new integrated care model (Salut + Social), which will promote the coordination and communication between social and healthcare services in southern Catalonia (Spain) to improve quality of life, adherence to treatment and access to medical services for patients with chronic conditions, and also to reduce caregiver burden. Additionally, we will evaluate the experience of caregivers, health professionals and social workers with the new model implemented. METHODS AND ANALYSIS: A clinical trial using mixed methodology will be carried out. The intervention consists of improving the coordination between the social and healthcare sectors during a 6-month period, by means of information and communication technology (ICT) tools that operate as an interface for the integrated care model. The study subjects are primary care patients with chronic health and social conditions that can benefit from a collaborative and coordinated approach. A sample size of 141 patients was estimated. Questionnaires that assess quality of life, treatment adherence, medical service and caregiver burden will be used at baseline and at 6, 9, and 12 months after the beginning of the study. The principal variable is quality of life. For statistical analysis, comparisons of means and proportions at different time points will be performed. A discussion group and semi-structured interviews will be conducted with the aim of improving the care model taking into account the opinions of professionals and caregivers. A thematic content analysis will be carried out. ETHICS AND DISSEMINATION: This study protocol has been approved by the Clinical Research Ethics Committee of the Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (code P17/100). Articles will be published in international, peer-reviewed scientific journals. TRIAL REGISTRATION: Clinical-Trials.gov: NCT04164160.
AD - Direcció d'Atenció Primària Terres de l'Ebre, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Departament d'Infermeria, Programa de Doctorat Infermeria i Salut, Universitat Rovira i Virgili, Tarragona.; Departament d'Infermeria, Programa de Doctorat Infermeria i Salut, Universitat Rovira i Virgili, Tarragona.; Direcció de Serveis Territorials de Salut a les Terres de l'Ebre, CatSalut, Generalitat de Catalunya, Tortosa, Spain.; Direcció de Sistemes d'Informació i Comunicació, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Direcció d'Atenció Primària Terres de l'Ebre, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Direcció d'Atenció Primària Terres de l'Ebre, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Equip d'Atenció Primària Amposta, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Equip d'Atenció Primària Amposta, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Direcció d'Atenció Primària Terres de l'Ebre, Gerència Territorial Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Departament d'Infermeria, Programa de Doctorat Infermeria i Salut, Universitat Rovira i Virgili, Tarragona.; Unitat d'Avaluació, Direcció d'Atenció Primària Terres de l'Ebre, Institut Català de la Salut, Tortosa.; Unitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa.; Unitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa.; Unitat Docent de Medicina de Família i Comunitària Tortosa-Terres de L'Ebre, Institut Català de la Salut, Tortosa, Tarragona, Spain.; Departament d'Infermeria, Programa de Doctorat Infermeria i Salut, Univer(TRUNCATED)
BT - Medicine
C5 - Education & Workforce; Healthcare Disparities
CP - 19
DO - 10.1097/MD.0000000000019994
IS - 19
JF - Medicine
LA - eng
M1 - Journal Article
N2 - INTRODUCTION: Integrated care models aim to provide solutions to fragmentation of care by improving coordination. This study will evaluate the effectiveness of a new integrated care model (Salut + Social), which will promote the coordination and communication between social and healthcare services in southern Catalonia (Spain) to improve quality of life, adherence to treatment and access to medical services for patients with chronic conditions, and also to reduce caregiver burden. Additionally, we will evaluate the experience of caregivers, health professionals and social workers with the new model implemented. METHODS AND ANALYSIS: A clinical trial using mixed methodology will be carried out. The intervention consists of improving the coordination between the social and healthcare sectors during a 6-month period, by means of information and communication technology (ICT) tools that operate as an interface for the integrated care model. The study subjects are primary care patients with chronic health and social conditions that can benefit from a collaborative and coordinated approach. A sample size of 141 patients was estimated. Questionnaires that assess quality of life, treatment adherence, medical service and caregiver burden will be used at baseline and at 6, 9, and 12 months after the beginning of the study. The principal variable is quality of life. For statistical analysis, comparisons of means and proportions at different time points will be performed. A discussion group and semi-structured interviews will be conducted with the aim of improving the care model taking into account the opinions of professionals and caregivers. A thematic content analysis will be carried out. ETHICS AND DISSEMINATION: This study protocol has been approved by the Clinical Research Ethics Committee of the Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (code P17/100). Articles will be published in international, peer-reviewed scientific journals. TRIAL REGISTRATION: Clinical-Trials.gov: NCT04164160.
PY - 2020
SN - 1536-5964; 0025-7974; 0025-7974
T1 - Effectiveness of the integrated care model Salut+Social in patients with chronic conditions: A mixed methods study protocol
T2 - Medicine
TI - Effectiveness of the integrated care model Salut+Social in patients with chronic conditions: A mixed methods study protocol
U1 - Education & Workforce; Healthcare Disparities
U2 - 32384454
U3 - 10.1097/MD.0000000000019994
VL - 99
VO - 1536-5964; 0025-7974; 0025-7974
Y1 - 2020
Y2 - May
ER -