Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach.

ABSTRACT:

Background

The management of people with multiple chronic conditions challenges health-care systems designed around single conditions. There is international consensus that care for multimorbidity should be patient-centred, focus on quality of life, and promote self-management towards agreed goals. However, there is little evidence about the effectiveness of this approach. Our hypothesis was that the patient-centred, so-called 3D approach (based on dimensions of health, depression, and drugs) for patients with multimorbidity would improve their health-related quality of life, which is the ultimate aim of the 3D intervention.

Methods

We did this pragmatic cluster-randomised trial in general practices in England and Scotland. Practices were randomly allocated to continue usual

SUBMITTER: Salisbury C 

PROVIDER: S-EPMC6041724 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature