Cost-effectiveness of a patient-centred approach to managing multimorbidity in primary care: a pragmatic cluster randomised controlled trial.

ABSTRACT:

Objective

Patients with multiple chronic health conditions are often managed in a disjointed fashion in primary care, with annual review clinic appointments offered separately for each condition. This study aimed to determine the cost-effectiveness of the 3D intervention, which was developed to improve the system of care.

Design

Economic evaluation conducted alongside a pragmatic cluster-randomised trial.

Setting

General practices in three centres in England and Scotland.

Participants

797 adults with three or more chronic conditions were randomised to the 3D intervention, while 749 participants were randomised to receive usual care.

Intervention

The 3D approach: comprehensive 6-monthly general practitioner consultations, supported by medication reviews a

SUBMITTER: Thorn J 

PROVIDER: S-EPMC7044971 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature