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Chronic disease management is a public health problem that faces monitoring difficulties related to complex care pathways. This study will analyze the use of unscheduled or urgent care according to the continuity of care in multimorbid patients
The prevalence of chronic diseases in the population is increasing significantly. It represents a new challenge for doctors and health authorities. However, patients often have at least two chronic diseases. These are referred to as "multimorbid" patients, whose continuity of care has not been well studied to date.
This observational study evaluates the association between the continuity of care in multimorbid patients seen in general practice and their use of urgent healthcare, their quality of life and their burden of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| multmorbid patients | patients with 2 chronic diseases (medical conditions requiring management for more than 6 months) |
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| Measure | Description | Time Frame |
|---|---|---|
| Continuity of care | Bice-Boxerman index, measuring continuity of care (from 0 to 1, 1 = good continuity of care) | over the past 1year |
| care pathway | the number of health care consultations with any physician (primary care, emergency department, hospitalisation), collected from the French national health insurance database | over the past 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| global quality of life | EuroQol Health Questionnaire in 5 questions measuring quality of life by the EuroQol Group. (from 0 to 100, 100= good quality of life) | over the past 1 year |
| burden of traitement |
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Inclusion Criteria:
Exclusion Criteria:
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multimorbid primary care patients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Université Paris Cité | Paris | France |
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Treatment Burden Questionnaire developped by VT Tran (from 0 to 130, 130 = treatments are a huge problem for the patient)
| over the past 1 year |