Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 607

Full Length Research Paper

Impact of a patient-centered care model implemented in public health facilities in Chile: A real world evidence evaluation

Paula Zamorano
  • Paula Zamorano
  • Center for Innovation in Health ANCORA UC, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta, Santiago, Chile.
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Teresita Varela
  • Teresita Varela
  • Center for Innovation in Health ANCORA UC, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta, Santiago, Chile.
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Alvaro Tellez
  • Alvaro Tellez
  • Center for Innovation in Health ANCORA UC, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta, Santiago, Chile.
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Manuel Espinoza
  • Manuel Espinoza
  • Department of Public Health, Pontificia Universidad Católica de Chile, Marcoleta, Santiago, Chile.
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Paulina Munoz
  • Paulina Munoz
  • Center for Innovation in Health ANCORA UC, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta, Santiago, Chile.
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Francisco Suarez
  • Francisco Suarez
  • Analysis and Management of Health Information Unit, Servicio de Salud Metropolitano Sur Oriente, Avenida Concha y Toro 3459, Puente Alto, Santiago, Chile.
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  •  Received: 26 November 2021
  •  Accepted: 06 January 2022
  •  Published: 31 January 2022

Abstract

Health systems face multimorbidity as the leading cause of the burden of disease and demand for healthcare services. Although non-communicable diseases are well known, and countries in Latin America have implemented strategies to its approach, tackling multimorbidity is still a challenge and an emerging topic. In response to this, Centro de Innovación en Salud ANCORA UC, in association with Servicio de Salud Metropolitano Sur Oriente and the National Health Fund, implemented a pilot study a Multimorbidity Patient-Centered Care Model in the health network. The objective was to evaluate the health care services utilization and mortality. The authors performed a cohort study with adults with non-communicable diseases, stratified by ACG® System. Analysis used logistic regression, adjusted by confounding variables. The intervened group had a significantly lower incidence of hospital admissions, length of stay, number of consultancies to hospital emergency, and number of consultancies to primary care emergency than the control group. Further, it was associated with significantly less mortality (OR 0.54; 95% CI 0.47 – 0.63). Barriers and facilitators proper from a complex intervention were approached. The model showed positive results in mortality and health services utilization. A description is provided to contribute to this emerging topic and facilitate its reproducibility.

Key words: Multimorbidity, patient-centered care, risk stratification, impact analysis.