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.
Study Type
OBSERVATIONAL
Enrollment
200
Université Paris Cité
Paris, France
Continuity of care
Bice-Boxerman index, measuring continuity of care (from 0 to 1, 1 = good continuity of care)
Time frame: 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
Time frame: over the past 1 year
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)
Time frame: over the past 1 year
burden of traitement
Treatment Burden Questionnaire developped by VT Tran (from 0 to 130, 130 = treatments are a huge problem for the patient)
Time frame: over the past 1 year
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