Cambios en el modelo de atención de personas con multimorbilidad crónica: una revisión narrativa

URZUA, JORGE; Pichard, Paula Zamorano; Yuraszeck, Teresita Varela; Soto, Esteban; TÃ©llez, Alvaro TÃ©llez

doi:10.11565/arsmed.v44i4.1569

Cited by 6 publications

(1 citation statement)

References 14 publications

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“…(17) Este enfoque permite que los sujetos sean más representativos de la población total (17) y facilita el reclutamiento en investigaciones longitudinales, en especial en seguimiento del deterioro cognitivo. (24) Otras condiciones relacionadas al CI en personas mayores reportadas en los estudios revisados hacen referencia a los tiempos destinados para este proceso, en consideración a posibles déficits cognitivos y neurosensoriales, requiriendo tiempo adicional, compromiso de personal empático y bien capacitado, y la necesidad de incluir a personas responsables de la atención médica, en especial en casos de vulnerabilidad agregada. (8,12,15) Evitar la coherción en el proceso de consentimiento informado debe ser una prioridad en la investigación con personas mayores, en especial cuando los equipos investigadores incluyen tratantes clínicos directos del paciente.…”

Section: Consentimiento Informado (Ci)unclassified

Ethical conditions for research with the elderly: a narrative review [Version 1; Peer Review - In Progress]

Díaz

Albanese

2023

Salud, Ciencia y Tecnología

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Introduction: The population aging raises the need for the inclusion of older people in research, and therefore, the review of ethical guidelines that grant protection to this age group, especially in conditions of vulnerability. Objective: To find out about the ethical conditions involved in research with older people and the protection they should be afforded as research subjects. Methods: Narrative review of 15 original articles published between 2001 and 2021, indexed in the PUBMED, Web of Science, CINAHL, and SCOPUS databases. The descriptors used were Ethics in Research and Aged/ Elderly. Results: The main findings point to the poverty of research on aging issues and unjustified discrimination in the participation of older people in clinical studies. An update is provided on the ethical conditions for research on older people, according to the requirements set out by Emanuel. Conclusions: The need to include older people in clinical research is imperative, for which it is necessary to integrate advances in Chilean legislation that allow the participation of this age group in different situations of vulnerability while maintaining the conditions of protection contemplated in international ethical guidelines and agreements. Participatory research and methods that include the community can be an opportunity to approach research within a framework of respect and citizen education.

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Section: Consentimiento Informado (Ci)unclassified

Ethical conditions for research with the elderly: a narrative review [Version 1; Peer Review - In Progress]

Díaz

Albanese

2023

Salud, Ciencia y Tecnología

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Rediseño en el abordaje de personas con multimorbilidad crónica: desde la fragmentación al cuidado integral centrado en las personas

Vargas

Barros

Fernández³

et al. 2021

Revista Médica Clínica Las Condes

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Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system

Sapag,

Martínez,

Zamorano

et al. 2023

BMC Public Health

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Background The progressive multimorbidity explosion has challenged Chile’s health systems and worldwide. The Centro de Innovación en Salud ANCORA UC implemented a new Multimorbidity Patient-Centered Care Model in Chile. Objective Evaluate the perspective of high-risk patients about the core elements of the model. Methodology We conducted a cross sectional telephone-based survey that considered the application of a 13 items questionnaire. Of them, nine were Likert scale questions with scores from 1 to 7, one dichotomic question, and three open-ended questions. 231 high-risk patients who received care through the model at primary care centers participated in the study. Quantitative data were encoded, consolidated, and analyzed with the SPSS software. We performed descriptive and analytic statistics techniques to assess different variables and their potential associations. Thematic analysis was conducted for qualitative data. Results The overall score was 5.84 (range: 1 to 7), with a standard deviation of 1.25. Questions with the best scores were those related with personalized care and the primary care teams. The lowest scored was for the item regarding the continuity of care between primary nurses and inpatient care at the hospital. There was a difference in patient outcomes depending on their health center. Regarding sociodemographic characteristics, age did not significantly affect the results. Conclusions The study reveals the perceptions about a complex multimorbidity intervention from the patient’s perspective. It complements the impact on health services utilization evaluation that supports decision-makers currently scaling up a similar strategy in our country and could be considered in other countries dealing with non-communicable diseases.

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Cambios en el modelo de atención de personas con multimorbilidad crónica: una revisión narrativa

Cited by 6 publications

References 14 publications

Ethical conditions for research with the elderly: a narrative review [Version 1; Peer Review - In Progress]

Ethical conditions for research with the elderly: a narrative review [Version 1; Peer Review - In Progress]

Rediseño en el abordaje de personas con multimorbilidad crónica: desde la fragmentación al cuidado integral centrado en las personas

Evaluation of patients´ perspective on a multimorbidity patient-centered care model piloted in the chilean public health system

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