SELFIE presentation at the European Public Health Association Conference

We will be giving a SELFIE presentation at the European Public Health Association (EUPHA) Conference that’s taking place from November 9-12th in Vienna, Austria.

The presentation is in a workshop on ‘Multimorbidity and integrated care: which priorities for European and national policies?’ (session 10.N) that will be held on Saturday November 12th from 11:10-12:40. See the programme for details!



Background: The rise in multi-morbidity is a growing public health issue and forms a challenge in the organization of care – a shift is required from disease-centered care towards person-centered integrated chronic care (ICC). The Horizon2020 funded “Sustainable intEgrated care modeLs for multi-morbidity: delivery, FInancing and performancE” project (SELFIE) addresses this challenge by adopting a broad health economic approach to ICC of multi-morbidity (MM). In the first strand of research, a framework was developed to aid the uniformity in description and evaluation of different implemented ICC programs for MM.
Methods: A scoping review and expert discussions were used to identify relevant concepts of ICC for MM, and to structure these into a framework. A scoping review was conducted, including a targeted search of the grey literature and a search in scientific databases. Parallel to the review, expert discussion meetings were organized within the SELFIE research project. International and national expert meetings were organized with representatives of ‘5P’ stakeholder groups: patients, partners (i.e., informal caregivers), professionals (i.e., care providers and researchers), payers (e.g., health insurers), and policy makers.
Results: Both from the scientific and the grey literature concepts were extracted that were relevant for ICC for persons with multi-morbidity, these formed an initial framework that was adapted after discussion with all SELFIE partners and 5P representatives. Concepts and their potential interrelations are mapped into the six WHO components of health systems: service delivery, leadership & governance, workforce, financing, technologies & medical products, and information & research. For each of these components the framework describes the key features of person-centered integrated care at the micro, meso and macro level.
Conclusions: A novel framework will be presented that structures relevant concepts in integrated chronic care for multi-morbidity.

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