Proposal to Optimize the Care Model for People with Chronic Diseases and Multimorbidity in Uruguay
The importance of Chronic Disease (CD) in Uruguay has been widely analyzed for many years and in multiple studies and reports 1, 2, 3. Its impact on mortality and its high cost of care was decisive in creating various health promotion and primary and secondary prevention strategies, whose impact has begun to be perceived in the change in trends in some specific areas, such as cardiovascular diseases. However, beyond measures to include specific programs and benefits for CD care and general organization guidelines for health services to satisfy the spontaneous demand generated by CD, there have not been many review initiatives of the care models for CD, especially about the multimorbidity problem, except for the development by the Ministry of Public Health (MPH) of the “Guide to Frailty in Older Adults: Practical Criteria and Research Instruments in The First Level of Care”, an aspect of great clinical relevance about both CD and multimorbidity for human resources and providers of the National Integrated Health System (NIHS). This document presents the work carried out in Uruguay, which culminates with the proposal of the Comprehensive Model of Care for Multimorbidity and includes the study’s results. As such, the authors present the general and specific objectives, the methodology for each of the proposed phases, the results and main contributions to the country and the region, and finally, future projections or possibilities.
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Format: | Working Paper biblioteca |
Language: | English en_US |
Published: |
Washington, DC: World Bank
2024-06-20
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Subjects: | HEALTH PROMOTION AND DISEASE PREVENTION, DISEASE SURVEILLANCE SYSTEMS, LABOR HEALTH AND SAFETY CONDITIONS, OLDER WORKERS, DISEASE REPORTING AND REGISTRIES, GOOD HEALTH AND WELL-BEING, SDG 3, DECENT WORK AND ECONOMIC GROWTH, SDG 8, |
Online Access: | http://documents.worldbank.org/curated/en/099060524123533395/P1799511a5d2d20361814a1121d356bfa8c https://hdl.handle.net/10986/41751 |
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Summary: | The importance of Chronic Disease
(CD) in Uruguay has been widely analyzed for many years and
in multiple studies and reports 1, 2, 3. Its impact on
mortality and its high cost of care was decisive in creating
various health promotion and primary and secondary
prevention strategies, whose impact has begun to be
perceived in the change in trends in some specific areas,
such as cardiovascular diseases. However, beyond measures to
include specific programs and benefits for CD care and
general organization guidelines for health services to
satisfy the spontaneous demand generated by CD, there have
not been many review initiatives of the care models for CD,
especially about the multimorbidity problem, except for the
development by the Ministry of Public Health (MPH) of the
“Guide to Frailty in Older Adults: Practical Criteria and
Research Instruments in The First Level of Care”, an aspect
of great clinical relevance about both CD and multimorbidity
for human resources and providers of the National Integrated
Health System (NIHS). This document presents the work
carried out in Uruguay, which culminates with the proposal
of the Comprehensive Model of Care for Multimorbidity and
includes the study’s results. As such, the authors present
the general and specific objectives, the methodology for
each of the proposed phases, the results and main
contributions to the country and the region, and finally,
future projections or possibilities. |
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