References

1.
Barbabella F, et al. (on behalf of the ICARE4EU consortium). How can eHealth improve care for people with multimorbidity in Europe? Belgium: European Observatory on Health Policies and Systems; 2017. (Policy Brief 25). [PubMed]
2.
Hujala A, Taskinen H, Rissanen S., (on behalf of the ICARE4EU consortium). How to strengthen integration to promote care for people with multimorbidity in Europe? European Observatory on Health Policies and Systems; 2017. (Policy Brief 26). [PubMed]
3.
Struckmann V, et al. (on behalf of the ICARE4EU consortium). How to strengthen financing mechansisms to promote care for people with multi-morbidity in Europe? Europe Observatory on Health Policies and Systems; 2017. (Policy Brief 24).
4.
Rijken M, et al. (on behalf of the ICARE4EU consortium). How to improve care for people with multimorbidity in Europe Policy Brief 23. European Observatory on Health Policies and systems; 2017. [PubMed]
5.
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848–2851. [PubMed]
6.
Committee on Quality of Health Care in America of the Institute of Medicine. Crossing the Quality Chasm: A new health system for the 21st century. Washington, DC: National Academies Press; 2001.
7.
Nuno R, et al. Integrated care for chronic conditions: the contribution of the ICCC Framework. Health Policy. 2012;105(1):55–64. [PubMed]
8.
Boult C, et al. Successful models of comprehensive care for older adults with chronic conditions: evidence for the Institute of Medicine’s “retooling for an aging America” report. Journal of the American Geriatrics Society. 2009;57(12):2328–2337. [PubMed]
9.
National Institute for Public Health and the Environment. Chronische ziekten en multimorbiditeit [Chronic conditions and multimorbidity]. 2014. [cited 2015-09-11]; available from: http://www​.nationaalkompas​.nl/gezondheid-en-ziekte​/ziekten-en-aandoeningen​/chronische-ziekten-en-multimorbiditeit, accessed 24/11/2016.
10.
Vogeli C, et al. Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine. 2007;22 Suppl 3:391–395. [PMC free article] [PubMed]
11.
Fortin M, et al. Multimorbidity’s many challenges. BMJ. 2007;334(7602):1016–1017. [PMC free article] [PubMed]
12.
Westert GP, et al. Patterns of comorbidity and the use of health services in the Dutch population. European Journal of Public Health. 2001;11(4):365–372. [PubMed]
13.
Onder G, et al. Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS). European Journal of Internal Medicine. 2015;26(3):157–159. [PubMed]
14.
World Health Organization. WHO global strategy on people-centred and integrated health service: Interim report. Geneva: WHO Press; 2015.
15.
Goodwin N. How do you build programmes of integrated care? The need to broaden our conceptual and empirical understanding. International Journal of Integrated Care. 2013;13:e040. [PMC free article] [PubMed]
16.
Viktoria Stein K, et al. Towards people-centred health services delivery: a Framework for Action for the World Health Organization (WHO) European Region. International Journal of Integrated Care. 2013;13:e058. [PMC free article] [PubMed]
17.
Minvielle E, et al. Managing customization in health care: a framework derived from the services sector literature. Health Policy. 2014;117(2):216–227. [PubMed]
18.
Berwick DM. What ‘patient-centered’ should mean: confessions of an extremist. Health Affairs (Millwood). 2009;28(4):w555–565. [PubMed]
19.
Hudon C, et al. Patient-centered care in chronic disease management: a thematic analysis of the literature in family medicine. Patient Education and Counseling. 2012;88(2):170–176. [PubMed]
20.
Muth C, et al. The Ariadne principles: how to handle multimorbidity in primary care consultations. BMC Medicine. 2014;12:223. [PMC free article] [PubMed]
21.
Rathert C, et al. Patient-centered care and outcomes: a systematic review of the literature. Medical Care Research and Review. 2013;70(4):351–379. [PubMed]
22.
Robinson JH, et al. Patient-centered care and adherence: definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners. 2008;20(12):600–607. [PubMed]
23.
Sidani S, Fox M. Patient-centered care: clarification of its specific elements to facilitate interprofessional care. Journal of Interprofessional Care. 2014;28(2):134–141. [PubMed]
24.
Wagner EH, et al. Finding common ground: patient-centeredness and evidence-based chronic illness care. Journal of Alternative and Complementary Medicine. 2005;11 Suppl 1:S7–15. [PubMed]
25.
Constand MK, et al. Scoping review of patient-centered care approaches in healthcare. BMC Health Services Research. 2014;14:271. [PMC free article] [PubMed]
26.
O’Hare AM, et al. Caring for patients with kidney disease: shifting the paradigm from evidence-based medicine to patient-centered care. Nephrology, Dialysis, Transplantation. 2015;31(3):368–375. [PMC free article] [PubMed]
27.
Boyd CM, et al. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6):716–724. [PubMed]
28.
Lugtenberg M, et al. Current guidelines have limited applicability to patients with comorbid conditions: a systematic analysis of evidence-based guidelines. PLoS One. 2011;6(10):e25987. [PMC free article] [PubMed]
29.
Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. New England Journal of Medicine. 2004;351(27):2870–2874. [PubMed]
30.
American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. Patient-centered care for older adults with multiple chronic conditions: a stepwise approach from the American Geriatrics Society: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. Journal of the American Geriatrics Society. 2012;60(10):1957–1968. [PMC free article] [PubMed]
31.
Reuben DB, Tinetti ME. Goal-oriented patient care – an alternative health outcomes paradigm. New England Journal of Medicine. 2012;366(9):777–779. [PubMed]
32.
Pendharkar SA, Petrov MS. Bringing patient-centered care to the fore in diseases of the pancreas. Gastroenterology Research and Practice. 2015 ID:459214. [PMC free article] [PubMed]
33.
Fried TR, et al. Health outcome prioritization to elicit preferences of older persons with multiple health conditions. Patient Education and Counseling. 2011;83(2):278–282. [PMC free article] [PubMed]
34.
Bensing J. Bridging the gap. The separate worlds of evidence-based medicine and patient-centered medicine. Patient Education and Counseling. 2000;39(1):17–25. [PubMed]
35.
Friesen-Storms JH, et al. Shared decision making in chronic care in the context of evidence based practice in nursing. International Journal of Nursing Studies. 2015;52(1):393–402. [PubMed]
36.
Newby NM. Chronic illness and the family life-cycle. Journal of Advanced Nursing. 1996;23(4):786–791. [PubMed]
37.
EUROCARERS. ‘ENABLING CARERS TO CARE’ Proposal for an EU-level strategy in support of informal care provision. 2014. http://www​.eurocarers​.org/userfiles/file​/policy/carers%20strategy​%20ProposalOct13.pdf, accessed 12.11.2016)
38.
McGarry J, Arthur A. Informal caring in late life: a qualitative study of the experiences of older carers. Journal of Advanced Nursing. 2001;33(2):182–189. [PubMed]
39.
Hjelm M, et al. Family members of older persons with multi-morbidity and their experiences of case managers in Sweden: an interpretive phenomenological approach. International Journal of Integrated Care. 2015;15:e011. [PMC free article] [PubMed]
40.
Mirzaei M, et al. A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness. BMC Health Services Research. 2013;13:251. [PMC free article] [PubMed]
41.
World Health Organization. People-centred and integrated health services: an overview of the evidence: Interim report. Geneva: WHO Press; 2015.
42.
Epstein RM, et al. Why the nation needs a policy push on patient-centered health care. Health Affairs (Millwood). 2010;29(8):1489–1495. [PubMed]
43.
Øvretveit J. Does clinical coordination improve quality and save money? London: The Health Foundation; 2011.
44.
Flagg AJ. The role of patient-centered care in nursing. Nursing Clinics of North America. 2015;50(1):75–86. [PubMed]
45.
Snyder CF, et al. The role of informatics in promoting patient-centered care. Cancer Journal. 2011;17(4):211–218. [PMC free article] [PubMed]
46.
Stock RD, Reece D, Cesario L. Developing a comprehensive interdisciplinary senior healthcare practice. Journal of the American Geriatrics Society. 2004;52(12):2128–2133. [PubMed]
47.
Osborn R, et al. International survey of older adults finds shortcomings in access, coordination, and patient-centered care. Health Affairs (Millwood). 2014;33(12):2247–2255. [PubMed]
48.
Boerma W, Barbabella F, Schellevis F. Innovating care for people with multiple chronic conditions in Europe: Two projects of the Belgian PROTOCOL 3 Programme, Belgium. Utrecht: Netherlands Institute for Health Services Research; 2015.
49.
Snoeijs S, et al. Innovating care for people with multiple chronic conditions in Europe: INCA model, the Netherlands. Utrecht: Netherlands Institute for Health Services Research; 2015.
50.
Hujala A, et al. Innovating care for people with multiple chronic conditions in Europe: The POTKU project (Potilas kuljettajan paikalle, Putting the Patient in the Driver’s Seat). Finland. Kuopio: University of Eastern Finland; 2015.
51.
Barbabella F, et al. Innovating care for people with multiple chronic conditions in Europe: The Strategy for Chronic Care in Valencia Region (Estrategia para la atención a pacientes crónicos en la Comunitat Valenciana). Spain. Ancona: Istituto di Ricovero e Cura a Carattere Scientifico; 2015.
52.
Hujala A, et al. Innovating care for people with multiple chronic conditions in Europe: Clinic for Multimorbidity and Polypharmacy. Denmark. Kuopio: University of Eastern Finland; 2015.
53.
Struckmann V, Boerma W, van Ginneken E. Innovating care for people with multiple chronic conditions in Europe: The Gesundes Kinzigtal programme, Germany. Berlin: Technical University Berlin; 2015.
54.
Busse R, et al. Tackling chronic disease in Europe: strategies, interventions and challenges. Berlin: World Health Organization; 2010.