| Abstract [eng] |
Doctoral students Elena Jurevičienį dissertation „The Interrelationship of Multimorbidity and COPD: the Impact on Health Care Resources and the Analysis of the Possibility of Change“. Academic supervisor – Prof. Dr. Edvardas Danila. This doctoral research resulted in six published papers. The study aimed to analyse the prevalence of COPD comorbidities, the interrelationship between multimorbidity (MM), COPD and other factors, and assess the impact of MM on all-cause hospitalisations and health care costs and to adapt, implement and evaluate the Integrated Multimorbidity Care Model (IMCM) in a Lithuanian primary health care institution. Paper I analyses the prevalence and clustering of COPD comorbidities, and the impact of clusters on all-cause hospitalisations. Paper II focuses on neurologic and psychiatric comorbidities in COPD. Paper III identifies age breakpoints for the occurrence of MM, increased hospitalisations and higher utilisation of reimbursed medications. Paper IV investigates the distribution, change and interrelationship of health care costs in MM. Paper V describes the country-adjusted methodology for implementing the IMCM developed during the EU Joint Action CHRODIS. This thesis focuses on the adjustment to the Family Medicine Centre in VUH Santaros Klinikos. Paper VI reveals the immediate results of IMCM implementation piloted in 5 centres during the EU Joint Action CHRODIS-PLUS, the thesis presented the impact on health care quality at VUH Santaros Klinikos. |
