Publications by authors named "Marisa Merino Hernandez"
Article Synopsis
- Multimorbidity (MM) refers to the presence of two or more chronic diseases occurring together, with a study conducted in the Basque Health System between 2014 and 2021 revealing its complexity through a detailed multistep incidence-age model.
- The model, consisting of eight steps for men and nine for women, effectively illustrates the relationships among 19 diseases that contribute to the Charlson Comorbidity Index (CCI), showcasing a complex interaction network among these conditions.
- Findings indicate that diseases associated with the central nervous system are the most complex, with higher step counts, while the analysis also highlighted the clustering of diseases into low- and high-risk categories for mortality.
Incorporating Budget Impact Analysis in the Implementation of Complex Interventions: A Case of an Integrated Intervention for Multimorbid Patients within the CareWell Study.
Myriam Soto-Gordoa Arantzazu Arrospide Marisa Merino Hernández Joana Mora Amengual Ane Fullaondo Zabala
Value Health
January 2017
Objectives: To develop a framework for the management of complex health care interventions within the Deming continuous improvement cycle and to test the framework in the case of an integrated intervention for multimorbid patients in the Basque Country within the CareWell project.
Methods: Statistical analysis alone, although necessary, may not always represent the practical significance of the intervention. Thus, to ascertain the true economic impact of the intervention, the statistical results can be integrated into the budget impact analysis.