Application of the JA-CHRODIS Integrated Multimorbidity Care Model (IMCM) to a Case Study of Diabetes and Mental Health

Int J Environ Res Public Health. 2019 Dec 17;16(24):5151. doi: 10.3390/ijerph16245151.


The Integrated Multimorbidity Care Model (IMCM), developed by the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS), proposes a set of 16 multidimensional components (i.e., recommendations) to improve the care of persons with multimorbidity in Europe. This study aimed at analyzing the potential applicability of the IMCM. We followed a qualitative approach that comprised two phases: (1) The design of a case study based on empirical clinical data, which consisted of a hypothetical woman with multimorbidity, type 2 diabetes mellitus, mental health, and associated social problems, and (2) the creation of a consensus group to gather the opinions of a multidisciplinary group of experts and consider the potential applicability of the IMCM to our case study. Experts described how care should be delivered to this patient according to each model component, suggested the use of specific rating scales and tools to assess her needs in a comprehensive and regular way, and pointed our crucial health and social resources to improve her care process. Experts also highlighted patient-centered, integrated and tailored care as one of the keystones of quality healthcare. Our results suggest that the IMCM is applicable in complex patients with multimorbidity.

Keywords: Integrated Multimorbidity Care Model; chrodis; chronic diseases; comorbidity; disease prevention; health promotion; implementation research; multimorbidity; public health.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Disease / therapy*
  • Comorbidity
  • Consensus
  • Delivery of Health Care / standards*
  • Diabetes Mellitus, Type 2 / therapy*
  • Disease Management
  • Europe
  • Female
  • Healthy Aging
  • Humans
  • Mental Health*
  • Multimorbidity*
  • Quality of Health Care