{"id":3056,"date":"2021-06-24T23:09:38","date_gmt":"2021-06-24T23:09:38","guid":{"rendered":"https:\/\/www.cronicas-upch.pe\/en\/?p=3056"},"modified":"2026-02-25T23:20:26","modified_gmt":"2026-02-25T23:20:26","slug":"evaluando-la-carga-de-tratamiento-como-indicador-clinico-de-barreras-en-el-manejo-de-multimorbilidad-en-peru-estudio-de-metodos-mixtos","status":"publish","type":"post","link":"https:\/\/www.cronicas-upch.pe\/en\/evaluando-la-carga-de-tratamiento-como-indicador-clinico-de-barreras-en-el-manejo-de-multimorbilidad-en-peru-estudio-de-metodos-mixtos\/","title":{"rendered":"Using Burden of Treatment as a Clinical Indicator of Barriers to Multimorbidity Management in Peru: A Mixed Methods Approach"},"content":{"rendered":"<p>[vc_row row_type=\u00bbrow\u00bb use_row_as_full_screen_section=\u00bbno\u00bb type=\u00bbfull_width\u00bb angled_section=\u00bbno\u00bb text_align=\u00bbleft\u00bb background_image_as_pattern=\u00bbwithout_pattern\u00bb css=\u00bb.vc_custom_1613264825552{padding-bottom: 30px !important;}\u00bb z_index=\u00bb\u00bb][vc_column][vc_row_inner][vc_column_inner width=\u00bb2\/3&#8243;][vc_column_text]<\/p>\n<h2 style=\"text-align: justify;\"><strong>Using Burden of Treatment as a Clinical Indicator of Barriers to Multimorbidity Management in Peru: A Mixed Methods Approach<\/strong><\/h2>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner row_type=\u00bbrow\u00bb type=\u00bbfull_width\u00bb text_align=\u00bbleft\u00bb css_animation=\u00bb\u00bb css=\u00bb.vc_custom_1613264992601{padding-top: 40px !important;}\u00bb][vc_column_inner width=\u00bb2\/3&#8243;][vc_single_image image=\u00bb3131&#8243; img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]Multimorbidity is increasing throughout the world. In many high-income countries (HICs), it is the norm rather than the exception, and low-and-middle-income countries (LMICs) are heading in this direction. Multiple studies have shown that patients with multimorbidity suffer from worse clinical outcomes. Part of this is due to the fact that they experience a higher burden of treatment (BOT), which is defined as how their healthcare workload &#8211; or all of the things they must do to comply with their medical treatment &#8211; affects their functionality and well-being. One of the many factors that increases healthcare workload and consequently BOT is the presence of healthcare system-related barriers. In LMICs, healthcare systems have evolved to treat acute conditions rather than manage chronic ones and consequently are replete with numerous barriers preventing successful multimorbidity management. In order to improve outcomes in multimorbidity, it is crucial to create patient-centered interventions that minimize these barriers. Sustainable implementation of these changes, however, requires the use of quality indicators, one of which is BOT. Although several patient-reported outcome measures have been identified to measure BOT in clinical settings, their use in LMICs has been limited.[\/vc_column_text][vc_column_text]<\/p>\n<h3 style=\"font-size: 20px; font-weight: bold; color: #0a71b4;\">Aim:<\/h3>\n<p>Measure, describe and compare the burden of treatment between patients with type 2 diabetes and patients with multimorbidity in Lima and Tumbes. To contribute to improve the concept of burden of treatment so it captures the experiences of patients with multimorbidity in LMIC.<\/p>\n<h3 style=\"font-size: 20px; font-weight: bold; color: #0a71b4;\">Study design:<\/h3>\n<p style=\"text-align: justify;\">We will evaluate BOT in multimorbid patients in Peru using a mixed-methods approach, involving both a quantitative and a qualitative phase.<\/p>\n<h3 style=\"font-size: 20px; font-weight: bold; color: #0a71b4;\">Result:<\/h3>\n<p>Completed project.<\/p>\n<h3 style=\"font-size: 20px; font-weight: bold; color: #0a71b4;\">Contact:<\/h3>\n<p>Silvana Perez Leon Q.<\/p>\n<p><a href=\"Silvana.perez.leon.q@upch.pe\" target=\"_blank\" rel=\"noopener\">Silvana.perez.leon.q@upch.pe<\/a>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243; css=\u00bb.vc_custom_1613264266426{padding-right: 20px !important;padding-left: 50px !important;}\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-map-marker-alt\" aria-hidden=\"true\"><\/i> Place of study<\/span><\/strong><br \/>\nLima and Tumbes, Peru.[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-pencil-alt\" aria-hidden=\"true\"><\/i> Funding<\/span><\/strong><\/p>\n<p>National Institutes of Health[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-calendar\" aria-hidden=\"true\"><\/i> Duration of the study<\/span><\/strong><br \/>\n2020-2024[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-search\" aria-hidden=\"true\"><\/i> Reserachers<\/span><\/strong><\/p>\n<p>J Jaime Miranda<\/p>\n<p>Mar\u00eda Amalia Pesantes<\/p>\n<p>Silvana P\u00e9rez Le\u00f3n[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-users\" aria-hidden=\"true\"><\/i> Collaborators<\/span><\/strong><\/p>\n<p>Juan Carlos Bazo<\/p>\n<p>Andrea Gaspar<\/p>\n<p>Daniel Mendoza<\/p>\n<p>V\u00edctor Montori<\/p>\n<p>Joseph Zunt[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-book\" aria-hidden=\"true\"><\/i> Publications<\/span><\/strong>[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-newspaper\" aria-hidden=\"true\"><\/i> News<\/span><\/strong><\/p>\n<ul>\n<li>Guide to self-care for people with type 2 diabetes: <a href=\"https:\/\/n9.cl\/ggbm9s\" target=\"_blank\" rel=\"noopener\">https:\/\/n9.cl\/ggbm9s<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fab fa-youtube\" aria-hidden=\"true\"><\/i> Videos<\/span><\/strong><\/p>\n<p><a href=\"https:\/\/n9.cl\/y98mp\" target=\"_blank\" rel=\"noopener\">https:\/\/n9.cl\/y98mp<\/a>[\/vc_column_text][vc_separator type=\u00bbsmall\u00bb position=\u00bbleft\u00bb][vc_column_text]<strong><span style=\"color: #0a71b4;\"><i class=\"fa fa-image\" aria-hidden=\"true\"><\/i> Gallery<\/span><\/strong>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_btn title=\u00bbReturn to Completed Projects\u00bb color=\u00bbprimary\u00bb align=\u00bbright\u00bb i_icon_fontawesome=\u00bbfas fa-step-backward\u00bb add_icon=\u00bbtrue\u00bb link=\u00bburl:https%3A%2F%2Fwww.cronicas-upch.pe%2Fen%2Fcompleted-projects%2F|title:COMPLETED%20PROJECTS\u00bb][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row row_type=\u00bbrow\u00bb use_row_as_full_screen_section=\u00bbno\u00bb type=\u00bbfull_width\u00bb angled_section=\u00bbno\u00bb text_align=\u00bbleft\u00bb background_image_as_pattern=\u00bbwithout_pattern\u00bb css=\u00bb.vc_custom_1613264825552{padding-bottom: 30px !important;}\u00bb z_index=\u00bb\u00bb][vc_column][vc_row_inner][vc_column_inner width=\u00bb2\/3&#8243;][vc_column_text] Using Burden of Treatment as a Clinical Indicator of Barriers to Multimorbidity Management in Peru: A Mixed Methods Approach [\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner row_type=\u00bbrow\u00bb type=\u00bbfull_width\u00bb text_align=\u00bbleft\u00bb css_animation=\u00bb\u00bb css=\u00bb.vc_custom_1613264992601{padding-top: 40px !important;}\u00bb][vc_column_inner width=\u00bb2\/3&#8243;][vc_single_image image=\u00bb3131&#8243; img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]Multimorbidity is increasing throughout the world. In many high-income countries (HICs), it&hellip;<\/p>\n","protected":false},"author":1,"featured_media":3131,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-3056","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-proyectos-concluidos","category-5","description-off"],"_links":{"self":[{"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/posts\/3056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/comments?post=3056"}],"version-history":[{"count":28,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/posts\/3056\/revisions"}],"predecessor-version":[{"id":4743,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/posts\/3056\/revisions\/4743"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/media\/3131"}],"wp:attachment":[{"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/media?parent=3056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/categories?post=3056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cronicas-upch.pe\/en\/wp-json\/wp\/v2\/tags?post=3056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}