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Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
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The article was published on 2005-01-01 and is currently open access. It has received 322 citations till now.read more
Citations
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Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
TL;DR: The findings challenge the single-disease framework by which most health care, medical research, and medical education is configured, and a complementary strategy is needed, supporting generalist clinicians to provide personalised, comprehensive continuity of care, especially in socioeconomically deprived areas.
Book
Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
TL;DR: The knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost, and a better use of data is a critical element of a continuously improving health system.
Journal ArticleDOI
The rising tide of polypharmacy and drug-drug interactions: population database analysis 1995–2010
TL;DR: In this paper, a repeated cross-sectional analysis of community-dispensed prescribing data for all 310,000 adults resident in the Tayside region of Scotland in 1995 and 2010 was carried out.
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Polypharmacy and prescribing quality in older people.
Michael A. Steinman,C. Seth Landefeld,Gary E. Rosenthal,Daniel Berthenthal,Saunak Sen,Peter J. Kaboli +5 more
TL;DR: To evaluate the relationship between inappropriate prescribing, medication underuse, and the total number of medications used by patients, a large number of patients with a history of depression and substance abuse are surveyed.
Journal ArticleDOI
Adapting clinical guidelines to take account of multimorbidity
TL;DR: Care of patients with multimorbidity could be improved if new technology is used to bring together guidelines on individual conditions and tailor advice to each patient’s circumstances, say Bruce Guthrie and colleagues.
References
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Journal ArticleDOI
Crossing the Quality Chasm: A New Health System for the 21st Century
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
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Implications of Recent Clinical Trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines
Scott M. Grundy,James I. Cleeman,C. Noel Bairey Merz,H. Bryan Brewer,Luther T. Clark,Donald B. Hunninghake,Richard C. Pasternak,Sidney C. Smith,Neil J. Stone +8 more
TL;DR: The trials confirm the benefit of cholesterol-lowering therapy in high-risk patients and support the ATP III treatment goal of low-density lipoprotein cholesterol (LDL-C) <100 mg/dL, and confirm that older persons benefit from therapeutic lowering of LDL-C.
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Organizing care for patients with chronic illness.
TL;DR: The challenge is to organize these components into an integrated system of chronic illness care, which can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care.
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Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting
Jerry H. Gurwitz,Terry S. Field,Leslie R. Harrold,Jeffrey M. Rothschild,Kristin R. DeBellis,Andrew C. Seger,Cynthia A. Cadoret,Leslie S. Fish,Lawrence Garber,Michael Kelleher,David W. Bates +10 more
TL;DR: Adverse drug events are common and often preventable among older persons in the ambulatory clinical setting and prevention strategies should target the prescribing and monitoring stages of pharmaceutical care.
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Primary care: is there enough time for prevention?
TL;DR: The amount of time required for a primary care physician to provide recommended preventive services to an average patient panel using published and estimated times per service was determined.