Open Access
Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions
Chad Boult,G D Wieland +1 more
Reads0
Chats0
TLDR
In this paper, the authors describe the case of an older woman whose case cannot be managed effectively through the traditional approach of simply diagnosing and treating her individual diseases, and identify 4 proactive, continuous processes that can substantially improve the primary care of community-dwelling older patients who have multiple chronic conditions.Abstract:
Older patients with multiple chronic health conditions and complex health care needs often receive care that is fragmented, incomplete, inefficient, and ineffective. This article describes the case of an older woman whose case cannot be managed effectively through the customary approach of simply diagnosing and treating her individual diseases. Based on expert consensus about the available evidence, this article identifies 4 proactive, continuous processes that can substantially improve the primary care of community-dwelling older patients who have multiple chronic conditions: ...read more
Citations
More filters
Journal ArticleDOI
Impact of noncardiac comorbidities on morbidity and mortality in a predominantly male population with heart failure and preserved versus reduced ejection fraction
Sameer Ather,Wenyaw Chan,Biykem Bozkurt,Biykem Bozkurt,David Aguilar,Kumudha Ramasubbu,Kumudha Ramasubbu,Amit A. Zachariah,Xander H.T. Wehrens,Anita Deswal,Anita Deswal +10 more
TL;DR: There is a higher noncardiac comorbidity burden associated with higher non-HF hospitalizations in patients with HFpEF compared with those with HFrEF, and Aggressive management ofComorbidities may have an overall greater prognostic impact in HFp EF compared to HFr EF.
Journal ArticleDOI
Future of multimorbidity research: how should understanding of multimorbidity inform health system design?
Cynthia M. Boyd,Martin Fortin +1 more
TL;DR: The objective of this paper is to review the implications of multimorbidity for the design of health system and to understand the research needs for this population of patients with multiple chronic conditions.
Journal ArticleDOI
Understanding the Context of Health for Persons With Multiple Chronic Conditions: Moving From What Is the Matter to What Matters
Elizabeth A. Bayliss,Denise E. Bonds,Cynthia M. Boyd,Melinda M. Davis,Bruce Finke,Michael H. Fox,Russell E. Glasgow,Russell E. Glasgow,Richard A. Goodman,Suzanne Heurtin-Roberts,Sue Lachenmayr,Cristin Lind,Elizabeth A. Madigan,David Meyers,Suzanne Mintz,Wendy Nilsen,Sally Okun,Sarah Ruiz,Sarah Ruiz,Marcel E. Salive,Kurt C. Stange +20 more
TL;DR: Rigorous, integrated, participatory, multimethod approaches to generate new knowledge and diverse partnerships can be used to increase the relevance of research to make health care more sustainable, safe, equitable and effective, to reduce suffering, and to improve quality of life.
Journal ArticleDOI
Comprehensive care programs for patients with multiple chronic conditions: A systematic literature review
Simone R. de Bruin,Nathalie Versnel,Lidwien C. Lemmens,Claudia C. M. Molema,François G. Schellevis,Giel Nijpels,Caroline A. Baan +6 more
TL;DR: It is as yet too early to draw firm conclusions regarding their effectiveness, but more rigorous evaluation studies are necessary to determine what constitutes best care for the increasing number of people with multiple chronic conditions.
Journal ArticleDOI
Navigation roles support chronically ill older adults through healthcare transitions: a systematic review of the literature
TL;DR: There is some evidence that integrated and coordinated care guided by a navigator, using a variety of interventions such as care plans and treatment goals, is beneficial for chronically ill older adults transitioning across care settings.
References
More filters
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.
Journal ArticleDOI
The quality of health care delivered to adults in the United States.
Elizabeth A. McGlynn,Steven M. Asch,John L. Adams,Joan Keesey,Jennifer Hicks,Alison H. DeCristofaro,Eve A. Kerr +6 more
TL;DR: The deficits the authors have identified in adherence to recommended processes for basic care pose serious threats to the health of the American public and strategies to reduce these deficits in care are warranted.
Journal ArticleDOI
Self-management education: history, definition, outcomes, and mechanisms.
Kate Lorig,Halsted R. Holman +1 more
TL;DR: Evidence of the effectiveness of self-management interventions is presented and a possible mechanism, self-efficacy, through which these interventions work are posited.
Journal ArticleDOI
Improving Primary Care for Patients With Chronic Illness
TL;DR: The chronic care model is a guide to higher-quality chronic illness management within primary care and predicts that improvement in its 6 interrelated components can produce system reform in which informed, activated patients interact with prepared, proactive practice teams.
Journal ArticleDOI
Improving primary care for patients with chronic illness: the chronic care model, Part 2
TL;DR: Research evidence shows to what extent the chronic care model can improve the management of chronic conditions and reduce health care costs and obstacles hinder its widespread adoption.
Related Papers (5)
Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions: “Nobody Rushes You Through”
Chad Boult,G. Darryl Wieland +1 more