Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
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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.About:
This article is published in The Lancet.The article was published on 2012-07-07. It has received 4839 citations till now. The article focuses on the topics: Comorbidity & Health services research.read more
Citations
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The impact of socioeconomic status and multimorbidity on mortality: a population-based cohort study.
Nikoline Lund Jensen,Henrik Pedersen,Mogens Vestergaard,Stewart W Mercer,Charlotte Glümer,Anders Prior +5 more
TL;DR: It is suggested that LEL is associated with higher overall and premature mortality and that the association is affected by MM, lifestyle factors, and quality of life.
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Effect of Comorbidity Assessed by the Charlson Comorbidity Index on the Length of Stay, Costs and Mortality among Older Adults Hospitalised for Acute Stroke.
Richard Ofori-Asenso,Ella Zomer,Ken Lee Chin,Si Si,Peter Markey,Mark Tacey,Andrea J. Curtis,Sophia Zoungas,Danny Liew +8 more
TL;DR: Among older adults hospitalised for acute stroke, higher global comorbidity (CCI ≥ 2) was associated with adverse clinical outcomes and measures to better manageComorbidities should be considered as part of wider strategies towards mitigating the social and economic impacts of stroke.
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Psychological distress and comorbid physical conditions: disease or disability?
Julie Byles,Ian Robinson,Emily Banks,Emily Banks,Richard Gibson,Lucy Leigh,Bryan Rodgers,Cassie Curryer,Louisa Jorm,Louisa Jorm +9 more
TL;DR: The extent to which the association between common chronic conditions and high scores on the Kessler Psychological Distress Scale (K10) measure of psychological distress vary according to comorbid conditions, disability, and sociodemographic circumstances is assessed.
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Patient-Centered Care and Patient-Reported Measures: Let’s Look Before We Leap
TL;DR: This commentary argues that those using patient-reported measures in care management or evaluation of services for MCC patients should do so in recognition of the challenges involved in treating them, and identifies two broadly defined contextual influences on the nature and quality of these processes and their outputs: busy practice settings and fragmented information technology.
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High Touch and High Tech (HT2) Proposal: Transforming Patient Engagement Throughout the Continuum of Care by Engaging Patients with Portal Technology at the Bedside
Ann Scheck McAlearney,Cynthia J. Sieck,Jennifer L Hefner,Alison M Aldrich,Daniel M. Walker,Milisa K Rizer,Susan D. Moffatt-Bruce,Timothy R. Huerta +7 more
TL;DR: This study measures how access to a patient portal tailored to the inpatient stay can improve patient experience and increase patient engagement and aims to advance efforts to increase patients’ engagement in their care and develop a template for how other hospitals might integrate similar technologies.
References
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Contribution of Primary Care to Health Systems and Health
TL;DR: The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups.
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Social determinants of health inequalities
TL;DR: A Commission on Social Determinants of Health is launching, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people.
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Depression, chronic diseases, and decrements in health: results from the World Health Surveys
TL;DR: Depression produces the greatest decrement in health compared with the chronic diseases angina, arthritis, asthma, and diabetes, and the urgency of addressing depression as a public-health priority is indicated to improve the overall health of populations.
Journal Article
Depression, chronic diseases, and decrements in health : results from the world health surveys. Commentary
TL;DR: In this paper, the authors explored the effect of depression, alone or as a comorbidity, on overall health status and found that depression produces the greatest decrement in health compared with the chronic diseases angina, arthritis, asthma, and diabetes.
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Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance.
TL;DR: It is suggested that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care.