Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
Reads0
Chats0
TLDR
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
More filters
Journal ArticleDOI
Similar Multimorbidity Patterns in Primary Care Patients from Two European Regions: Results of a Factor Analysis
Beatriz Poblador-Plou,Marjan van den Akker,Rein Vos,Amaia Calderón-Larrañaga,Job F. M. Metsemakers,Alexandra Prados-Torres +5 more
TL;DR: The similarities found for the cardiometabolic, mechanical and psychiatric-substance abuse patterns in primary care patients from two different European countries could offer initial clues for the elaboration of clinical practice guidelines, if further evidenced in other contexts.
Journal ArticleDOI
Contextual and individual inequalities of multimorbidity in Brazilian adults: a cross-sectional national-based study.
Bruno Pereira Nunes,Alexandre Dias Porto Chiavegatto Filho,Sanghamitra Pati,Doralice Severo da Cruz Teixeira,Thaynã Ramos Flores,Fabio Alberto Camargo-Figuera,Tiago N. Munhoz,Elaine Thumé,Luiz Augusto Facchini,Sandro Rodrigues Batista +9 more
TL;DR: No linear association was found according to wealth index but greater outcome frequency was found in individuals with midrange wealth index, and living in states with higher levels of education and wealthier states was associated with greater multimorbidity.
Journal ArticleDOI
Barriers and facilitators for shared decision making in older patients with multiple chronic conditions: a systematic review.
Ruth E. Pel-Littel,Marjolein Snaterse,Nelly Marela Teppich,Bianca M. Buurman,Bianca M. Buurman,Faridi S. van Etten-Jamaludin,Julia C.M. van Weert,Mirella Minkman,Wilma J.M. Scholte op Reimer,Wilma J.M. Scholte op Reimer +9 more
TL;DR: In this article, the authors describe barriers and facilitators for shared decision making (SDM) as experienced by older patients with multiple chronic conditions (MCCs), informal caregivers and health professionals.
Journal ArticleDOI
Components of the transitional care model (TCM) to reduce readmission in geriatric patients: a systematic review
Nadine Morkisch,Luz Dary Upegui-Arango,Maria I. Cardona,Dirk van den Heuvel,Martina Rimmele,Cornel C. Sieber,Cornel C. Sieber,Ellen Freiberger +7 more
TL;DR: It is suggested that high intensity multicomponent and multidisciplinary interventions are likely to be effective reducing readmission rates in geriatric patients, without increasing cost.
Journal ArticleDOI
Deconstructing Complex Multimorbidity in the Very Old: Findings from the Newcastle 85+ Study
Joanna Collerton,Carol Jagger,Mohammad E Yadegarfar,Karen Davies,Stuart G Parker,Louise Robinson,Thomas B. L. Kirkwood +6 more
TL;DR: The majority of 85-year-olds had extensive and complex morbidity, and Elaborating participant clusters sharing similar morbidity profiles will help inform future healthcare provision and the identification of common underlying biological mechanisms.
References
More filters
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.