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
Mortality rate and risk factors for gastrointestinal bleeding in elderly patients.
Marco Vincenzo Lenti,Luca Pasina,Sara Cococcia,Laura Cortesi,Emanuela Miceli,Costanza Caccia Dominioni,M. Pisati,Caterina Mengoli,Francesco Perticone,Alessandro Nobili,Antonio Di Sabatino,Gino Roberto Corazza,Reposi Investigators +12 more
TL;DR: A high index of comorbidity is associated with high odds of GIB in elderly patients and the use of non-ASA antiplatelet agents should be discussed in patients with multimorbidality.
Journal ArticleDOI
Burden of Multiple Chronic Conditions among Patients with Urological Cancer.
Tullika Garg,Amanda J. Young,Korey A. Kost,John Danella,Sharon Larson,Matthew E. Nielsen,H. Lester Kirchner +6 more
TL;DR: Urology patients are older and more medically complex, especially those with urological cancer than primary care patients, which may inform care redesign to reduce the treatment burden and improve care coordination in urology cancer cases.
Journal ArticleDOI
Reducing Care Utilisation through Self-management Interventions (RECURSIVE): a systematic review and meta-analysis
Maria Panagioti,Gerald Richardson,Elizabeth Murray,Anne Rogers,Anne Kennedy,Stanton Newman,Nicola Small,Peter Bower +7 more
TL;DR: Evidence for significant reductions in utilisation following self-management support interventions were strongest for interventions in respiratory and cardiovascular disorders, as well as providing benefits in patient health and quality of care.
Journal ArticleDOI
Can pragmatic trials help us better understand chronic pain and improve treatment
Michael C. Rowbotham,Ian Gilron,Clara Glazer,Clara Glazer,Andrew S.C. Rice,Blair H. Smith,Walter F. Stewart,Ajay D. Wasan +7 more
TL;DR: This research presents a probabilistic procedure called “spot-spot localization analysis” (SLA) to characterize the patterns of Ludwigian localization of central giant cell granuloma, a type of cancer that is notoriously difficult to treat with a single injection.
Journal ArticleDOI
How to Improve Integrated Care for People with Chronic Conditions: Key Findings from EU FP-7 Project INTEGRATE and Beyond
Liesbeth Borgermans,Yannick Marchal,Loraine Busetto,Jorid Kalseth,Frida Kasteng,Kadri Suija,Marje Oona,Olena Tigova,Magda Rösenmuller,Dirk Devroey +9 more
TL;DR: The lessons learned and critical success factors to policy making on integrated care show that a comprehensive systems perspective should guide the development of integrated care towards better health practices, education, research and policy.
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.