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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Identifying treatment burden as an important concept for end of life care in those with advanced heart failure.
Bhautesh Dinesh Jani,David N Blane,Susan Browne,Victor M. Montori,Carl May,Nathan D. Shippee,Frances S. Mair +6 more
TL;DR: Treatment burden has the potential to be an important barometer of quality of care from the patient perspective in advanced heart failure.
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Health coaching interventions for persons with chronic conditions: a systematic review and meta-analysis protocol.
Kasey R. Boehmer,Suzette Barakat,Sangwoo Ahn,Larry J. Prokop,Patricia J. Erwin,M. Hassan Murad +5 more
TL;DR: A systematic review and meta-analysis of the contemporary health coaching literature published in the last decade will identify and synthesize evidence to inform the practice of health coaching by providing evidence on components and characteristics of the intervention essential for success in individuals with chronic health conditions.
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Comorbidity in patients with cardiovascular disease in primary care: a cohort study with routine healthcare data
Josefien Buddeke,Michiel L. Bots,Ineke van Dis,Frank L.J. Visseren,Monika Hollander,François G. Schellevis,Ilonca Vaartjes +6 more
TL;DR: Low vision, diabetes mellitus, back/neck problems, osteoarthritis, chronic obstructive pulmonary disease (COPD), and cancer were the most prevalent non-cardiovascular conditions and ranked in the top five of non- Cardiovascular comorbid conditions in the different CVDs studied, irrespective of patient age and sex.
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Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity: Cluster-randomised trial
Elizabeth Camacho,Linda Davies,Mark Hann,Nicola Small,Peter Bower,Carolyn Chew-Graham,Clare Baguely,Linda Gask,Chris Dickens,Karina Lovell,Waquas Waheed,Chris Gibbons,Peter A. Coventry +12 more
TL;DR: In the long term, collaborative care reduces depression and is potentially cost-effective at internationally accepted willingness-to-pay thresholds.
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.