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
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Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients
Felix Wicke,Corina Güthlin,Karola Mergenthal,Jochen Gensichen,Christin Löffler,Horst Bickel,Wolfgang Maier,Steffi G. Riedel-Heller,Siegfried Weyerer,Birgitt Wiese,Hans-Helmut König,Gerhard Schön,Heike Hansen,Hendrik van den Bussche,Martin Scherer,Anne Dahlhaus +15 more
TL;DR: Social support influences health-related quality of life, but this association is strongly mediated by depressive mood, and clinicians should be aware of its importance when caring for multimorbid patients.
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Better living with illness: A transdiagnostic acceptance and commitment therapy group intervention for chronic physical illness
Lindsay Brassington,Nuno Ferreira,Shona Yates,Jackie Fearn,Pam Lanza,Kim Kemp,David Gillanders +6 more
TL;DR: Group-based ACT interventions may be beneficial for LTCs and can be delivered transdiagnostically, and improvements were seen in depression and anxiety symptoms, limitations of the health condition, and valued living.
Journal ArticleDOI
Factors associated with polypharmacy in elderly home-care patients.
Hitoshi Komiya,Hiroyuki Umegaki,Atsushi Asai,Shigeru Kanda,Keiko Maeda,Takuya Shimojima,Hideki Nomura,Masafumi Kuzuya +7 more
TL;DR: Investigation of factors associated with polypharmacy in elderly home‐care patients in Japan found an increased risk of potentially inappropriate medications, medication non‐adherence, drug duplication, drug–drug interactions, higher healthcare costs and adverse drug reactions.
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Multimorbidity of chronic diseases among adult patients presenting to an inner-city clinic in Ghana
TL;DR: By identifying the risk factors for multimorbidity, the results of the present study provide further evidence for informing future policies aimed at improving clinical case management, health education and medical training in Ghana.
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Low levels of vitamin D are associated with multimorbidity: Results from the LifeLines Cohort Study
Laura M G Meems,Martin H. de Borst,Dirkje S. Postma,Judith M. Vonk,Hubertus P. H. Kremer,Marielouise Schuttelaar,Judith G. M. Rosmalen,Rinse K. Weersma,Bruce H. R. Wolffenbuttel,Salome Scholtens,Ronald P. Stolk,Ido P. Kema,Gerjan Navis,Mohsin A.F. Khan,Pim van der Harst,Rudolf A. de Boer +15 more
TL;DR: The results favor a general, rather than an organ-specific, approach when assessing the impact of vitamin D deficiency, especially in participants with vitamin D levels < 25 nmol/L.
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.