Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
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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
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Multimorbidity and adverse events of special interest associated with Covid-19 vaccines in Hong Kong
Francisco T. T. Lai,Lei Huang,Celine Sze Ling Chui,Eric Yuk Fai Wan,Xue Li,Carlos K. H. Wong,Edward Chan,Tian Ma,Dawn Hei Lum,Janice Ching Nam Leung,Hao Luo,Esther W. Chan,Ian C. K. Wong +12 more
TL;DR: It is shown that adverse events are rare for all groups, and there is no evidence of risk modification due to multimorbidity following Covid-19 vaccination.
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Trends in comorbidity in patients hospitalised for cardiovascular disease
Josefien Buddeke,Josefien Buddeke,Michiel L. Bots,Ineke van Dis,Anho H Liem,Frank L.J. Visseren,Ilonca Vaartjes,Ilonca Vaartjes +7 more
TL;DR: Comorbid conditions are highly prevalent in patients hospitalised for CVD, especially HF and PAD patients, and in older patients, prevalences increased over time.
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Desarrollo de guías de práctica clínica en pacientes con comorbilidad y pluripatología
Máximo Bernabeu-Wittel,Pablo Alonso-Coello,Milagros Rico-Blázquez,R. Rotaeche del Campo,S. Sánchez Gómez,E. Casariego Vales +5 more
TL;DR: De acuerdo a la revisión bibliográfica efectuada, se sugieren algunas propuestas para su abordaje en las diferentes fases of elaboración of las GPC, con especial atención a the inclusión of los clusters de comorbilidad.
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Embedded geriatric surgical liaison is associated with reduced inpatient length of stay in older patients admitted for gastrointestinal surgery
TL;DR: A geriatric surgical liaison service for emergency and elective gastrointestinal surgery was established and it was found that embedded geriatrician liaison and process change throughout the surgical pathway was associated with a mean LOS reduction.
Journal ArticleDOI
Multimorbidity and Socioeconomic Deprivation in Primary Care Consultations
Stewart W Mercer,Yuefang Zhou,Gerry Humphris,Alex McConnachie,Andisheh Bakhshi,Annemieke Bikker,Maria Higgins,Paul Little,Bridie Fitzpatrick,Graham Watt +9 more
TL;DR: In deprived areas, the greater need of patients with multimorbidity is not reflected in the longer consultation length, higher GP patient centeredness, and higher perceived GP empathy found in affluent areas.
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.