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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Global health policy in the 21st century: Challenges and opportunities to arrest the global disability burden from musculoskeletal health conditions.
Andrew M. Briggs,Jeremy Shiffman,Yusra Ribhi Shawar,Kristina Åkesson,Nuzhat Ali,Anthony D. Woolf +5 more
TL;DR: The current global health policy landscape, the role of global health networks, and progress and opportunities since the 2000–2010 Bone and Joint Decade are considered for health policy to support improved musculoskeletal health and high-value health care are considered.
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Community based telepsychiatry service for older adults residing in a rural and remote region- utilization pattern and satisfaction among stakeholders
Pallavi Dham,Pallavi Dham,Neeraj Gupta,Jacob Alexander,Warwick Black,Tarek K. Rajji,Tarek K. Rajji,Elaine Skinner +7 more
TL;DR: In rural and remote areas, community-based telepsychiatry program can be a useful adjunct for psychiatrist input in the care of older adults and innovations to overcome sensory deficits and collaboration with community services should be explored to improve its acceptance among the most vulnerable population.
Journal ArticleDOI
Complexity, comorbidity, and health care costs associated with chronic widespread pain in primary care.
Enma Marianela Morales-Espinoza,Belchin Kostov,Daniel Cararach Salami,Zoe Herreras Perez,Anna Pereira Rosalen,Jacinto Ortiz Molina,Luis González-de Paz,Josep Miquel Sotoca Momblona,Jaume Benavent Àreu,Pilar Brito-Zerón,Manuel Ramos-Casals,Antoni Sisó-Almirall +11 more
TL;DR: The average patient with chronic widespread pain has a worse QoL and a greater burden of mental health disorders and cardiovascular risk, and the average annual cost associated with CWP is nearly 3 times higher than that of patients without CWP, controlling for other clinical factors.
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Interactive Effects of Dementia Severity and Comorbidities on Medicare Expenditures.
Carolyn W. Zhu,Carolyn W. Zhu,Stephanie Cosentino,Katherine A. Ornstein,Yian Gu,Howard Andrews,Yaakov Stern +6 more
TL;DR: Dementia severity was associated with higher expenditures, but comorbidities were the most important predictor of expenditures, and care of individuals with dementia should focus on management of comor bidities.
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Inequalities in multimorbidity in South Africa.
TL;DR: It is shown that multimorbidity in illness and disability is more prevalent among the poor; in disabilities this is yet more consistent than for illness; and there is a need to design policies to address this situation.
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.