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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Sensor monitoring to measure and support daily functioning for independently living older people a systematic review and road map for further development
Margriet Pol,Soemitro Poerbodipoero,Saskia Robben,Joost G. Daams,Margo van Hartingsveldt,Rien de Vos,Sophia E. de Rooij,Ben Kröse,Bianca M. Buurman +8 more
TL;DR: To study sensor monitoring as a method to measure and support daily functioning for older people living independently at home.
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Primary care REFerral for EchocaRdiogram (REFER) in heart failure: a diagnostic accuracy study.
Clare J Taylor,Andrea K Roalfe,Rachel Iles,FD Richard Hobbs,Pelham Barton,Martin R. Cowie,Russell C. Davis,Jon Deeks,Jonathan Mant,Deborah McCahon,Theresa McDonagh,George C. Sutton,Lynda Tait +12 more
TL;DR: At the low threshold of NT-proBNP <125 pg/ml, natriuretic peptide testing alone was better than a validated CDR+NT- proBNP in determining which patients presenting with symptoms went on to have a diagnosis of heart failure.
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Impact of Anxiety and Depression on Physical Health Condition and Disability in an Elderly Korean Population
Hee-Ju Kang,Kyung-Yeol Bae,Sung-Wan Kim,Hee-Young Shin,Il-Seon Shin,Jin-Sang Yoon,Jae-Min Kim +6 more
TL;DR: Comorbid anxiety and depression were associated with an increase in the number of physical disorders and the degree of disability during the two-year follow-up, compared to anxiety or depression alone or the absence of Anxiety or depression.
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Neighbourhood socio-economic status and all-cause mortality in adults with atrial fibrillation: A cohort study of patients treated in primary care in Sweden
TL;DR: Increased rates of heart disease and subsequent mortality among adults in deprived neighbourhoods raise important clinical and public health concerns and could serve as an aid to policy-makers when allocating resources in primary health care settings as well as to clinicians who encounter patients in deprivation neighbourhoods.
Journal ArticleDOI
Multimorbidity Frameworks Impact Prevalence and Relationships with Patient‐Important Outcomes
Lauren Griffith,Anne Gilsing,Dee Mangin,Christopher Patterson,Edwin R. van den Heuvel,Nazmul Sohel,Philip D. St. John,Marjan van den Akker,Marjan van den Akker,Parminder Raina +9 more
TL;DR: This work aims to explore how different frameworks and categories of chronic conditions impact multimorbidity (defined as two or more chronic conditions) prevalence estimates and associations with patient‐important functional outcomes.
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.