Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
Reads0
Chats0
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
More filters
Journal ArticleDOI
Household and area-level social determinants of multimorbidity: a systematic review.
Elizabeth Ingram,Sarah Ledden,Sarah Beardon,Manuel Gomes,Sue Hogarth,Helen Mcdonald,David Osborn,David Osborn,Jessica Sheringham +8 more
TL;DR: Improving understanding of broader social determinants of multimorbidity—particularly at the household level—could help inform strategies to tackle multimOrbidity.
Journal ArticleDOI
Improving Stroke Risk Prediction in the General Population: A Comparative Assessment of Common Clinical Rules, a New Multimorbid Index, and Machine-Learning-Based Algorithms
TL;DR: In this paper, the authors investigated stroke risks in a very large prospective cohort of patients with multimorbidity, using two common clinical rules, a clinical multimorebid index and a machine-learning approach, accounting for the complex relationships among variables, including the dynamic nature of changing risk factors.
Journal ArticleDOI
Different Multimorbidity Measures Result in Varying Estimated Levels of Physical Quality of Life in Individuals with Multimorbidity: A Cross-Sectional Study in the General Population
TL;DR: How physical health-related quality of life varies in individuals with multimorbidity depending on the length of the list of candidate conditions considered is evaluated.
Journal ArticleDOI
Multimorbidity in people with type 2 diabetes in the Basque Country (Spain): Prevalence, comorbidity clusters and comparison with other chronic patients
Edurne Alonso-Morán,Juan F. Orueta,Jose Ignacio Fraile Esteban,Jose M. Arteagoitia Axpe,Mª. Luz Marqués González,Nuria Toro Polanco,Patxi Ezkurra Loiola,Sonia Gaztambide,Roberto Nuño-Solinís +8 more
TL;DR: There are notable differences between chronic patients with and without T2DM, the prevalence of multimorbidity being greater among the former, and more research is required to establish the clinical implications of the disease clusters found, to guide the introduction of integrated care management programmes.
Journal ArticleDOI
Multimorbidity and its associated factors among adults aged 50 and over: A cross-sectional study in 17 European countries
Dyego Leandro Bezerra de Souza,Dyego Leandro Bezerra de Souza,Albert Oliveras-Fabregas,Albert Espelt,Albert Espelt,Marina Bosque-Prous,Marianna de Camargo Cancela,Ester Teixidó-Compañó,Javier Jerez-Roig,Javier Jerez-Roig +9 more
TL;DR: A cross-sectional study based on wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) was conducted, and community-dwelling participants aged 50+ (n = 63,844) from 17 European countries were selected as discussed by the authors.
References
More filters
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.