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
Citations
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Editorial: Comorbidity and Autism Spectrum Disorder
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Factors associated with multimorbidity and its link with poor blood pressure control among 223,286 hypertensive patients
Martin C.S. Wong,Harry H.X. Wang,Clement S.K. Cheung,Ellen L.H. Tong,Antonio C.H. Sek,Ngai Tseung Cheung,Bryan P. Yan,Cheuk-Man Yu,Sian M. Griffiths,Andrew Justin Stewart Coats +9 more
TL;DR: Hypertensive patients with multimorbidities should receive more meticulous clinical care as their blood pressure control tends to be poorer and its prevalence increased markedly with the presence of risk factors identified in this study.
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Two morbidity indices developed in a nationwide population permitted performant outcome-specific severity adjustment.
P Constantinou,P Constantinou,Philippe Tuppin,Anne Fagot-Campagna,Christelle Gastaldi-Ménager,François G. Schellevis,Nathalie Pelletier-Fleury +6 more
TL;DR: The proposed MRMI and ERMI indices are performant tools to account for health-state severity according to outcomes of interest in a population-based setting.
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Oral health and the frailty syndrome.
TL;DR: How frailty can influence and be influenced by oral disorders, as well as the potential relationship to oral neglect and the resultant consequences among this vulnerable population are discussed.
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Where are we now in perioperative medicine? Results from a repeated UK survey of geriatric medicine delivered services for older people
TL;DR: Since 2013, an increase in whole-pathway geriatric medicine involvement is observed across surgical specialties, however, considerable variation persists across the UK with scope for wider adoption of services facilitated through a national network.
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.