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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Cost‐Related Medication Nonadherence Among Older Adults: Findings From a Nationally Representative Sample
Green C. Chung,Richard A. Marottoli,Richard A. Marottoli,Leo M. Cooney,Taeho Greg Rhee,Taeho Greg Rhee,Taeho Greg Rhee +6 more
TL;DR: To estimate the rate of and risk factors associated with cost‐related medication nonadherence among older adults, a large number of older adults are recruited forrandomised, double-blind, placebo-controlled trials.
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Towards an understanding of the burdens of medication management affecting older people: the MEMORABLE realist synthesis
Ian Maidment,Sally Lawson,Geoff Wong,Andrew Booth,Anne Watson,Hadar Zaman,Judy Mullan,Jane McKeown,Sylvia Bailey +8 more
TL;DR: Older people and family carers often find medication management challenging and burdensome particularly for complex regimens, and practitioners need to be aware of this potential challenge, and work with older people and their carers to minimise the burden associated with medication management.
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Increasing age- and gender-specific burden and complexity of multimorbidity in Taiwan, 2003-2013: a cross-sectional study based on nationwide claims data.
TL;DR: The burden of multimorbidity is increasing and becoming more complex in Taiwan, and it was found to vary across different age and gender groups.
The synthesis of art and science is lived by the nurse in the nursing act
TL;DR: The work of the clinical research nurse is described and the advantages and disadvantages of the role are examined and suggestions are made regarding the future of clinical research nursing and education.
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Social determinants of duration of last nursing home stay at the end of life in Switzerland: a retrospective cohort study.
TL;DR: The length of the last nursing home stay before death was not only dependent on health-related factors alone, but also substantially depended on socio-demographic determinants such as educational level, homeownership or marital status.
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.