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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Quantifying the impact of chronic conditions on a diagnosis of major depressive disorder in adults: a cohort study using linked electronic medical records.
Euijung Ryu,Alanna M. Chamberlain,Richard S. Pendegraft,Tanya M. Petterson,William V. Bobo,Jyotishman Pathak +5 more
TL;DR: The results suggest that specific chronic conditions such as diabetes mellitus and rheumatoid arthritis/osteoarthritis may have greater influence than others on the risk of MDD.
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Charlson comorbidity index as a predictor of in-hospital death in acute ischemic stroke among very old patients: a single-cohort perspective study
Lorenzo Falsetti,Giovanna Viticchi,Nicola Tarquinio,Mauro Silvestrini,William Capeci,Vania Catozzo,Agnese Fioranelli,Laura Buratti,Francesco Pellegrini +8 more
TL;DR: If elderly patients are affected by multiple chronic pathologies, assessed by Charlson comorbidity index (CCI), showed a reduced in-hospital survival after ischemic stroke, elderly patients in CCI group 3 and 4 had an increased risk of in- hospital mortality, independently of NIHSS, sex and nosocomial infections.
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Understanding medical symptoms: a conceptual review and analysis
TL;DR: A conceptual review and analysis of symptom understanding suggests that a symptom can only be understood by attention to the social context in which the symptom emerges and the dialogue through which it is negotiated.
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Trends in multimorbidity, complex multimorbidity and multiple functional limitations in the ageing population of England, 2002-2015.
TL;DR: It is found that the three health outcomes became more prevalent between 2002 and 2015 and were moreCommon among females than males and were becoming more common among younger age groups.
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Intercultural aphasia: new models of understanding for Indigenous populations
Claire Penn,Elizabeth Armstrong +1 more
TL;DR: This paper explored the role of culture in aphasia in Indigenous populations and drew from a body of emerging research, highlighting relevant dimensions of understanding and practice for the aphasias clinician.
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.