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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How does mental-physical multimorbidity express itself in lived time and space? A phenomenological analysis of encounters with depression and chronic physical illness
TL;DR: Harnessing people's capacity to modify their experience of time and space may be a novel way to support people with mental-physical multimorbidity to live well with illness.
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Multimorbidade associado à polifarmácia e autopercepção negativa de saúde
Gustavo Cavalcanti,Marlene Doring,Marilene Rodrigues Portella,Emanuelly Casal Bortoluzzi,Andréia Mascarelo,Marcos Paulo Dellani +5 more
TL;DR: In this paper, a cross-sectional study was performed to verify the association between the multimorbidity of the elderly and sociodemographic variables, self-perception of health and polypharmacy.
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A population based study of variations in operation rates for breast cancer, of comorbidity and prognosis at diagnosis: failure to operate for early breast cancer in older women.
TL;DR: From age 70 there is an increasing failure to operate for breast cancer, and older women had larger tumours which were otherwise of good prognosis, and this would not account for the failure to operation which may in part be related to comorbidity in this age group.
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Computer technologies to integrate medical treatments to manage multimorbidity.
David Riaño,Wilfrido Ortega +1 more
TL;DR: A classification of the most promising current technologies addressing multimorbidity provides an analysis of their maturity, strengths, and weaknesses and concludes with an enumeration of ten relevant issues to consider when developing such technologies.
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Nursing home-acquired pneumonia, dysphagia and associated diseases in nursing home residents: A retrospective, cross-sectional study.
Vanessa R. Y. Hollaar,Gert-Jan van der Putten,Claar D. van der Maarel-Wierink,Ewald M. Bronkhorst,Bert J. M. de Swart,Bert J. M. de Swart,Cees de Baat,Nico H. J. Creugers +7 more
TL;DR: Dysphagia was found to be a risk factor for NHAP, the second‐most common infection in nursing homes and is associated with high mortality, health complications and multimorbidity.
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.