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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Big data from electronic health records for early and late translational cardiovascular research: challenges and potential
Harry Hemingway,Harry Hemingway,Folkert W. Asselbergs,Folkert W. Asselbergs,Folkert W. Asselbergs,John Danesh,Richard Dobson,Richard Dobson,Richard Dobson,Nikolaos Maniadakis,Aldo P. Maggioni,Ghislaine J. M. W. van Thiel,Maureen Cronin,Gunnar Brobert,Panos Vardas,Stefan D. Anker,Diederick E. Grobbee,Spiros Denaxas,Spiros Denaxas +18 more
TL;DR: The challenges and potential of big data are critically reviewed, for the first time, across early and late stages of translational cardiovascular disease research to improve understanding of disease causation and classification relevant for early translation and to contribute actionable analytics to improve health and healthcare.
Journal ArticleDOI
Taxonomy of the burden of treatment: a multi-country web-based qualitative study of patients with chronic conditions
Viet-Thi Tran,Viet-Thi Tran,Caroline Barnes,Victor M. Montori,Bruno Falissard,Bruno Falissard,Philippe Ravaud +6 more
TL;DR: The authors' taxonomy of the burden of treatment, provided by patients with chronic conditions from different countries and settings, supports the development of tools to ascertain theurden of treatment and highlights potential targets for interventions to minimize it.
Journal ArticleDOI
Challenges of managing people with multimorbidity in today’s healthcare systems
Keith Moffat,Stewart W Mercer +1 more
TL;DR: General practitioners and primary care teams have a key role in managing patients with multimorbidity, using a patient-centred generalist approach and consultation length and continuity of care may need to be substantially enhanced in order to enable such patients.
Journal ArticleDOI
Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS).
Katie Palmer,Alessandra Marengoni,Maria João Forjaz,Elena Jureviciene,Tiina Laatikainen,Federica Mammarella,Christiane Muth,Rokas Navickas,Alexandra Prados-Torres,Mieke Rijken,Ulrike Rothe,Laurene Souchet,Jose M Valderas,T. Vontetsianos,Jelka Zaletel,Graziano Onder +15 more
TL;DR: In this article, an expert consensus meeting was held to develop a framework for care of multimorbid patients that can be applied across Europe, within a project funded by the European Union; the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS).
Journal ArticleDOI
Nutrition for the ageing brain: Towards evidence for an optimal diet
David Vauzour,Maria Camprubi-Robles,Sophie Miquel-Kergoat,Cristina Andres-Lacueva,Diána Bánáti,Pascale Barberger-Gateau,Gene L. Bowman,Laura Caberlotto,Robert Clarke,Eef Hogervorst,Amanda J. Kiliaan,Ugo Lucca,Claudine Manach,Anne Marie Minihane,Ellen S. Mitchell,Robert Perneczky,Hugh Perry,Anne Marie Roussel,Jeroen Schuermans,John W.C. Sijben,Jeremy P. E. Spencer,Sandrine Thuret,Ondine van de Rest,Maurits Vandewoude,Keith Wesnes,Robert J. Williams,Robin S.B. Williams,María J. Ramírez +27 more
TL;DR: Overall, findings are inconsistent and fragmented and more research is warranted to determine the underlying mechanisms and to establish dose-response relationships for optimal brain maintenance in different population subgroups.
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
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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.