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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Minimally Disruptive Medicine: A Pragmatically Comprehensive Model for Delivering Care to Patients with Multiple Chronic Conditions
TL;DR: This work presents the conceptual rationale for and a practical approach to minimally disruptive care for patients with multiple chronic conditions and introduces some of the specific tools and strategies that can be used to identify the right care and to put it into practice.
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Prevalence of depression in COPD: A systematic review and meta-analysis of controlled studies
Darlan Laurício Matte,Marcia Margaret Menezes Pizzichini,Andrea Thives de Carvalho Hoepers,Alexandre Paim Diaz,Manuela Karloh,Mirella Dias,Emilio Pizzichini +6 more
TL;DR: The study highlights the variability in estimates of depression prevalence in COPD, which could be explained by methodological differences across the included studies and suggests that a standardization is critical to improve precision of the estimates.
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Physical activity, multimorbidity, and life expectancy: a UK Biobank longitudinal study.
Yogini Chudasama,Yogini Chudasama,Kamlesh Khunti,Kamlesh Khunti,Francesco Zaccardi,Alex V. Rowlands,Alex V. Rowlands,Alex V. Rowlands,Thomas Yates,Thomas Yates,Clare L Gillies,Melanie J. Davies,Melanie J. Davies,Nafeesa N. Dhalwani,Nafeesa N. Dhalwani +14 more
TL;DR: There was an inverse dose-response association between PA and mortality, and a moderate exercise is associated with a longer life expectancy, also in individuals with multimorbidity.
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Impact of body mass index on prevalence of multimorbidity in primary care: cohort study.
TL;DR: Multiple morbidity is highly associated with increasing BMI category and obesity, highlighting the potential for targeted primary and secondary prevention interventions in primary care.
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Link Worker social prescribing to improve health and well-being for people with long-term conditions: qualitative study of service user perceptions
TL;DR: Tackling complex and long-term health problems requires an extensive holistic approach not possible in routine primary care and this model of social prescribing, which takes into account physical and mental health, and social and economic issues, was successful for patients who engaged with the service.
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.