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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A Latent Class Analysis of Multimorbidity and the Relationship to Socio-Demographic Factors and Health-Related Quality of Life. A National Population-Based Study of 162,283 Danish Adults.
TL;DR: The results clearly support that diseases tend to compound and interact, which suggests that a differentiated public health and treatment approach towards multimorbidity is needed.
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Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis
Joanna M Davies,Katherine E Sleeman,Javiera Leniz,Rebecca L. Wilson,Irene J Higginson,Julia Verne,Matthew Maddocks,Fliss E M Murtagh,Fliss E M Murtagh +8 more
TL;DR: In high-income countries, low SEP is a risk factor for hospital death as well as other indicators of potentially poor-quality end-of-life care, with evidence of a dose response indicating that inequality persists across the social stratum.
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Multimorbidity prevalence in the general population: the role of obesity in chronic disease clustering
TL;DR: The prevalence of multimorbidity in the general population is high, but even higher in obese than non-obese persons, and this findings may be relevant for surveillance, prevention and management strategies for multimOrbidity.
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The social determinants of multimorbidity in South Africa.
Olufunke A. Alaba,Lumbwe Chola +1 more
TL;DR: The findings point to a potential difference in the factors associated with single chronic disease and multimorbidity in low income countries, particularly in sub-Saharan Africa.
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General Practitioners’ Empathy and Health Outcomes: A Prospective Observational Study of Consultations in Areas of High and Low Deprivation
Stewart W Mercer,Maria Higgins,Annemieke M. Bikker,Bridie Fitzpatrick,Alex McConnachie,Suzanne M. Lloyd,Paul Little,Graham Watt +7 more
TL;DR: In both settings, patients’ perceptions of the physicians’ empathy predict health outcomes, and health outcomes differ substantially between high- and low-deprivation areas.
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.