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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Demographic and practice factors predicting repeated non-attendance in primary care:a national retrospective cohort analysis
TL;DR: The findings that both patient and practice characteristics contribute to non-attendance of general practice appointments raise important questions for both the management of patients who miss multiple appointments and the effectiveness of existing strategies that aim to increase attendance.
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Quality of life is substantially worse for community-dwelling older people living with frailty: systematic review and meta-analysis
Thomas F Crocker,Lesley Brown,Andrew Clegg,Katherine Farley,Matthew Franklin,Samantha Simpkins,John Young +6 more
TL;DR: The association between frailty and lower QOL across a range of constructs is clear and often substantial, and services focused on measuring and improving QOL for older people with frailty should be introduced.
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Relevant models and elements of integrated care for multi-morbidity: Results of a scoping review
Verena Struckmann,Fenna Leijten,Ewout van Ginneken,Markus Kraus,Miriam Reiss,Anne Spranger,Melinde Boland,Thomas Czypionka,Reinhard Busse,Maureen P.M.H. Rutten-van Mölken +9 more
TL;DR: Most models and elements found in the literature focus on integrated care in general and do not explicitly focus on multi-morbidity, and most programmes identified in the Literature build on the Wagner's Chronic Care Model.
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The contribution of risk factors to socioeconomic inequalities in multimorbidity across the lifecourse: a longitudinal analysis of the Twenty-07 cohort
Srinivasa Vittal Katikireddi,Kathryn Skivington,Alastair H Leyland,Kate Hunt,Stewart W Mercer +4 more
TL;DR: Major socioeconomic inequalities in the development of multimorbidity exist even after taking account of known risk factors, andTackling social determinants of health, including holistic health and social care, is necessary if the rising burden of multimOrbidity in disadvantaged populations is to be redressed.
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Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity
TL;DR: Full engagement in self-management practices in multimorbidity was only present where patients’ articulated a sense of capacity, responsibility, and motivation, pointing to a balanced role for health services and wider enabling networks.
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.