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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Perceived barriers to healthcare for persons living in poverty in Quebec, Canada: the EQUIhealThY project.
Christine Loignon,Catherine Hudon,Émilie Goulet,Sophie Boyer,Marianne De Laat,Nathalie Fournier,Cristina Grabovschi,Paula L. Bush +7 more
TL;DR: It is revealed that unhealthy living conditions prevent persons living in poverty from accessing quality healthcare and maintaining good health and the complexity of the healthcare system’s organization and functioning has a negative impact on the interactions with healthcare providers.
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Community Care for People with Complex Care Needs: Bridging the Gap between Health and Social Care.
TL;DR: In this paper, the authors investigated key care components to support complex patients and their families in the community and found that meeting the needs of the population who require health and social care requires time to develop authentic relationships, broadening the membership of the care team, communicating across sectors, and addressing the barriers that prevent providers from engaging in these required practices.
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Adoption of clinical decision support in multimorbidity: a systematic review.
TL;DR: This review shows that multimorbidity is underinvestigated in the informatics of supporting clinical decisions, and interventions that systematize clinical practice guidelines without considering the interactions of different conditions and care processes may lead to unhelpful or harmful clinical actions.
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Depression and multimorbidity: Considering temporal characteristics of the associations between depression and multiple chronic diseases.
TL;DR: Depression is central in patterns of multimorbidity and is associated with incident disease for several of the most common chronic diseases, justifying the focus on screening and treatment of depression in those at risk for developing chronic disease.
Transforming our health care system: ten priorities for commissioners
TL;DR: This document, from The King’s Fund, sets out ten priorities for action to help commissioners transform the health care system.
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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.