Journal ArticleDOI
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
Reads0
Chats0
TLDR
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
More filters
Journal ArticleDOI
Association between nutrition and the evolution of multimorbidity: The importance of fruits and vegetables and whole grain products
Guillaume Ruel,Zumin Shi,Zumin Shi,Shiqi Zhen,Hui Zuo,Edeltraut Kröger,Caroline Sirois,Jean-Frédéric Lévesque,Anne W. Taylor +8 more
TL;DR: This study provides the first evidence of an association between nutrition and evolution towards multimorbidity, and greater consumption of fruits and vegetable and whole grain products consumption appear to lower the risk of multimOrbidity.
Journal ArticleDOI
Withdrawing performance indicators: retrospective analysis of general practice performance under UK Quality and Outcomes Framework
Evangelos Kontopantelis,David A. Springate,David Reeves,Darren M. Ashcroft,Jose M Valderas,Tim Doran +5 more
TL;DR: Following the removal of incentives, levels of performance across a range of clinical activities generally remained stable, indicating that health benefits from incentive schemes can potentially be increased by periodically replacing existing indicators with new indicators relating to alternative aspects of care.
Journal ArticleDOI
Survival After Breast Conservation vs Mastectomy Adjusted for Comorbidity and Socioeconomic Status: A Swedish National 6-Year Follow-up of 48 986 Women.
TL;DR: In this article, the authors show that after breast-conserving surgery with postoperative radiotherapy (RT) than after mastectomy (Mx) without RT, women had higher comorbidity burden irrespective of RT, and women receiving Mx-RT were older, had a lower level of education and lower income.
Journal ArticleDOI
The association between medication non-adherence and adverse health outcomes in ageing populations: A systematic review and meta-analysis.
Caroline Walsh,Caitriona Cahir,Sarah Tecklenborg,Catherine Byrne,Michael A. Culbertson,Kathleen Bennett +5 more
TL;DR: Medication non-adherence may be significantly associated with all-cause hospitalisation and mortality in older people and should be monitored and addressed in this cohort to minimise hospitalisation, improve clinical outcomes and reduce healthcare costs.
Journal ArticleDOI
The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus in the Basque Country
Edurne Alonso-Morán,Juan F. Orueta,Jose Ignacio Fraile Esteban,Jose M. Arteagoitia Axpe,M Luz Marqués González,Nuria Toro Polanco,Patxi Ezkurra Loiola,Sonia Gaztambide,Roberto Nuño-Solinís +8 more
TL;DR: In the type 2 diabetes mellitus population living in the Basque Country, incidence rates of diabetes complications are not as high as in other places, however, they present a high prevalence of diabetes related and unrelated diseases.
References
More filters
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.