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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Prevalence and incidence density rates of chronic comorbidity in type 2 diabetes patients: an exploratory cohort study
Hilde D Luijks,Tjard Schermer,Hans Bor,Chris van Weel,Toine Lagro-Janssen,Marion C J Biermans,Wim J C de Grauw +6 more
TL;DR: High prevalence and incidence density rates for both concordant and discordant comorbidity are found in patients with newly diagnosed type 2 diabetes, thus future research and clinical practice should take discordant COMORbidity in patientswith T2D into account.
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What do we mean by multimorbidity? An analysis of the literature on multimorbidity measures, associated factors, and impact on health services organization
Thomas Lefèvre,Jean-François d’Ivernois,V. De Andrade,Cyril Crozet,Pierre Lombrail,Rémi Gagnayre +5 more
TL;DR: The aim of this study is to define the spectrum of multimorbidity and to discuss current implications for the organization of care.
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Impact of deprivation on occurrence, outcomes and health care costs of people with multiple morbidity
TL;DR: The higher incidence of disease, associated with deprivation, channels deprived populations into categories of multiple morbidity with a greater prevalence of depression, higher mortality and higher costs.
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Telecare for Diabetes, CHF or COPD: Effect on Quality of Life, Hospital Use and Costs. A Randomised Controlled Trial and Qualitative Evaluation
Timothy Kenealy,Matthew Parsons,A. Paul B. Rouse,Robert N. Doughty,Nicolette Sheridan,Jennifer K. Harré Hindmarsh,Sarah C. Masson,Harry Rea +7 more
TL;DR: Telecare led to patients and families taking a more active role in self-management, and subgroups of patients benefitted in ways that were not measured or visible within the quantitative data, especially feelings of safety and being cared-for.
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Multimorbidity and long-term care dependency--a five-year follow-up.
Daniela Koller,Gerhard Schön,Ingmar Schäfer,Gerd Glaeske,Hendrik van den Bussche,Heike Hansen +5 more
TL;DR: The results should form the basis for future health policy decisions on the treatment of patients with multiple chronic diseases and also show the need to introduce new ways of providing long-term care to this population.
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.