Open Access
Multimorbidity and quality of life in primary care: a systematic review
Martin Fortin,Lise Lapointe,Catherine Hudon,Alain Vanasse,Antoine Lutumba Ntetu,Danielle Maltais +5 more
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TLDR
In this paper, a systematic review was conducted to clarify the relationship between the presence of multimorbidity and the quality of life (QOL) or health-related QOL of patients seen, or likely to be seen, in the primary care setting.Abstract:
Many patients with several concurrent medical conditions (multimorbidity) are seen in the primary care setting. A thorough understanding of outcomes associated with multimorbidity would benefit primary care workers of all disciplines. The purpose of this systematic review was to clarify the relationship between the presence of multimorbidity and the quality of life (QOL) or health-related quality of life (HRQOL) of patients seen, or likely to be seen, in the primary care setting.read more
Citations
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Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study
TL;DR: 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.
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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Multimorbidity in Older Adults
TL;DR: Examination of population-based administrative claims data indicating specific health service delivery to nearly 31 million Medicare fee-for-service beneficiaries for 15 prevalent chronic conditions found 67% had multimorbidity, which increased with age, from 50% for persons under age 65 years to 62% for those aged 65-74 years.
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Interventions for improving outcomes in patients with multimorbidity in primary care and community settings
TL;DR: This review identifies the emerging evidence to support policy for the management of people with multimorbidity and common comorbidities in primary care and community settings and confidence in the results regarding the effectiveness of interventions ranged from low to high certainty.
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Managing patients with multimorbidity: systematic review of interventions in primary care and community settings.
TL;DR: It is indicated that it is difficult to improve outcomes in this population but that interventions focusing on particular risk factors in comorbid conditions or functional difficulties in multimorbidity may be more effective.
References
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The mos 36- item short form health survey (sf- 36) conceptual framework and item selection
Ware J.E.Jr.,C D Sherburne +1 more
Book
Measuring Health: A Guide to Rating Scales and Questionnaires
Ian McDowell,Claire Newell +1 more
TL;DR: The theory and the leading methods of measurement, all of which rely on subjective judgments in questionnaires and rating scales are described, showing readers how to select the most suitable one, apply it, and score the results.
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A critical appraisal of the quality of quality-of-life measurements
TL;DR: To evaluate how well quality of life is being measured in the medical literature and to offer a new approach to the measurement, original English-language articles having the term "quality of life" in their titles were identified.
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Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study.
Anita L. Stewart,Sheldon Greenfield,Ron D. Hays,Kenneth B. Wells,William H. Rogers,Sandra Berry,Elizabeth A. McGlynn,John E. Ware +7 more
TL;DR: For eight of nine common chronic medical conditions, patients with the condition showed markedly worse physical, role, and social functioning; mental health; health perceptions; and/or bodily pain compared with patients with no chronic conditions.
Journal ArticleDOI
Prevalence, expenditures, and complications of multiple chronic conditions in the elderly
TL;DR: Better primary care, especially coordination of care, could reduce avoidable hospitalization rates, especially for individuals with multiple chronic conditions.