The prevalence of multimorbidity in primary care and its effect on health care utilization and cost
Liam G. Glynn,Jose M Valderas,Pamela Healy,Evelyn Burke,John Newell,Patrick Gillespie,Andrew W. Murphy +6 more
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TLDR
Multimorbidity is very common in primary care and in a system with strong gatekeeping is associated with high health care utilization and cost across the health care system.Abstract:
Results In a sample of 3309 patients in the community, the prevalence of multimorbidity was 662% (95% CI: 645–678) in those >50 years of age Health care utilization and cost was significantly increased among patients with multimorbidity (P 4 conditions versus 0 conditions); hospital out-patient visits (P = 0001) (36 versus 06 for >4 conditions versus 0 conditions); hospital admissions (P = 001) [adjusted odds ratio (OR) of 451 for >4 conditions versus 0 conditions] and total health care costs (P 4c onditions versus 0 conditions) over the previous 12 months Conclusions Multimorbidity is very common in primary care and in a system with strong gatekeeping is associated with high health care utilization and cost across the health care system Interventions to address quality and cost associated with multimorbidity must focus on primary as well as secondary careread more
Citations
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Prevalence, Determinants and Patterns of Multimorbidity in Primary Care: A Systematic Review of Observational Studies
Concepció Violan,Quintí Foguet-Boreu,Gemma Flores-Mateo,Chris Salisbury,Jeanet W. Blom,Michael H. Freitag,Liam G. Glynn,Christiane Muth,Jose M Valderas +8 more
TL;DR: The limitations of the current evidence base means that further and better designed studies are needed to inform policy, research and clinical practice, with the goal of improving health-related quality of life for patients with multimorbidity.
Journal ArticleDOI
Defining and Measuring Chronic Conditions: Imperatives for Research, Policy, Program, and Practice
TL;DR: This work outlines a conceptual model for improving understanding of and standardizing approaches to defining, identifying, and using information about chronic conditions in the United States and illustrates this model’s operation by applying a standard classification scheme for chronic conditions to 5 national-level data systems.
Journal ArticleDOI
Managing patients with multimorbidity in primary care
TL;DR: Multimorbidity, commonly defined as the presence of two or more chronic medical conditions in an individual, is associated with decreased quality of life, functional decline, and increased healthcare utilisation, including emergency admissions, particularly with higher numbers of coexisting conditions.
Journal ArticleDOI
The increasing burden and complexity of multimorbidity.
Anna J. Kone Pefoyo,Anna J. Kone Pefoyo,Susan E. Bronskill,Andrea Gruneir,Andrew Calzavara,Kednapa Thavorn,Kednapa Thavorn,Yelena Petrosyan,Colleen J. Maxwell,YuQing Bai,Walter P. Wodchis,Walter P. Wodchis +11 more
TL;DR: The high prevalence of multimorbidity and numerous combinations of conditions suggests that single, disease-oriented management programs may be less effective or efficient tools for high quality care compared to person-centered approaches.
Journal ArticleDOI
Aging and Multimorbidity: New Tasks, Priorities, and Frontiers for Integrated Gerontological and Clinical Research
Elisa Fabbri,Marco Zoli,Marta Gonzalez-Freire,Marcel E. Salive,Stephanie A. Studenski,Luigi Ferrucci +5 more
TL;DR: It is time to build connections and dialogue between the clinical experience of general practitioners and geriatricians and the scientists who study aging, so as to stimulate innovative research projects to improve the management and the treatment of older patients with multiple morbidities.
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