Multiple Chronic Conditions: Prevalence, Health Consequences, and Implications for Quality, Care Management, and Costs
Open accessAbstract
Persons with multiple chronic conditions are a large and growing segment of the US population. However, little is known about how chronic conditions cluster, and the ramifications of having specific combinations of chronic conditions. Clinical guidelines and disease management programs focus on single conditions, and clinical research often excludes persons with multiple chronic conditions. Understanding how conditions in combination impact the burden of disease and the costs and quality of care received is critical to improving care for the 1 in 5 Americans with multiple chronic conditions. This Medline review of publications examining somatic chronic conditions co-occurring with 1 or more additional specific chronic illness between January 2000 and March 2007 summarizes the state of our understanding of the prevalence and health challenges of multiple chronic conditions and the implications for quality, care management, and costs.
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“conditions often cluster, resulting in high rates of comorbidity and marked challenges for treatment and prevention [2].”
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- Authors
- Vogeli, C., Shields, A. E., Lee, T. A., Gibson, T. B., Marder, W. D., Weiss, K. B., & Blumenthal, D.
- Affiliations
- Massachusetts General Hospital (US)
- Harvard University (US)
- Northwestern University (US)
- Corresponding author
- Vogeli, Christine
- ORCID
- Venue
- Journal of General Internal Medicine
- Published
- 2007-11-16
- Volume
- 22
- Issue
- S3
- Pages
- 391-395
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC2150598
- OpenAlex
- W2141344358
- Cited by
- 1,150
- References
- 47
- Citations by year
- 2026: 37 · 2025: 61 · 2024: 40 · 2023: 55 · 2022: 88 · 2021: 68 · 2020: 61 · 2019: 95 · 2018: 82 · 2017: 94 · 2016: 92 · 2015: 83 · 2014: 64 · 2013: 76 · 2012: 52
- FWCI
- 11.14
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of General Internal Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Journal of General Internal Medicine
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- multimorbidity, comorbidities, prevalence, health effects, quality of care, care management, health care costs, disease burden
- MeSH terms
- Chronic Disease, Humans, Quality of Health Care, United States, Comorbidity, Health Care Costs, Cost of Illness
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