Cited by 1,150Chronic Disease Management StrategiesHealthcare Policy and ManagementPrimary Care and Health Outcomes

Multiple Chronic Conditions: Prevalence, Health Consequences, and Implications for Quality, Care Management, and Costs

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Vogeli, Christine, Shields, Alexandra E., Lee, Todd A., Gibson, Teresa B., Marder, William D., Weiss, Kevin B., Blumenthal, David·2007·Journal of General Internal Medicine

Abstract

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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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
Venue
Journal of General Internal Medicine
Published
2007-11-16
Volume
22
Issue
S3
Pages
391-395
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
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
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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