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Managing patients with multimorbidity in primary care

Open access
Wallace, E., Salisbury, C., Guthrie, B., Lewis, C., Fahey, T., Smith, S. M.·2015·BMJ

Abstract

Multimorbidity, commonly defined as the presence of two or more chronic medical conditionsin an individual,¹ is associated with decreased quality of life, functional decline, and increased healthcare utilisation, including emergency admissions, particularly with higher numbers of coexisting conditions.²̄⁶ The management of multimorbidity with drugsis often complex, resulting in polypharmacy with its attendant risks.⁷̄⁹ Patients with multimorbidity have a high treatment burden in terms of understanding and self managing the conditions, attending multiple appointments, and managing complex drug regimens.¹⁰ Qualitative research highlights the “endless struggle” patients experience in trying to manage their conditions well.¹¹ Psychological distress is common: in an Australian survey of 7620 patients in primary care, 23% of those with one chronic condition reported depression compared with 40% of those with five or more conditions.¹² Multimorbidity presents many challenges, which may at times seem overwhelming. This review provides evidence based practice pointsthat are feasible to implement in general practice and offers guidance for general practitioners in organising care delivery. ¹²

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Metadata

Authors
Wallace, E., Salisbury, C., Guthrie, B., Lewis, C., Fahey, T., & Smith, S. M.
Venue
BMJ
Publisher
BMJ
Published
2015-01-20
Volume
350
Issue
jan20 2
Pages
h176-h176
ISSN
1756-1833 (ISSN-L)
OpenAlex
W2056139481
Cited by
742
References
7
FWCI
33.71
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Managing patients with multimorbidity in primary care. https://app.cochat.ai/papers/10.1136/bmj.h176
The paper
Wallace, E., Salisbury, C., Guthrie, B., Lewis, C., Fahey, T., & Smith, S. M. (2015). Managing patients with multimorbidity in primary care. BMJ. https://doi.org/10.1136/bmj.h176

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.