The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Challenges of managing people with multimorbidity in today’s healthcare systems
Open accessAbstract
Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of research on patients with multimorbidity, and thus guidelines are based on single-conditions. Polypharmacy is common in multimorbidity, increasing drug-disease and drug-drug interactions. Multimorbid patients need holistic care, but secondary care services are highly specialised and thus are often duplicative and fragmented and thus increase treatment burden in multimorbid patients. The cost of care is high in multimorbidity, due to high rates of primary and secondary care consultations and unplanned hospital admissions. The combination of mental and physical conditions increases complexity of care, and costs. Mental-physical multimorbidity is especially common in deprived areas.General practitioners and primary care teams have a key role in managing patients with multimorbidity, using a patient-centred generalist approach. Consultation length and continuity of care may need to be substantially enhanced in order to enable such patients. This will require a radical change in how health care systems are organised and funded in order to effectively meet the challenges of multimorbidity.
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Review: Health Care Utilization and Costs of Elderly Persons With Multiple Chronic Conditions
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We need minimally disruptive medicine
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The prevalence of multimorbidity in primary care and its effect on health care utilization and cost
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Adapting clinical guidelines to take account of multimorbidity
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Cited by
Fairall, L. R., Folb, N., Timmerman, V., Lombard, C., Steyn, K., Bachmann, M. O., Bateman, E. D., Lund, C., Cornick, R., Faris, G., et al. (2016) · PLoS Medicine · doi:10.1371/journal.pmed.1002178 · Cited by 99
Jansen, T., Hek, K., Schellevis, F. G., Kunst, A. E., & Verheij, R. A. (2020) · European Journal of Public Health · doi:10.1093/eurpub/ckaa116 · Cited by 5
Metadata
- Authors
- Moffat, K., & Mercer, S. W.
- Venue
- BMC Family Practice
- Published
- 2015-10-14
- Volume
- 16
- Issue
- 1
- Pages
- 129-129
- ISSN
- 1471-2296 (ISSN-L)
- OpenAlex
- W2119755548
- Cited by
- 349
- References
- 28
- FWCI
- 7.34
- Type
- journal article
- Language
- en
- Open access
- gold
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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.