Journal
PUBLIC HEALTH REVIEWS
Volume 32, Issue 2, Pages 451-474Publisher
FRONTIERS MEDIA SA
DOI: 10.1007/BF03391611
Keywords
Multimorbidity; aging; chronic conditions; health system; healthcare; comorbidity.
Categories
Funding
- Johns Hopkins Bayview Center for Innovative Medicine
- Robert Wood Johnson Foundation Physician Faculty Scholars Program
- Paul Beeson Career Development Award Program [NIA K23 AG032910]
- Paul Beeson Career Development Award Program (AFAR)
- Paul Beeson Career Development Award Program (John A. Hartford Foundation)
- Paul Beeson Career Development Award Program (Atlantic Philanthropies)
- Paul Beeson Career Development Award Program (Starr Foundation)
- Canadian Institutes of Health Research
- Institute for Health Services and Policy Research
- Canadian Health and Services Research Foundation
- Centre de sante et de services sociaux de Chicoutimi (Applied CIHR health services and policy research chair on chronic diseases in primary care)
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Many people living with chronic conditions have multiple chronic conditions. Multimorbidity is defined here as the co-existence of two or more chronic conditions, where one is not necessarily more central than the others. Multimorbidity affects quality of life, ability to work and employability, disability and mortality. Currently, clinicians have limited guidance or evidence as to how to approach care decisions for such patients. Understanding how to best care and design the health system for patients with multimorbidity may lead to improvements in quality of life, utilization of healthcare, safety, morbidity and mortality. The objective of this paper is to review the implications of multimorbidity for the design of health system and to understand the research needs for this population. The consideration of people with multimorbidity is essential in the design and evaluation of health systems. Fundamentally, people with multimorbidity should receive a patient - and family-centered approach to care throughout the health system, and understanding how to deliver this type of care in effective and efficient ways is an enormous challenge, and opportunity, for clinicians, researchers, and policy makers today.
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