Pular para o conteúdo principal

ETHNOS_APP

Início • Busca • Periódicos • Lista 0

Future of Multimorbidity Research

How Should Understanding of Multimorbidity Inform Health System Design?

Dados Bibliográficos

ID23358032
AutoresCynthia M Boyd (0000-0001-5642-9015, Johns Hopkins University, autor correspondente), Martin Fortin (0000-0002-9874-3771, Université de Sherbrooke)
Ano2010
Volume32
Fascículo2
Páginas451-474
Data de publicação2010-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Reviews (JOURNAL)
Identificadores do periódicoISSN: 0301-0422 • E-ISSN: 2107-6952
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/bf03391611
OpenAlexW158971885
IdiomaEN
Citações recebidas72
Referências citadas119

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.

Economic growth · Environmental health · Health care · Healthcare system · Multimorbidity · Population · Public health · Quality of life (healthcare) · Chronic Disease Management Strategies · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing

  • Multimorbidity of chronic diseases among adult patients presenting to an inner-city clinic in Ghana

    Open Access•Belinda Nimako, Frank Baiden et al.•Globalization and Health•2013

  • Mapping for Conceptual Clarity

    Open Access•Carolyn Steele Gray, Walter P Wodchis et al.•International Journal of…•2018

  • Quality of diabetes care in Dutch care groups

    Open Access•Simone R de Bruin, Sandra H van Oostrom et al.•International Journal of…•2013

  • Prevalência De Doenças Crônicas Em Idosos Atendidos Na Área De Abrangência Da Estratégia Saúde Da Família No Interior Do Rs

    Open Access•Jéssica Andressa Rizzardo, Juliane Bervian et al.•Estudos Interdisciplinares sobre…•2019

  • Atención de la Salud Guiada por las Prioridades de las Personas Mayores

    Open Access•José F Parodi, Jimena De Noriega Madalengoitia•REVISTA QUAESTIO IURIS•2022

  • Race/Ethnicity, insurance, income and access to care

    Open Access•Tze-Fang Wang, Leiyu Shi et al.•International Journal for Equity…•2013

  • The social determinants of multimorbidity in South Africa

    Open Access•Olufunke Alaba, Lumbwe Chola•International Journal for Equity…•2013

  • Multimorbidity prevalence and patterns across socioeconomic determinants

    Open Access•Calypse B Agborsangaya, Calypse Agborsangaya et al.•BMC Public Health•2012

  • Distribution and determinants of functioning and disability in aged adults - results from the German Kora-Age study

    Open Access•Ralf Strobl, Marguerite Müller et al.•BMC Public Health•2013

  • Approaches to Comparative Effectiveness Research in Multimorbid Populations

    Matthew L Maciejewski, Elizabeth A Bayliss•Medical Care•2014

  • The increasing burden and complexity of multimorbidity

    Open Access•Ahoua Koné, Anna J Koné Pefoyo et al.•BMC Public Health•2015

  • Social disparities in the prevalence of multimorbidity – A register-based population study

    Open Access•Michaela Schiøtz, Michaela L Schiøtz et al.•BMC Public Health•2017

  • Prevalence of and factors associated with multimorbidity among adults in Kuwait

    Open Access•Fajer Saoud, Maryam AlHenaidi et al.•BMC Public Health•2024

  • The prevalence of multimorbidity and associations with lifestyle factors among middle-aged Canadians

    Open Access•Mohammad Nazmus Sakib, Shahin Shooshtari et al.•BMC Public Health•2019

  • The prevalence of multimorbidity in primary care

    Open Access•Sing Lee, Sabrina Lee et al.•BMC Public Health•2021

  • The Patient-Centered Care and Receipt of Preventive Services Among Older Adults With Chronic Diseases

    Open Access•Hailun Liang, Junya Zhu et al.•INQUIRY The Journal of Health…•2017

  • Global Multimorbidity Patterns

    Noé Garín, Ai Koyanagi et al.•The Journals of Gerontology…•2016

  • Multimorbidity

    Open Access•Søren T Skou, Frances S Mair et al.•Nature Reviews Disease Primers•2022

  • Multimorbidity and depression

    Open Access•Jennifer R Read, Lesley Sharpe et al.•Journal of Affective Disorders•2017

  • Physical multimorbidity, health service use, and catastrophic health expenditure by socioeconomic groups in China

    Open Access•Yang Zhao, Rifat Atun et al.•The Lancet Global Health•2020

  • The Selfie framework for integrated care for multi-morbidity

    Open Access•Fenna R M Leijten, Fenna Leijten et al.•Health Policy•2018

  • Community-based health education and quality of life among older adults with chronic diseases in China

    Open Access•Cangcang Jia, Qinglin Xu et al.•Critical Public Health•2026

  • Compensatory network capital

    Open Access•Carsten Kronborg Bak, Tina Junge et al.•Health Promotion International•2026

  • Associations of Multimorbid Medical Conditions and Health-Related Quality of Life Among Older African American Men

    Olivio J Clay, Wesley R Browning et al.•The Journals of Gerontology…•2017

  • Discordant Chronic Conditions and Depressive Symptoms

    Open Access•Courtney A Polenick, Kira S Birditt et al.•The Journals of Gerontology…•2019

  • The Complexity of Living with Diabetes and Urinary Incontinence for Older Adults with Multiple Chronic Conditions Receiving Home Care Services

    Open Access•Melissa Northwood, Jenny Ploeg et al.•Global Qualitative Nursing Research•2021

  • Impacts of multimorbidity on medication treatment, primary healthcare and hospitalization among middle-aged and older adults in China

    Open Access•Yang Zhao, Siqi Zhao et al.•BMC Public Health•2021

  • The prevalence of cardiometabolic multimorbidity and its association with physical activity, diet, and stress in Canada

    Open Access•Brodie M Sakakibara, A Obembe et al.•BMC Public Health•2019

  • The importance of including a mental health dimension in a multimorbidity indicator

    Open Access•Pierre Laloux, Lydia Gisle et al.•BMC Public Health•2024

  • The influence of intergenerational relationships on depressive symptoms in elderly patients with multiple chronic conditions

    Open Access•Wenjia Feng, Pengxin Geng et al.•BMC Public Health•2025

  • Co-occurring mental illness, drug use, and medical multimorbidity among lesbian, gay, and bisexual middle-aged and older adults in the United States

    Open Access•Benjamin H Han, Dustin T Duncan et al.•BMC Public Health•2020

  • Subjective memory complaints and medication adherence among hypertensive Korean older adults with multimorbidity

    Open Access•Jeong Sun Kim, Eunji Kim•BMC Public Health•2024

  • Comparisons of disease cluster patterns, prevalence and health factors in the USA, Canada, England and Ireland

    Open Access•Belinda Hernandez, Stacey Voll et al.•BMC Public Health•2021

  • Monitoring population health for Healthy People 2020

    Open Access•John P Barile, Bryce B Reeve et al.•Quality of Life Research•2012

  • Multimorbidity and comorbidity in the Dutch population – data from general practices

    Open Access•Sandra H van Oostrom, H Susan J Picavet et al.•BMC Public Health•2012

  • Prevalence of multimorbidity according to the deprivation level among the elderly in the Basque Country

    Open Access•Juan F Orueta, Roberto Nuño-Solínis et al.•BMC Public Health•2013

  • Health-related needs of people with multiple chronic diseases

    Open Access•Petra Hopman, François Schellevis et al.•Quality of Life Research•2015

  • Patterns of physical activity and health-related quality of life amongst patients with multimorbidity in a multi-ethnic Asian population

    Open Access•Mythily Subramaniam, Yunjue Zhang et al.•BMC Public Health•2019

  • Multimorbidity and Mental Health

    Open Access•Jiao Chen, Chen Jiao et al.•International Journal of…•2020

  • Barriers of digital health self-management in older adults with multimorbidity using a novel user-focused approach

    Open Access•Zhuoning Fu, Emilene Zitkus et al.•Universal Access in the…•2026

  • Dual burden of chronic physical conditions and mental disorders

    Open Access•Yasmin Altwaijri, Yasmin A Altwaijri et al.•Frontiers in Public Health•2023

  • The Prevalence of Metabolic Disease Multimorbidity and Its Associations With Spending and Health Outcomes in Middle-Aged and Elderly Chinese Adults

    Open Access•Yang Zhao, Puhong Zhang et al.•Frontiers in Public Health•2021

  • The relationship between health literacy and health-related quality of life in Chinese older adults

    Open Access•Hui Li, Simin Tao et al.•Frontiers in Public Health•2024

  • Managing healthcare conflicts when living with multiple chronic conditions

    Open Access•Clara Caldeira, Xinning Gui et al.•International Journal of…•2021

  • Enhancing geriatric care delivery

    Jie Xiong, Tengteng Wang•Educational Gerontology•2026

  • Understanding factors influencing the adoption of a mobile platform of medical and senior care in China

    Open Access•Jie Xiong, Meiyun Zuo•Technological Forecasting and…•2022

  • The Intersecting Consequences of Race-Gender Health Disparities on Workforce Engagement for Older Workers

    Open Access•Kendra Jason, C L Erving•Social Currents•2021

  • The Value of Merging Medical Data from Ambulance Services and General Practice Cooperatives Using Triple Aim Outcomes

    Open Access•Rosa Naomi Minderhout, Hedwig Vos et al.•International Journal of…•2021

  • Chronic disease multimorbidity and substance use among African American men

    M Daniel Bennett, Justin T Mcdaniel et al.•Ethnicity and Health•2023

  • Primary healthcare personnel challenges and barriers on the management of patients with multimorbidity in Albania

    Open Access•Enkeleint A Mechili, Aurela Saliaj et al.•Health & Social Care in the…•2021

  • An Exploration of Methods to Resolve Inconsistent Self-Reporting of Chronic Conditions and Impact on Multimorbidity in the Canadian Longitudinal Study on Aging

    Open Access•Alessandra T Andreacchi, Alberto Brini et al.•Journal of Aging and Health•2023

  • Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling

    Open Access•Ibrahim Demirer, Matthias Bethge et al.•SSM - Population Health•2021

  • Patients’ Satisfaction with Healthcare Services Among Older People with Multimorbidity

    Open Access•Abdulsalam Ahmed, H T Abdullah Khan et al.•Journal of Population Ageing•2024

  • Measurement and decomposition of socioeconomic inequality in single and multimorbidity in older adults in China and Ghana

    Open Access•Rasha Kunna, Miguel San Sebastian et al.•International Journal for Equity…•2017

  • The mismeasurement of complexity

    Open Access•Frank Webster, Kathleen Rice et al.•International Journal for Equity…•2019

  • Subjective health status of multimorbidity

    Open Access•Munjae Lee, Ki-Chan Yoon et al.•International Journal for Equity…•2018

  • Multiple cardiovascular risk factor care in 55 low- and middle-income countries

    Open Access•Alpha Oumar Diallo, Maja-Emilia Marcus et al.•PLOS Global Public Health•2024

  • Shifting chronic disease management from hospitals to primary care in Estonian health system

    Open Access•Rifat Atun, Ipek Gurol‐Urganci et al.•Journal of Global Health•2016

  • The experience of financial burden for people with multimorbidity

    Open Access•James Larkins, Louise Foley et al.•Health Expectations•2021

  • Patient participation during primary health‐care encounters among adult patients with multimorbidity

    Open Access•Leila Paukkonen, Anne Oikarinen et al.•Health Expectations•2021

  • The emergence of multimorbidity as a matter of concern

    Open Access•Esca Van Blarikom, Nina Fudge et al.•BioSocieties•2023

  • Components and Outcomes in Under- and Postgraduate Medical Education to Prepare for the Delivery of Integrated Care for the Elderly

    Open Access•M T van Wijngaarden, D Z B van Asselt et al.•International Journal of…•2023

  • Functional disability and social participation restriction associated with chronic conditions in middle-aged and older adults

    Lauren E Griffith, Parminder Raina et al.•Journal of Epidemiology and…•2017

  • Clinical Epidemiology of Single Versus Multiple Substance Use Disorders

    Ish P Bhalla, Elina A Stefanovics et al.•Medical Care•2017

  • Defining Multimorbidity in Older Surgical Patients

    Jeffrey H Silber, Joseph G Reiter et al.•Medical Care•2018

  • Rising burden of multimorbidity and related socio-demographic factors

    Open Access•Ahoua Koné, Luke Mondor et al.•Canadian Journal of Public Health•2021

  • Beyond the grey tsunami

    Open Access•Bridget Ryan, Krista Bray Jenkyn et al.•Canadian Journal of Public Health•2018

  • Religion and Disability

    Open Access•Andrew L Whitehead•Journal for the Scientific Study…•2018

  • Life Interrupted

    Open Access•Kerry Kuluski, Cécile M Bensimon et al.•Illness Crisis & Loss•2014

  • Dual, Yet Dueling Illnesses

    Open Access•Gail Markle, Gail L Markle et al.•Qualitative Health Research•2015

  • Treatment Burden and Uncertainty in the Context of Advanced Multimorbidity

    Open Access•Chris Mcparland, Bridget Johnston et al.•Qualitative Health Research•2025

  • Comorbidity

    Open Access•M Nichter•Medical Anthropology Quarterly•2016

  • Multiple Chronic Conditions

    Open Access•Christine Vogeli, Alexandra E Shields et al.•Journal of General Internal…•2007

  • Causes and consequences of comorbidity

    Open Access•R Gijsen, N Hoeymans et al.•Journal of Clinical Epidemiology•2001

  • Social Support and Patient Adherence to Medical Treatment

    M Robin Dimatteo, M Siewers et al.•Health Psychology•2004

  • Organizing Care for Patients with Chronic Illness

    Edward H Wagner, Brian T Austin et al.•Milbank Quarterly•1996

  • Defining Comorbidity

    Open Access•Jose M Valderas, Barbara Starfield et al.•The Annals of Family Medicine•2009

  • Comorbidity or multimorbidity

    Open Access•Marjan Van Den Akker, Frank Buntinx et al.•European Journal of General…•1996

  • Prevalence, Expenditures, and Complications of Multiple Chronic Conditions in the Elderly

    Jennifer L Wolff, Jennifer C Wolff et al.•A.M.A. Archives of Internal…•2002

  • Maintaining Mobility in Late Life. I. Demographic Characteristics and Chronic Conditions

    Jack M Guralnik, Andre Z LaCroix et al.•American Journal of Epidemiology•1993

  • Prevalence of Multimorbidity Among Adults Seen in Family Practice

    Open Access•Martin Fortin•The Annals of Family Medicine•2005

  • Multimorbidity and quality of life in primary care

    Open Access•Martin Fortin, Lise Lapointe et al.•Health and Quality of Life Outcomes•2004

  • Comorbidity and Its Impact on Disability

    Lois M Verbrugge, James M Lepkowski et al.•Milbank Quarterly•1989

  • Multimorbidity in General Practice

    Open Access•Marjan Van Den Akker, Frank Buntinx et al.•Journal of Clinical Epidemiology•1998

  • Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases

    Cynthia M Boyd, Jonathan Darer et al.•JAMA•2005

  • Patient-centred consultations and outcomes in primary care

    Open Access•Nicola Mead, Peter Bower•Patient Education and Counseling•2002

  • Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders

    Mary D Naylor, Dorothy Brooten et al.•JAMA•1999

  • Multimorbidity - not just an older person's issue. Results from an Australian biomedical study

    Open Access•Anne W Taylor, Kay Price et al.•BMC Public Health•2010

  • Relationship Between Multimorbidity and Health-Related Quality of Life of Patients in Primary Care

    Open Access•Martin Fortin, Gina Bravo et al.•Quality of Life Research•2006

  • Additive and Interactive Effects of Comorbid Physical and Mental Conditions on Functional Health

    Open Access•Nancy H Fultz, Mary Beth Ofstedal et al.•Journal of Aging and Health•2003

  • Comorbidity, Age, and Hospital Use among Elderly Medicare Patients

    Open Access•Lois Grau, Christine Kovner et al.•Journal of Aging and Health•1991

  • Primary Care

    Kimberly S H Yarnall, Kathryn I Pollak et al.•American Journal of Public Health•2003

  • Prevalence of Chronic Diseases and Multimorbidity Among the Elderly Population in Sweden

    Alessandra Marengoni, Bengt Winblad et al.•American Journal of Public Health•2008

  • Multimorbidity is Associated With Better Quality of Care Among Vulnerable Elders

    Lillian C Min, Lillian Min et al.•Medical Care•2007

  • The Effect of a Quality Improvement Initiative on the Quality of Other Aspects of Health Care

    David A Ganz, Neil Wenger et al.•Medical Care•2007

  • Assessing the Quality of Preparation for Posthospital Care from the Patient??s Perspective

    Eric A Coleman, Eldon R Mahoney et al.•Medical Care•2005

Obras citantes distintas72
Citações por ano5,14
Intervalo de citações2012 - 2026 (15)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 62
Ethnos_APP • Projeto Open Source • Licença MIT • Frontend v2.0.0 • Privacidade e Cookies • Documentação da API: api.ethnos.app/docs • Código da API: GitHub • DOI: 10.5281/zenodo.17049435 • Código do Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae