Multimorbidity and Health Systems: Challenges and Priorities

Older patients, suffering from numerous diseases and taking multiple medications are the rule rather than the exception in primary care. A manifold of medical conditions are often associated with poor outcomes, and their multiple medications raise additional risks of polypharmacy. Such patients acco...

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Bibliographic Details
Published in:European journal of public health 2021-10, Vol.31 (Supplement_3)
Main Author: van den Akker, Marjan
Format: Article
Language:English
Subjects:
Comorbidity
Complex patients
Disease
Drugs
Expenditures
Guidelines
Health care
Health care expenditures
Health services
Medical treatment
Multimorbidity
Patients
Polypharmacy
Primary care
Public health
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Description
Summary:Older patients, suffering from numerous diseases and taking multiple medications are the rule rather than the exception in primary care. A manifold of medical conditions are often associated with poor outcomes, and their multiple medications raise additional risks of polypharmacy. Such patients account for most healthcare expenditures. Effective approaches are needed to manage such complex patients in primary care. The paper will discuss different models of care as well as major health care challenges in the management of multimorbidity in primary care with focus on interactions (disease-disease, treatment-treatment, and treatment-disease) extrapolated from (disease specific) guidelines and the feasibility to apply these guidelines for and with patients who have multimorbidity.
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckab164.817