Barriers and Facilitators to Managing Multiple Chronic Conditions: A Systematic Literature Review

The prevalence of multiple chronic conditions (MCC) is increasing, creating challenges for patients, families, and the health care system. A systematic literature search was conducted to locate studies describing patient’s perceptions of facilitators and barriers to management of MCC. Thirteen artic...

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Bibliographic Details
Published in:Western journal of nursing research 2015-04, Vol.37 (4), p.498-516
Main Authors: Koch, Gina, Wakefield, Bonnie J., Wakefield, Douglas S.
Format: Article
Language:English
Subjects:
Adult
Chronic Disease
Chronic illnesses
Cost of Illness
Disease management
Health education
Humans
Intervention
Nursing
Perceptions
Qualitative Research
Self Care - psychology
Social Support
Systematic review
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Summary:The prevalence of multiple chronic conditions (MCC) is increasing, creating challenges for patients, families, and the health care system. A systematic literature search was conducted to locate studies describing patient’s perceptions of facilitators and barriers to management of MCC. Thirteen articles met study inclusion criteria. Patients reported nine categories of barriers including financial constraints, logistical challenges, physical limitations, lifestyle changes, emotional impact, inadequate family and social support, and the complexity of managing multiple conditions, medications, and communicating with health care providers. Four facilitators were found, including health system support, individualized care education and knowledge, informal support from family and social systems, and having personal mental and emotional strength. Existing research on management of MCC from the patient’s perspective is limited. Interventions are needed to improve management practices with particular attention to the knowledge and skills required by this unique population.
ISSN:0193-9459
1552-8456
DOI:10.1177/0193945914549058