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Priorities and preferences for care of people with multiple chronic conditions

Mieke Rijken, René Stüssgen, Chantal Leemrijse, Mieke J L Bogerd, Joke C Korevaar
2021 Health Expectations  
To guide the development of high-quality care for people with multiple chronic conditions, partners of the European Joint Action CHRODIS developed the Integrated Multimorbidity Care Model.  ...  The JA-CHRODIS Integrated Multimorbidity Care Model reflects the priorities and preferences for care of people with multimorbidity in the Netherlands, which supports its relevance to guide the development  ...  ' explanations of why they prioritized certain aspects of care.  ... 
doi:10.1111/hex.13262 pmid:33938597 fatcat:72ols7aiezee7oergdibnu6zne

Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach

Chris Salisbury, Mei-See Man, Peter Bower, Bruce Guthrie, Katherine Chaplin, Daisy M Gaunt, Sara Brookes, Bridie Fitzpatrick, Caroline Gardner, Sandra Hollinghurst, Victoria Lee, John McLeod (+3 others)
2018 The Lancet  
Our hypothesis was that the patient-centred, so-called 3D approach (based on dimensions of health, depression, and drugs) for patients with multimorbidity would improve their health-related quality of  ...  Interpretation To our knowledge, this trial is the largest investigation of the international consensus about optimal management of multimorbidity.  ...  This argument is based on the premise that health care should respect the priorities and preferences of patients, and this should be reflected in the tools used to assess healthcare quality. 35 Contributors  ... 
doi:10.1016/s0140-6736(18)31308-4 pmid:29961638 pmcid:PMC6041724 fatcat:s432jldirbcknptur5gbw6kbqq

Priorities of patients with multimorbidity and of clinicians regarding treatment and health outcomes: a systematic mixed studies review

Harini Sathanapally, Manbinder Sidhu, Radia Fahami, Clare Gillies, Umesh Kadam, Melanie J Davies, Kamlesh Khunti, Samuel Seidu
2020 BMJ Open  
ObjectivesTo identify studies that have investigated the health outcome and treatment priorities of patients with multimorbidity, clinicians or both, in order to assess whether the priorities of the two  ...  priorities of adult patients with multimorbidity, defined as suffering from two or more chronic conditions, or of clinicians in the context of multimorbidity or both.  ...  Such a tool would a valuable aid to treatment decision making, advance care planning and achieving patient-centredness for patients living with multimorbidity.  ... 
doi:10.1136/bmjopen-2019-033445 pmid:32051314 pmcid:PMC7045037 fatcat:omog6exc3bcengyvdnjzydmleq

Examining multimorbidity differences across racial groups: a network analysis of electronic medical records

Pankush Kalgotra, Ramesh Sharda, Julie M. Croff
2020 Scientific Reports  
Recognition and explanation of such differences in multimorbidities inform the public health policies, and can inform clinical decisions as well.  ...  In this study, we study health disparities by identifying the networks of multimorbidities among individuals from seven population groups based on race, including White, African American, Asian, Hispanic  ...  Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the Cerner Corporation.  ... 
doi:10.1038/s41598-020-70470-8 pmid:32782346 fatcat:icydk5z2znbylicn4x6wbtclue

Magnitude and determinants of multimorbidity and health care utilization among patients attending public versus private primary care: a cross-sectional study from Odisha, India

Sanghamitra Pati, Subhashisa Swain, J. André Knottnerus, Job F. M. Metsemakers, Marjan van den Akker
2020 International Journal for Equity in Health  
The overall prevalence of multimorbidity was 28.3% and nearly one third of patients of public facilities and one fourth from private facilities had multimorbidity.  ...  However, a critical knowledge gap exists on understanding the true extent of multimorbidity in both types of primary care settings.  ...  We sincerely thank the Department of Health and Family Welfare, Government of Odisha, for their kind support.  ... 
doi:10.1186/s12939-020-01170-y pmid:32349770 fatcat:yye3l2pdbvc6dinmlmxxbso2ze

Lived experiences of multimorbidity: An interpretative meta-synthesis of patients', general practitioners' and trainees' perceptions

Elizabeth Cottrell, Sarah Yardley
2015 Chronic Illness  
of multimorbidity.  ...  The final stage of our review was to 18 develop mid-range theories of the challenges of multimorbidity.  ...  of traditional, single disease based models of service 3 delivery in the context of multimorbidity 41, 42 .  ... 
doi:10.1177/1742395315574764 pmid:25770097 fatcat:wqgrlfxxsbarhdx26i3jykzmki

Specific Measures of Quality of Life in Patients with Multimorbidity in Primary Healthcare: A Systematic Review on Patient-Reported Outcome Measures' Adequacy of Measurement

Anne Møller, Kristine Henderson Bissenbakker, Anne Beiter Arreskov, John Brodersen
2020 Patient Related Outcome Measures  
None of the identified PROMs were aimed specifically at measuring the quality of life in patients with multimorbidity.  ...  Therefore, the aim for the future is to develop a valid and adequate measure of the quality of life among patients with multimorbidity.  ...  Multimorbidity Treatment Burden Questionnaire (MTBQ) The aim of the MTBQ was to measure the burden of treatment among patients with multimorbidity, defined as patients having multiple long-term chronic  ... 
doi:10.2147/prom.s226576 pmid:32021523 pmcid:PMC6955636 fatcat:xuxgkz7ghzhhrp7xowq6naxuqu

Empowering people to help speak up about safety in primary care: Using codesign to involve patients and professionals in developing new interventions for patients with multimorbidity

Sarah Knowles, Rebecca Hays, Hugo Senra, Peter Bower, Louise Locock, Jo Protheroe, Caroline Sanders, Gavin Daker-White
2017 Health Expectations  
Their recommendations for supportive interventions were consistent with Burden of Treatment theory, emphasizing the limited capacity of patients with multimorbidity and the need for services to proactively  ...  offer support to reduce the burden of managing complex treatment regimes.  ...  of treatment) could be incorporated into broader interventions such as care planning  ... 
doi:10.1111/hex.12648 pmid:29266797 pmcid:PMC5867321 fatcat:e3rx6x7gtzh4dj4cpso4svckwq

The high-risk surgical patient: a role for a multi-disciplinary team approach?

A.R. Whiteman, J.K. Dhesi, D. Walker
2016 British Journal of Anaesthesia  
aims to facilitate the delivery of timely management and treatment; a strong argument in favour of use within cancer services.  ...  There is a growing cohort of multimorbid, often frail and elderly patients who disproportionally suffer predictable complications, as a consequence of seeking surgical intervention. 1 A strong case for  ...  MDT aims to facilitate the delivery of timely management and treatment; a strong argument in favour of use within cancer services.  ... 
doi:10.1093/bja/aev355 pmid:26537628 fatcat:mdsivukhdjcqjdo5bzoc4f4gyi

Care Coordination of Multimorbidity: A Scoping Study

Anne Doessing, Viola Burau
2015 Journal of Comorbidity  
Design: The analysis is based on a scoping study, which combines a systematic literature search with a qualitative thematic analysis.  ...  This related to both specific medical conditions of patients with multimorbidity (case complexity) and the organization of care delivery at the levels of provider organizations and healthcare professionals  ...  of new treatments [5, 20, 50] .  ... 
doi:10.15256/joc.2015.5.39 pmid:29090157 pmcid:PMC5636034 fatcat:qciiph362nclxp2vddmbabz32e

The Identity Crisis of Osteoarthritis in General Practice: A Qualitative Study Using Video-Stimulated Recall

Z. Paskins, T. Sanders, P. R. Croft, A. B. Hassell
2015 Annals of Family Medicine  
This study highlights generic communication issues regarding the potential negative consequences of unsought reassurance and the importance of validation of symptoms and raises new arguments for tackling  ...  The topic of osteoarthritis arises in the consultation in complex contexts of multimorbidity and multiple, often not explicit, patient agendas.  ...  We also wish to thank and acknowledge the help of Chan Vohara, Debbie D'Cruz, and Charlotte Purcell for administrative support; Prof RK McKinley, Prof Chris Main, and Prof Krysia Dziedzic for input in  ... 
doi:10.1370/afm.1866 pmid:26553893 pmcid:PMC4639379 fatcat:64iurrpma5bv5l2rzpas25ydqe

Games of uncertainty: the participation of older patients with multimorbidity in care planning meetings – a qualitative study

Jannike Dyb Oksavik, Marit Solbjør, Ralf Kirchhoff, Maren Kristine Raknes Sogstad
2021 BMC Geriatrics  
they are experienced by older patients with multimorbidity.  ...  Results The care-planning interactions were influenced by uncertainty about the course of the disease and how to plan service delivery.  ...  Based on these arguments, the present study suggests that patient participation may increase if patient uncertainty is attended to in care planning.  ... 
doi:10.1186/s12877-021-02184-z pmid:33849484 fatcat:wxak2fxf4zgndldz76mmn4e6xq

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

Ibrahim Demirer, Matthias Bethge, Karla Spyra, Ute Karbach, Holger Pfaff
2021 SSM: Population Health  
The relative size of the mediation effect, however, varied widely based on the added mediational paths (8.57% vs. 28%).  ...  The analysis used the German Sociomedical Panel of Employees, a study of the German working population aged 40 to 54. In the context of multimorbidity, this population has been little studied.  ...  resources when planning multimorbidity interventions.  ... 
doi:10.1016/j.ssmph.2021.100744 pmid:33604446 pmcid:PMC7873675 fatcat:6muiz7ci2jdc3ocz3ha7blyr3y

Multimorbidity Patterns in Primary Care: Interactions among Chronic Diseases Using Factor Analysis

Alexandra Prados-Torres, Beatriz Poblador-Plou, Amaia Calderón-Larrañaga, Luis Andrés Gimeno-Feliu, Francisca González-Rubio, Antonio Poncel-Falcó, Antoni Sicras-Mainar, José Tomás Alcalá-Nalvaiz, Joel Joseph Gagnier
2012 PLoS ONE  
To identify multimorbidity patterns, an exploratory factor analysis was carried out based on the tetra-choric correlations between the diagnostic information of 275,682 patients who were over 14 years  ...  Objectives: The primary objective of this study was to identify the existence of chronic disease multimorbidity patterns in the primary care population, describing their clinical components and analysing  ...  Multimorbidity is a public health problem that must be considered by the planning and organisational frameworks of the health system.  ... 
doi:10.1371/journal.pone.0032190 pmid:22393389 pmcid:PMC3290548 fatcat:hmefdkwayfbprfn4zrawa4j5he

Resolving Conflicts in Clinical Guidelines using Argumentation [article]

Kristijonas Čyras, Tiago Oliveira
2019 arXiv   pre-print
We rely on the state-of-the-art Transition-based Medical Recommendation model for representing guideline recommendations and augment it with context given by the patient's conditions, goals, as well as  ...  We advance a structured argumentation formalism for reasoning with conflicting clinical guidelines, patient-specific information and preferences.  ...  Based on treatment outcome indicators and the importance of evidence, user-specified preferences over arguments and argumentation semantics are used to identify the acceptable arguments.  ... 
arXiv:1902.07526v1 fatcat:gevv6hjstbhxncb3plden2zos4
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