Patterns of multimorbidity in primary care patients at high risk of future hospitalization

Population Health Management

Volumn 15, Issue 2, 2012, Pages 119-124

  Freund, Tobias ^a   Kunz, Cornelia Ursula ^b   Ose, Dominik ^a   Szecsenyi, Joachim ^a   Peters Klimm, Frank ^a  

^a UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^b UNIVERSITY OF HEIDELBERG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; ALCOHOL ABUSE; ANEMIA; ANXIETY DISORDER; ARTICLE; ASTHMA; CEREBROVASCULAR DISEASE; CHRONIC DISEASE; CHRONIC HEPATITIS; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; COMPUTER ANALYSIS; CONTROLLED STUDY; DEMENTIA; DEPRESSION; DRUG ABUSE; FEMALE; GENERAL PRACTICE; GERMANY; HEALTH INSURANCE; HEARING LOSS; HEART ATRIUM FIBRILLATION; HEART FAILURE; HIGH RISK PATIENT; HOSPITALIZATION; HUMAN; HYPERTENSION; INSULIN DEPENDENT DIABETES MELLITUS; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; MALIGNANT NEOPLASTIC DISEASE; MORBIDITY; MULTICENTER STUDY; MULTIMORBIDITY; NEUROPATHY; NON INSULIN DEPENDENT DIABETES MELLITUS; OSTEOARTHRITIS; OSTEOPOROSIS; PARKINSON DISEASE; PERIPHERAL VASCULAR DISEASE; PRIMARY MEDICAL CARE; PSORIASIS; RETROSPECTIVE STUDY; RHEUMATOID ARTHRITIS; SCHIZOPHRENIA; SOMATOFORM DISORDER; STATISTICAL MODEL; THYROID DISEASE; URINE INCONTINENCE; VALVULAR HEART DISEASE; VISUAL IMPAIRMENT;

AGED; CASE MANAGEMENT; CHI-SQUARE DISTRIBUTION; CHRONIC DISEASE; COMORBIDITY; FEMALE; GERMANY; HOSPITALIZATION; HUMANS; INSURANCE CLAIM REVIEW; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PREVALENCE; PRIMARY HEALTH CARE; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SOFTWARE;

EID: 84859997407     PISSN: 19427891     EISSN: 19427905     Source Type: Journal    
DOI: 10.1089/pop.2011.0026     Document Type: Article

References (34)

1. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M. Defining comorbidity: Implications for understanding health and health services. Ann Fam Med. 2009;7:357-363.
2. Fortin M, Bravo G, Hudon C, Vanasse A, Lapointe L. Prevalence of multimorbidity among adults seen in family practice. Ann Fam Med. 2005;3:223-228. (Pubitemid 40806715)
3. Uijen AA, van De Lisdonk EH. Multimorbidity in primary care: Prevalence and trend over the last 20 years. Eur J Gen Pract. 2008;14:28-32.
4. Ose D, Wensing M, Szecsenyi J, Joos S, Hermann K, Miksch A. Impact of primary care-based disease management on the health-related quality of life in patients with type 2 diabetes and comorbidity. Diabetes Care. 2009;32:1594-1596.
5. Gijsen R, Hoeymans N, Schellevis FG, Ruwaard D, Satariano WA, van den Bos GA. Causes and consequences of comorbidity: A review. J Clin Epidemiol. 2001;54:661-674. (Pubitemid 32594852)
6. Verbrugge LM, Lepkowski JM, Imanaka Y. Comorbidity and its impact on disability. Milbank Q. 1989;67:450-484. (Pubitemid 20232414)
7. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162:2269-2276. (Pubitemid 35332510)
8. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: Implications for pay for performance. JAMA. 2005;294:716-724. (Pubitemid 41159291)
9. Boyd CM, Fortin M. Future of multimorbidity research: How should understanding of multimorbidity inform health system design? Public Health Rev. 2010;32:451-474.
10. Boult C, Wieland GD. Comprehensive primary care for older patients with multiple chronic conditions: Nobody rushes you through. JAMA. 2010;304:1936-1943.
11. Goetzel RZ, Ozminkowski RJ, Villagra VG, Duffy J. Return on investment in disease management: A review. Health Care Financ Rev. 2005;26:1-19. (Pubitemid 41233632)
12. Weir S, Aweh G, Clark RE. Case selection for a Medicaid chronic care management program. Health Care Finance Rev. 2008;30:61-74.
13. Forrest CB, Lemke KW, Bodycombe DP, Weiner JP. Medication, diagnostic, and cost information as predictors of high-risk patients in need of care management. Am J Manag Care. 2009;15:41-48.
14. Bayliss EA, Steiner JF, Fernald DH, Crane LA, Main DS. Descriptions of barriers to self-care by persons with comorbid chronic diseases. Ann Fam Med. 2003;1:15-21.
15. Nutting PA, Rost K, Smith J, Werner JJ, Elliot C. Competing demands from physical problems: Effect on initiating and completing depression care over 6 months. Arch Fam Med. 2000;9:1059-1064. (Pubitemid 32014700)
16. Cornell JE, Pugh JA, Williams JW, et al. Multimorbidity clusters: Clustering binary data from multimorbidity clusters: Clustering binary data from a large administrative medical database. Applied Multivariate Res. 2007;12:163-182.
17. Schafer I, von Leitner EC, Schon G, et al. Multimorbidity patterns in the elderly: A new approach of disease clustering identifies complex interrelations between chronic conditions. PLoS One. 2010;5:e15941.
18. Marengoni A, Rizzuto D, Wang HX, Winblad B, Fratiglioni L. Patterns of chronic multimorbidity in the elderly population. J Am Geriatr Soc. 2009;57:225-230.
19. van den Bussche, Koller D, Kolonko T, et al. Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany. BMC Public Health. 2011;11:101.
20. Freund T, Wensing M, Mahler C, et al. Development of a primary care-based complex care management intervention for chronically ill patients at high risk for hospitalization: A study protocol. Implement Sci. 2010;5: 70.
21. Verisk Health. Likelihood of Hospitalization (LOH) - Kaiser Study. Available at: http://www.veriskhealth.com/content/verisk-healthcare-white- papers-and-research. Accessed February 28, 2011.
22. Schafer I, Hansen H, Schon G, et al. The German MultiCarestudy: Patterns of multimorbidity in primary health care-Protocol of a prospective cohort study. BMC Health Serv Res. 2009;9:145.
23. Schellevis FG. Chronic Disease in General Practice. Comorbidity and Quality of Care. Utrecht, Germany: Drukkerij Pascal; 1993.
24. Federal Statistical Office. Most frequent causes for hospital admission in 2009. Available at: http://www.destatis.de/jetspeed/portal/cms/Sites/ destatis/Internet/DE/Content/Statistiken/Gesundheit/Krankenhaeuser/Tabellen/ Content75/DiagnosenInsgesamt,templateId = renderPrint.psml. Accessed February 28, 2011.
25. Purdy S, Griffin T, Salisbury C, Sharp D. Ambulatory care sensitive conditions: Terminology and disease coding need to be more specific to aid policy makers and clinicians. Public Health. 2009;123:169-173.
26. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006;29:725-731. (Pubitemid 44115387)
27. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: Impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160:3278-3285.
28. Brandlmeier P. Multimorbiditä t unter den ä lteren Patienten in einer stä dtischen Allgemeinpraxis. Z Allg Med. 1976;25: 1269-1275.
29. Weiss CO, Boyd CM, Yu Q, Wolff JL, Leff B. Patterns of prevalent major chronic disease among older adults in the United States. JAMA. 2007;298:1160-1162. (Pubitemid 47403117)
30. van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol. 2001;54:675-679. (Pubitemid 32600043)
31. Agency for Healthcare Research and Quality. Prevention Quality Indicators overview. Available at: http://www .qualityindicators.ahrq.gov/Modules/pqi- overview.aspx Accessed May 9, 2011.
32. Purdy S. Avoiding hospital admissions. What does the research evidence say? The Kings Fund 2010. Available at: www.kingsfund.org.uk/document.rm?id = 8877 Accessed May 9, 2011.
33. Specht-Leible N, Bender M, Oster P. Causes for in-hospital treatment of nursing home residents. Z Gerontol Geriat. 2003;36:274-279. (Pubitemid 37099322)
34. Erler A, Beyer M, Muth C, Gerlach FM, Brennecke R. [Garbage in-garbage out? Validity of coded diagnoses from GP claims records]. Gesundheitswesen. 2009;71:823-831.