Beyond diagnosis: Rising to the multimorbidity challenge

BMJ (Online)

Volumn 344, Issue 7865, 2012, Pages

  Mangin, Dee ^a   Heath, Iona ^b   Jamoulle, Marc ^c  

^a UNIVERSITY OF OTAGO   (New Zealand)

^b ROYAL COLLEGE OF GENERAL PRACTITIONERS   (United Kingdom)

^c UNIVERSITÉ CATHOLIQUE DE LOUVAIN   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; CHRONIC DISEASE; COMORBIDITY; DISABILITY; EDITORIAL; EVIDENCE BASED PRACTICE; FUNCTIONAL STATUS; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH DISPARITY; HEALTH PROGRAM; HUMAN; HYPERLIPIDEMIA; LIFESTYLE MODIFICATION; MEDICAL CARE; MEDICAL RESEARCH; MENTAL DISEASE; OSTEOPOROSIS; PATIENT CARE; POLYPHARMACY; PRACTICE GUIDELINE; PREVALENCE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROPHYLAXIS; PUBLIC HEALTH; QUALITY OF LIFE; RISK REDUCTION;

EID: 84863795865     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.e3526     Document Type: Editorial

References (15)

1. Institute of Medicine. Living well with chronic illness. National Academies Press. 2012. http://books.nap.edu/openbook.php?record-id=13272.
2. Rosenberg C. The tyranny of diagnosis: specific entities and individual experience. Milbank Qtly 2002;80:237-60.
3. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012; published online 10 May.
4. Salisbury C, Johnson L, Purdy S, Valderas JM, Montgomery AA. Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study. Br J Gen Pract 2011;61:e12-21.
5. Thorpe K, Howard D. The rise in spending among Medicare beneficiaries: the role of chronic disease prevalence and changes in treatment intensity. Health Aff 2006;25:W378-88.
6. 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;294:716-24. (Pubitemid 41159291)
7. Garfinkel D, Mangin D. Feasibility study of a systematic approach for discontinuation of multiple medications in older adults: addressing polypharmacy. Arch Intern Med 2010;170:1648-54.
8. Jerant A, Fenton JJ, Franks P. Primary care attributes and mortality: a national person-level study. Ann Fam Med 2012;10:34-41.
9. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Qtly 2005;83:457-502. (Pubitemid 41551756)
10. Davidoff F. Heterogeneity is not always noise. JAMA 2009;302:2580-6.
11. Starfield B. Diseases, chronic care and primary care. Sommer Memorial Lecture, 2010. http://ocw.jhsph.edu/courses/starfieldcourse/presentations.cfm.
12. Nève J, Jamoulle M. La pŕvention quaternaire, une tâche explicite du médecin généraliste. Prim Care 2012;12:136-7.
13. De Ruijter W, Westendorp RGJ, Assendelft WJJ, den Elzen WPJ, de Craen AJM, le Cessie S, et al. Use of Framingham risk score and new biomarkers to predict cardiovascular mortality in older people: population based observational cohort study. BMJ 2009;338:a3083.
14. Drennan V, Walters K, Lenihan P, Cohen S, Myerson S, Iliffe S, et al. Priorities in identifying unmet need in older people attending general practice: a nominal group technique study. Fam Pract 2007;24:454-60. (Pubitemid 350142642)
15. Vaes B, Rezzoug N, Pasquet A, Wallemacq P, Van Pottelbergh G, Matheï C, et al. The prevalence of cardiac dysfunction and the correlation with poor functioning among the very elderly. Int J Cardiol 2012;155:134-43.