Mark F Harris1, Sarah Dennis, Megan Pillay. 1. MBBS, DRACOG, MD, Executive Director, Centre for Primary Health Care and Equity, University of New South Wales, New South Wales.
Abstract
BACKGROUND: Patients with multimorbidity are increasingly common in general practice. Multimorbidity is a challenge for both patients and practitioners because of the complexity of care and its impact on patients' lives. Single-disease-based guidelines are of limited use to providers managing patients with multimorbidity. OBJECTIVE: The article aims to discuss how multimorbidity can be best managed in general practice. It does this within the framework of a patient-centred approach that recognises the importance of finding common ground with patients in setting priorities and assessing the impact of care. DISCUSSION: Providing effective care for multimorbidity requires shared decision-making about goals with patients and more effective communication and coordination between providers. For this group of patients, our current single-disease-based models of care need to be replaced with more integrated ones in which the impact of all the patient's conditions on their quality of life are considered.
BACKGROUND:Patients with multimorbidity are increasingly common in general practice. Multimorbidity is a challenge for both patients and practitioners because of the complexity of care and its impact on patients' lives. Single-disease-based guidelines are of limited use to providers managing patients with multimorbidity. OBJECTIVE: The article aims to discuss how multimorbidity can be best managed in general practice. It does this within the framework of a patient-centred approach that recognises the importance of finding common ground with patients in setting priorities and assessing the impact of care. DISCUSSION: Providing effective care for multimorbidity requires shared decision-making about goals with patients and more effective communication and coordination between providers. For this group of patients, our current single-disease-based models of care need to be replaced with more integrated ones in which the impact of all the patient's conditions on their quality of life are considered.
Authors: Yiyang Liu; Khairul A Siddiqi; Robert L Cook; Jiang Bian; Patrick J Squires; Elizabeth A Shenkman; Mattia Prosperi; Dushyantha T Jayaweera Journal: Methods Inf Med Date: 2021-09-30 Impact factor: 1.800
Authors: Jason I Chiang; John Furler; Frances S Mair; Bhautesh Jani; Barbara I Nicholl; Alicia Jenkins; Patrick Condron; David O'Neal; Jo-Anne Manski-Nankervis Journal: BMJ Open Date: 2018-04-05 Impact factor: 2.692
Authors: Michael K Sullivan; Alastair J Rankin; Bhautesh D Jani; Frances S Mair; Patrick B Mark Journal: BMJ Open Date: 2020-06-30 Impact factor: 2.692
Authors: Kathryn Barker; Anne E Holland; Annemarie L Lee; Terry Haines; Kathryn Ritchie; Claire Boote; Joanne Saliba; Stephanie Lowe; Fiona Pazsa; Lee Thomas; Monica Turczyniak; Elizabeth H Skinner Journal: Pilot Feasibility Stud Date: 2018-11-29
Authors: Jason I Chiang; Bhautesh Dinesh Jani; Frances S Mair; Barbara I Nicholl; John Furler; David O'Neal; Alicia Jenkins; Patrick Condron; Jo-Anne Manski-Nankervis Journal: PLoS One Date: 2018-12-26 Impact factor: 3.240
Authors: Jason I Chiang; Peter Hanlon; Tsai-Chung Li; Bhautesh Dinesh Jani; Jo-Anne Manski-Nankervis; John Furler; Cheng-Chieh Lin; Shing-Yu Yang; Barbara I Nicholl; Sharmala Thuraisingam; Frances S Mair Journal: PLoS Med Date: 2020-05-07 Impact factor: 11.069