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Editorial

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Multimorbidity and the Challenge to Deliver Personalised and Meaningful Health Care

Heleno B.a,b · Silvério-Rodrigues D.a,c

Author affiliations

aFaculdade de Ciências Médicas, NOVA Medical School, Comprehensive Health Research Centre, Lisbon, Portugal
bACES Lisboa Norte, Lisbon, Portugal
cCUF Torres Vedras, Torres Vedras, Portugal

Corresponding Author

Bruno Heleno

NOVA Medical School, Universidade NOVA de Lisboa

Rua do Inst. Bacteriológico

PT–1150-190 Lisbon (Portugal)

E-Mail bruno.heleno@nms.unl.pt

Related Articles for ""
Port J Public Health 2019;37:I–III
https://doi.org/10.1159/000502270

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Abstract of Editorial

A multimorbilidade e o desafio de um atendimento médico significativo e personalizado



Related Articles:

References

  1. Broeiro-Gonçalves P, Nogueira P, Aguiar P. Multimorbidity and disease severity by age groups, in inpatients: cross-sectional study. Port J Public Health. 2019 Jun;37(1):1–9.
    External Resources
  2. Prazeres F, Santiago L. Prevalence of multimorbidity in the adult population attending primary care in Portugal: a cross-sectional study. BMJ Open. 2015 Sep;5(9):e009287.
    External Resources
  3. Broeiro-Gonçalves P. [Morbidity in the Dependent Elderly Cared by Home-Teams of the National Network of Continued Integrated Care in the Lisbon and Tagus Valley: Cross-Sectional Study]. Acta Med Port. 2017 Aug;30(7-8):546–54. Portuguese.
    External Resources
  4. Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med. 2012 Mar-Apr;10(2):142–51.
    External Resources
  5. Willadsen TG, Siersma V, Nicolaisdóttir DR, Køster-Rasmussen R, Jarbøl DE, Reventlow S, et al. Multimorbidity and mortality: A 15-year longitudinal registry-based nationwide Danish population study. J Comorb. 2018 Oct;8(1):2235042X18804063.
  6. Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu AL, Maltais D. Multimorbidity and quality of life in primary care: a systematic review. Health Qual Life Outcomes. 2004 Sep;2(1):51.
    External Resources
  7. Makovski TT, Schmitz S, Zeegers MP, Stranges S, van den Akker M. Multimorbidity and quality of life: systematic literature review and meta-analysis. Ageing Res Rev. 2019 Apr;53:100903.
    External Resources
  8. Xu X, Mishra GD, Jones M. Evidence on multimorbidity from definition to intervention: an overview of systematic reviews. Ageing Res Rev. 2017 Aug;37:53–68.
    External Resources
  9. Wang L, Si L, Cocker F, Palmer AJ, Sanderson K. A Systematic Review of Cost-of-Illness Studies of Multimorbidity. Appl Health Econ Health Policy. 2018 Feb;16(1):15–29.
    External Resources
  10. Amer Nordin A, Mohd Hairi F, Choo WY, Hairi NN. Care Recipient Multimorbidity and Health Impacts on Informal Caregivers: A Systematic Review. Gerontologist. 2018 Jul.
    External Resources
  11. Boehmer KR, Abu Dabrh AM, Gionfriddo MR, Erwin P, Montori VM. Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis. PLoS One. 2018 Feb 8;13(2):e0190852.
  12. Boyd C, Smith CD, Masoudi FA, Blaum CS, Dodson JA, Green AR, et al. Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity. J Am Geriatr Soc. 2019 Apr;67(4):665–73.
    External Resources
  13. Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ. 2015 Jan;350:h176.
    External Resources
  14. Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez AI, Nguyen TS, et al. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. J Intern Med. 2019 Mar;285(3):272–88.
    External Resources
  15. Willadsen TG, Bebe A, Køster-Rasmussen R, Jarbøl DE, Guassora AD, Waldorff FB, et al. The role of diseases, risk factors and symptoms in the definition of multimorbidity - a systematic review. Scand J Prim Health Care. 2016 Jun;34(2):112–21.
    External Resources
  16. Johnston MC, Crilly M, Black C, Prescott GJ, Mercer SW. Defining and measuring multimorbidity: a systematic review of systematic reviews. Eur J Public Health. 2019 Feb;29(1):182–9.
    External Resources
  17. Smith SM, Wallace E, O’Dowd T, Fortin M. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2016 Mar;3:CD006560.
    External Resources
  18. Kastner M, Cardoso R, Lai Y, Treister V, Hamid JS, Hayden L, et al. Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis. CMAJ. 2018 Aug;190(34):E1004–12.
    External Resources
  19. Kastner M, Hayden L, Wong G, Lai Y, Makarski J, Treister V, et al. Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review. BMJ Open. 2019 Apr;9(4):e025009.
    External Resources

Article / Publication Details

Published online: August 06, 2019
Issue release date: September 2019

Number of Print Pages: 3
Number of Figures: 0
Number of Tables: 0

ISSN: 2504-3137 (Print)
eISSN: 2504-3145 (Online)

For additional information: https://www.karger.com/PJP

References

  1. Broeiro-Gonçalves P, Nogueira P, Aguiar P. Multimorbidity and disease severity by age groups, in inpatients: cross-sectional study. Port J Public Health. 2019 Jun;37(1):1–9.
    External Resources
  2. Prazeres F, Santiago L. Prevalence of multimorbidity in the adult population attending primary care in Portugal: a cross-sectional study. BMJ Open. 2015 Sep;5(9):e009287.
    External Resources
  3. Broeiro-Gonçalves P. [Morbidity in the Dependent Elderly Cared by Home-Teams of the National Network of Continued Integrated Care in the Lisbon and Tagus Valley: Cross-Sectional Study]. Acta Med Port. 2017 Aug;30(7-8):546–54. Portuguese.
    External Resources
  4. Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med. 2012 Mar-Apr;10(2):142–51.
    External Resources
  5. Willadsen TG, Siersma V, Nicolaisdóttir DR, Køster-Rasmussen R, Jarbøl DE, Reventlow S, et al. Multimorbidity and mortality: A 15-year longitudinal registry-based nationwide Danish population study. J Comorb. 2018 Oct;8(1):2235042X18804063.
  6. Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu AL, Maltais D. Multimorbidity and quality of life in primary care: a systematic review. Health Qual Life Outcomes. 2004 Sep;2(1):51.
    External Resources
  7. Makovski TT, Schmitz S, Zeegers MP, Stranges S, van den Akker M. Multimorbidity and quality of life: systematic literature review and meta-analysis. Ageing Res Rev. 2019 Apr;53:100903.
    External Resources
  8. Xu X, Mishra GD, Jones M. Evidence on multimorbidity from definition to intervention: an overview of systematic reviews. Ageing Res Rev. 2017 Aug;37:53–68.
    External Resources
  9. Wang L, Si L, Cocker F, Palmer AJ, Sanderson K. A Systematic Review of Cost-of-Illness Studies of Multimorbidity. Appl Health Econ Health Policy. 2018 Feb;16(1):15–29.
    External Resources
  10. Amer Nordin A, Mohd Hairi F, Choo WY, Hairi NN. Care Recipient Multimorbidity and Health Impacts on Informal Caregivers: A Systematic Review. Gerontologist. 2018 Jul.
    External Resources
  11. Boehmer KR, Abu Dabrh AM, Gionfriddo MR, Erwin P, Montori VM. Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis. PLoS One. 2018 Feb 8;13(2):e0190852.
  12. Boyd C, Smith CD, Masoudi FA, Blaum CS, Dodson JA, Green AR, et al. Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity. J Am Geriatr Soc. 2019 Apr;67(4):665–73.
    External Resources
  13. Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ. 2015 Jan;350:h176.
    External Resources
  14. Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez AI, Nguyen TS, et al. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. J Intern Med. 2019 Mar;285(3):272–88.
    External Resources
  15. Willadsen TG, Bebe A, Køster-Rasmussen R, Jarbøl DE, Guassora AD, Waldorff FB, et al. The role of diseases, risk factors and symptoms in the definition of multimorbidity - a systematic review. Scand J Prim Health Care. 2016 Jun;34(2):112–21.
    External Resources
  16. Johnston MC, Crilly M, Black C, Prescott GJ, Mercer SW. Defining and measuring multimorbidity: a systematic review of systematic reviews. Eur J Public Health. 2019 Feb;29(1):182–9.
    External Resources
  17. Smith SM, Wallace E, O’Dowd T, Fortin M. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2016 Mar;3:CD006560.
    External Resources
  18. Kastner M, Cardoso R, Lai Y, Treister V, Hamid JS, Hayden L, et al. Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis. CMAJ. 2018 Aug;190(34):E1004–12.
    External Resources
  19. Kastner M, Hayden L, Wong G, Lai Y, Makarski J, Treister V, et al. Underlying mechanisms of complex interventions addressing the care of older adults with multimorbidity: a realist review. BMJ Open. 2019 Apr;9(4):e025009.
    External Resources

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This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

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2019, Vol.37, No. 1

September 2019

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