ABC of Multimorbidity E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Serie: ABC Series
• Sprache: Englisch

Seitenzahl: 176

Veröffentlichungsjahr: 2014

Beschreibung

ABC of Multimorbidity is the first title to provide primary care practitioners with a practical approach to the complex issues of treating and managing patients with more than one morbidity.

Ageing populations and earlier diagnosis of chronic conditions mean more people are living longer with multimorbidity. However, treatment guidelines are often designed for treatment in isolation of other morbidities. Multimorbidity management therefore requires a more patient centred approach and greater knowledge and coordination of existing services. Effective multimorbidity management both improves overall patient well-being and reduces the overall demand on health services.

ABC of Multimorbidity examines how multimorbidities can be addressed within primary care, from the GP and family physician consultation through to the effective use of a range of health care services. It addresses complex issues such as polypharmacy, mental health, patient safety, patient involvement in self-management, and the role of the practitioner. It then provides guidance on how multimorbidities can be best treated and managed within primary care through specific interventions to improve outcomes.

From an international, primary care editor and contributor team, ABC of Multimorbidity is a practical resource for general practitioners, family physicians, practice and specialist nurses, and others caring for multimorbid patients. It is also relevant for junior doctors, medical trainees and students.

Leseprobe

Table of Contents

Cover

Series Page

Title Page

Copyright

Contributors

Preface

Foreword

Chapter 1: Introducing Multimorbidity

Background

Comorbidity

Multimorbidity

Other related concepts

Multimorbidity: clinical versus operational definition

Severity

Measures

Multimorbidity as an emerging priority

Further reading

Chapter 2: How Common Is Multimorbidity?

Introduction

Prevalence estimates

Factors associated with the prevalence of multimorbidity

From multimorbidity to polypharmacy

Further reading

Chapter 3: How Does Multimorbidity Affect Patients?

Background

Perceptions of multimorbidity

Mortality and hospitalization

Functional status and quality of life

Patient experiences

Adaptive strategies

Further reading

Chapter 4: Effects of Multimorbidity on Healthcare Resource Use

Background

Impact on inpatient and specialized care use

Impact on primary and preventive care use

Impact on medication use and other services

Designing payment systems to take multimorbidity into consideration when compensating for resource use

Other special considerations when designing systems to ensure cost-effective resource use for patients with multimorbidity

Conclusions

Further reading

Chapter 5: Multimorbidity and the Primary Care Clinic

Background

So what is needed at practice level?

How can this be achieved?

Conclusions

Further reading

Chapter 6: Multimorbidity and Patient-Centred Care

Introduction

Justification for a patient-centred approach

First component: exploring diseases and the illness experience

Second component: understanding the whole person in context

Third component: finding common ground

Fourth component: enhancing the patient–practitioner relationship

Further Reading

Chapter 7: Multimorbidity and the Healthcare Electronic Medical Record

How can existing EMR technology be best used for the care of patients with multimorbidity?

How could future EMRs better support the care of patients with multimorbidity?

Conclusion

Further reading

Chapter 8: Treatment Burden and Multimorbidity

Definition of treatment burden

Patient capacity

Treatment burden and multimorbidity

Patient adherence and other outcomes

Typology of treatment burden

What can be done to identify treatment burden and lessen this for patients?

Gaps in knowledge

Acknowledgements

Further reading

Chapter 9: Multimorbidity and Mental Health

Background

Common mental health problems and long-term conditions

The clinical implications of common mental health problems in long-term conditions

Management of long-term conditions – the chronic care model and collaborative care

Severe mental illness and long-term conditions

Further reading

Chapter 10: The Impact of Multimorbidity on Quality and Safety of Health Care

Introduction

Key theoretical issues on the impact of multimorbidity on quality and safety of health care

Evidence for the impact of multimorbidity on the quality and safety of health care

Implications for clinical practice

Conclusions

Acknowledgements

Further reading

Chapter 11: Implications of Multimorbidity for Health Policy

Background

Problems of the single-disease paradigm for patients

Implications of multimorbidity for the healthcare system

New approaches to research are needed

Further reading

Chapter 12: Optimizing Outcomes in Multimorbidity

The story so far

Top tips in the management of multimorbidity for clinicians

Research into multimorbidity

Multimorbidity and healthcare training

Policy and multimorbidity

Conclusions

Further reading

Index

End User License Agreement

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Guide

Cover

Table of Contents

Preface

Chapter 1: Introducing Multimorbidity

List of Illustrations

Figure 1.1

Figure 1.2

Figure 1.3

Figure 2.1

Figure 2.2

Figure 2.3

Figure 2.4

Figure 3.1

Figure 3.2

Figure 3.3

Figure 4.1

Figure 4.2

Figure 4.3

Figure 4.4

Figure 4.5

Figure 4.6

Figure 5.1

Figure 5.2

Figure 5.3

Figure 5.4

Figure 6.1

Figure 6.2

Figure 6.3

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Figure 7.3

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Figure 7.5

Figure 8.1

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Figure 8.3

Figure 8.4

Figure 9.1

Figure 10.1

Figure 10.2

Figure 11.1

Figure 11.2

Figure 11.3

Figure 12.1

Figure 12.2

List of Tables

Table 1.1

Table 5.1

Table 5.2

ABC of Multimorbidity

EDITED BY

Stewart W. Mercer

Professor of Primary Care Research

General Practice and Primary Care

Institute of Health andWellbeing

University of Glasgow, Glasgow UK

Chris Salisbury

Professor of Primary Health Care

Centre for Academic Primary Care, NIHR School for Primary Care Research

School of Social and Community Medicine, University of Bristol, Bristol UK

Martin Fortin

Professor and Research Director

Family Medicine Department, Université de Sherbrooke

Academic Research Director, Centre de Santé et de Services Sociaux de Chicoutimi

Chicoutimi, QC, Canada