Increasing primary care comorbidity: a conceptual research and practice framework

To present a "contrasting perspectives" conceptual framework reflecting the typically strained experiences of many comorbid adults now interacting with primary care clinicians across the world.

More comorbidity-related needs are presented to primary care clinicians during typically shorter office-based health care encounters. The overall perceptual differences between many comorbid consumers and health care clinicians and systems in many countries are likely to worsen.

Conceptual implications are discussed for primary care researchers testing interventions and attempting to influence the outcomes of increasingly comorbid primary care adults. Implications for Nursing Research and Practice: Three strategies are offered for researchers and clinicians considering how to include elements of comorbidity into their prospective primary care study interventions and care delivery processes.