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Multiple conditions: exploring literature from the consumer perspective in Australia
1Chronic Illness Alliance, Camberwell, Vic., Australia.
Summary
People with multiple chronic conditions face significant healthcare barriers. This review highlights the need for improved services and policies in Australia to address these challenges.
Area of Science:
- Health Services Research
- Chronic Illness Management
- Public Health Policy
Background:
- A literature review was conducted by the Chronic Illness Alliance following a workshop with individuals managing multiple health conditions.
- The review aimed to explore existing literature concerning the experiences and needs of people with multiple conditions.
Purpose of the Study:
- To identify and synthesize current research on multiple conditions (multimorbidities).
- To understand the implications of multimorbidities for healthcare services and policy.
- To highlight barriers to effective healthcare for individuals with multiple chronic illnesses.
Main Methods:
- A comprehensive literature search was performed across databases including Medline, CINAHL, Google Scholar, and Cochrane Library.
- Search terms were extensive, and the review was limited to English-language articles published between 1999 and 2009.
- Inclusion criteria focused on articles addressing issues faced by individuals with more than one chronic illness and the healthcare services supporting them.
Main Results:
- Key themes identified include definitions of multiple conditions, service safety and quality, treatment risks and benefits, and service coordination.
- The international research underscores barriers to quality healthcare when multiple conditions are not adequately recognized.
- Specific areas of focus were the safety, quality, risks, benefits, and coordination of services for individuals with multiple and rare conditions.
Conclusions:
- International research confirms the impact of multimorbidities on health services and identifies critical barriers to care.
- While consumer issues related to multiple conditions are not always well-recognized, the identified barriers are crucial for patient well-being.
- The review concludes that Australian services and policies necessitate targeted reforms to better serve individuals with multiple conditions.
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