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[Multimorbidity is not a diagnosis].

Kevin Selby1,2, Yolanda Mueller Chabloz3, Joëlle Schwarz2,3

  • 1Département des policliniques, Unisanté, 1011 Lausanne.

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|October 31, 2019
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Summary
This summary is machine-generated.

Multimorbidity research since the 1970s shows organizational primary care changes improve complex patient care but not quality of life. New approaches are needed to enhance the experience of patients with multiple chronic diseases.

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Area of Science:

  • Epidemiology
  • Clinical Practice
  • Health Services Research

Background:

  • Multimorbidity has been studied since the 1970s, offering population-level insights but limited clinical utility for patients and practitioners.
  • Organizational changes in primary care have been tested in clinical trials for managing patients with multiple chronic conditions.

Purpose of the Study:

  • To review the history of multimorbidity research and recent clinical trial findings.
  • To stimulate discussion on novel strategies for improving the lived experience of individuals with multiple chronic diseases.

Main Methods:

  • Review of historical epidemiological and clinical practice data on multimorbidity.
  • Analysis of results from large, rigorous randomized clinical trials focused on primary care interventions for multimorbidity.

Main Results:

  • While organizational changes in primary care can enhance patient care, they have not demonstrated improvements in health-related quality of life.
  • The concept of multimorbidity is more valuable for epidemiological descriptions than for direct clinical application.

Conclusions:

  • Current approaches to multimorbidity management require re-evaluation.
  • Developing new strategies is crucial to better support the well-being and experience of patients with multiple chronic conditions.