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Advancing multimorbidity management in primary care: a narrative review
Chanchanok Aramrat1, Yanee Choksomngam1, Wichuda Jiraporncharoen1
1Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Primary Health Care Research & Development
|July 1, 2022
Summary
Managing multimorbidity (multiple chronic conditions) in primary care requires a combined health system and patient-centered approach. This strategy improves care access, supports self-management, and integrates services for better patient outcomes.
Area of Science:
- Primary Care Research
- Health Services Research
- Chronic Disease Management
Background:
- Multimorbidity, the presence of multiple chronic conditions, is a growing concern in primary care.
- Patients with multimorbidity experience higher healthcare utilization, mortality, and reduced quality of life.
Purpose of the Study:
- To review evidence on advancing multimorbidity management within primary care settings.
- To identify key strategies for improving care for patients with multiple chronic conditions.
Main Methods:
- A narrative review of literature from PubMed, Cochrane, WHO database, and Google Scholar.
- Thematic analysis of review papers and original articles focused on primary care.
Main Results:
- Effective multimorbidity management necessitates a health system approach (improved access, generalism, decision support) and a patient-centered approach (doctor-patient relationship, shared decision-making, self-management support, integrated care).
- Integrating multimorbidity guidelines with patient-centered and chronic care models offers a framework for system advancement.
Conclusions:
- Advancing multimorbidity management requires a holistic strategy combining system-level improvements with patient-centered care principles.
- This integrated framework supports individualized care plans and seamless integration across providers, families, and communities.
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