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Kristine H Bissenbakker1, Anna Birna Almarsdóttir2, Anne Møller1

  • 1Forskningsenheden for Almen Praksis, Center for Almen Medicin, Institut for Folkevidenskab, Københavns Universitet.

Ugeskrift for Laeger
|October 28, 2023
PubMed
Summary
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Patients with multiple chronic conditions and medications face treatment burdens. They need integrated care and shared decision-making, but healthcare systems require further development to meet these complex patient needs.

Area of Science:

  • Healthcare Management
  • Patient-Centered Care
  • Chronic Disease Management

Background:

  • Patients with multimorbidity and polypharmacy experience significant daily treatment burdens.
  • Current healthcare models often lead to disjointed care, failing to meet patient needs for holistic management.
  • Patients express a desire for greater involvement in treatment decisions and a more integrated approach to their conditions.

Approach:

  • This review examines existing healthcare initiatives that move beyond traditional siloed thinking.
  • It analyzes the necessity for developing new structures, collaborative models, and systemic approaches.
  • The study highlights the ongoing need for research to support these evolving healthcare frameworks.

Key Points:

  • Multimorbidity and polypharmacy present complex challenges for patients.

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  • A holistic and patient-centered approach is crucial for effective chronic disease management.
  • Existing healthcare initiatives show promise but require further systemic development.
  • Patient involvement in decision-making is a key component of integrated care.

    • Conclusions:

    • Healthcare systems must evolve to provide more integrated and patient-centered care for individuals with multimorbidity and polypharmacy.
    • Further development of collaborative models and research is essential to address the treatment burden faced by these patients.
    • Moving beyond diagnostic silos is necessary to improve patient outcomes and satisfaction.