Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design?
Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design?
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DOI：
10.1007/bf03391611
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发表时间：
2010-12-01
影响因子：
5.5
通讯作者：
Fortin, Martin
中科院分区：
文献类型：
--
作者：
Boyd, Cynthia M.;Fortin, Martin
许多患有慢性病的人患有多种慢性病。多发病在这里被定义为两种或两种以上慢性疾病的共存，其中一种不一定比另一种更重要。多发病影响生活质量、工作能力和就业能力、残疾和死亡率。目前，对于如何处理此类患者的护理决定，临床医生的指导意见或证据有限。了解如何最好地照顾和设计多病患者的健康系统，可能会改善生活质量、医疗保健利用率、安全性、发病率和死亡率。本文的目的是回顾多发病对卫生系统设计的影响，并了解这一人群的研究需求。在设计和评估卫生系统时，考虑到患有多种疾病的人是必不可少的。从根本上说，患有多发病的人应该在整个医疗系统中接受以患者和家庭为中心的护理方法，了解如何以有效和高效的方式提供这种类型的护理对当今的临床医生、研究人员和政策制定者来说是一个巨大的挑战和机遇。
Many people living with chronic conditions have multiple chronic conditions. Multimorbidity is defined here as the co-existence of two or more chronic conditions, where one is not necessarily more central than the others. Multimorbidity affects quality of life, ability to work and employability, disability and mortality. Currently, clinicians have limited guidance or evidence as to how to approach care decisions for such patients. Understanding how to best care and design the health system for patients with multimorbidity may lead to improvements in quality of life, utilization of healthcare, safety, morbidity and mortality. The objective of this paper is to review the implications of multimorbidity for the design of health system and to understand the research needs for this population. The consideration of people with multimorbidity is essential in the design and evaluation of health systems. Fundamentally, people with multimorbidity should receive a patient - and family-centered approach to care throughout the health system, and understanding how to deliver this type of care in effective and efficient ways is an enormous challenge, and opportunity, for clinicians, researchers, and policy makers today.