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Index
Cover
Series Page
Title Page
Copyright
Contributors
Preface
Foreword
Chapter 1: Introducing Multimorbidity
Background
Comorbidity
Multimorbidity
Other related concepts
Multimorbidity: clinical versus operational definition
Severity
Measures
Multimorbidity as an emerging priority
Further reading
Chapter 2: How Common Is Multimorbidity?
Introduction
Prevalence estimates
Factors associated with the prevalence of multimorbidity
From multimorbidity to polypharmacy
Further reading
Chapter 3: How Does Multimorbidity Affect Patients?
Background
Perceptions of multimorbidity
Mortality and hospitalization
Functional status and quality of life
Patient experiences
Adaptive strategies
Further reading
Chapter 4: Effects of Multimorbidity on Healthcare Resource Use
Background
Impact on inpatient and specialized care use
Impact on primary and preventive care use
Impact on medication use and other services
Designing payment systems to take multimorbidity into consideration when compensating for resource use
Other special considerations when designing systems to ensure cost-effective resource use for patients with multimorbidity
Conclusions
Further reading
Chapter 5: Multimorbidity and the Primary Care Clinic
Background
So what is needed at practice level?
How can this be achieved?
Conclusions
Further reading
Chapter 6: Multimorbidity and Patient-Centred Care
Introduction
Justification for a patient-centred approach
First component: exploring diseases and the illness experience
Second component: understanding the whole person in context
Third component: finding common ground
Fourth component: enhancing the patient–practitioner relationship
Further Reading
Chapter 7: Multimorbidity and the Healthcare Electronic Medical Record
How can existing EMR technology be best used for the care of patients with multimorbidity?
How could future EMRs better support the care of patients with multimorbidity?
Conclusion
Further reading
Chapter 8: Treatment Burden and Multimorbidity
Definition of treatment burden
Patient capacity
Treatment burden and multimorbidity
Patient adherence and other outcomes
Typology of treatment burden
What can be done to identify treatment burden and lessen this for patients?
Gaps in knowledge
Acknowledgements
Further reading
Chapter 9: Multimorbidity and Mental Health
Background
Common mental health problems and long-term conditions
The clinical implications of common mental health problems in long-term conditions
Management of long-term conditions – the chronic care model and collaborative care
Severe mental illness and long-term conditions
Further reading
Chapter 10: The Impact of Multimorbidity on Quality and Safety of Health Care
Introduction
Key theoretical issues on the impact of multimorbidity on quality and safety of health care
Evidence for the impact of multimorbidity on the quality and safety of health care
Implications for clinical practice
Conclusions
Acknowledgements
Further reading
Chapter 11: Implications of Multimorbidity for Health Policy
Background
Problems of the single-disease paradigm for patients
Implications of multimorbidity for the healthcare system
New approaches to research are needed
Further reading
Chapter 12: Optimizing Outcomes in Multimorbidity
The story so far
Top tips in the management of multimorbidity for clinicians
Research into multimorbidity
Multimorbidity and healthcare training
Policy and multimorbidity
Conclusions
Further reading
Index
End User License Agreement
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