Multimorbidity: negotiating priorities and making progress

作者：Horris Mark^*; Dennis Sarah; Pillay Megan

来源：Australian Family Physician, 2013, 42(12): 850-854.

• multimorbidity
• patient-centred care

Background %26lt;br%26gt;Patients with multimorbidity are increasingly common in general practice. Multimorbidity is a challenge for both patients and practitioners because of the complexity of care and its impact on patients%26apos; lives. Single-disease-based guidelines are of limited use to providers managing patients with multimorbidity. %26lt;br%26gt;Objective %26lt;br%26gt;The article aims to discuss how multimorbidity can be best managed in general practice. It does this within the framework of a patient-centred approach that recognises the importance of finding common ground with patients in setting priorities and assessing the impact of care. %26lt;br%26gt;Discussion %26lt;br%26gt;Providing effective care for multimorbidity requires shared decision-making about goals with patients and more effective communication and coordination between providers. For this group of patients, our current single-disease-based models of care need to be replaced with more integrated ones in which the impact of all the patient%26apos;s conditions on their quality of life are considered.

• 出版日期2013-12