Multiple Chronic Conditions: Prevalence, Health Consequences, and Implications for Quality, Care Management, and Costs
By C. Vogeli, A. Shields, Todd A. Lee, T. Gibson, W. Marder, K. Weiss, D. Blumenthal. Journal of general internal medicine, 2007
1,170 citations recorded by the source corpus.
Persons with multiple chronic conditions are a large and growing segment of the US population. However, little is known about how chronic conditions cluster, and the ramifications of having specific combinations of chronic conditions. Clinical guidelines and disease management programs focus on single conditions, and clinical research often excludes persons with multiple chronic conditions. Understanding how conditions in combination impact the burden of disease and the costs and quality of care received is critical to improving care for the 1 in 5 Americans with multiple chronic conditions. This Medline review of publications examining somatic chronic conditions co-occurring with 1 or more additional specific chronic illness between January 2000 and March 2007 summarizes the state of our understanding of the prevalence and health challenges of multiple chronic conditions and the implications for quality, care management, and costs.
Subfields: Economics and Econometrics, Epidemiology
View Paper: https://www.semanticscholar.org/paper/64d627a9212e9fdca34146ec19af15c3f179391e
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Citations in the corpus
- Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model (2018, background): “The contribution of younger cohorts with multi-morbidity as they age into the older population, along with growing numbers of the very old, could dramatically increase the health and social care burden in the coming years [11].”
- Review: Health Care Utilization and Costs of Elderly Persons With Multiple Chronic Conditions (2011, background): “…functional status/quality of life, HCU, complications) of comorbidity in several somatic diseases (e.g., cancers, diabetes, ischaemic heart disease); and Vogeli et al. (2007), who conducted a narrative review with studies on the prevalence, health consequences, and care management of MCCs.”
- Prevalence, Determinants and Patterns of Multimorbidity in Primary Care: A Systematic Review of Observational Studies (2014, background): “Recently published systematic reviews have tried to summarise these studies, but they are not without limitations, such as omitting information on the determinants and/or patterns of multimorbidity [8–10] and an exclusive focus on longitudinal studies [11].”
- Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design? (2010, background): “People with multimorbidity are thought particularly vulnerable to suboptimal quality care.(1,100) Central then to the design of care”
- Confronting the growing burden of chronic disease: can the U.S. health care workforce do the job? (2009, background): “The average Medicare patient with one chronic condition sees four physicians a year, while those with five or more chronic conditions see fourteen different physicians a year.(3) In 2002, beneficiaries with five or more chronic conditions accounted for 76 percent of Medicare expenditures.”