中国全科医学2016，Vol.19Issue(23)：2745-2746,2.DOI:10.1186/s12875-015-0344-4
医疗系统管理共病患者遇到的挑战
Keith Moffat 1Stewart W Mercer1
作者信息
- 1. Institute of Health and Wellbeing,College of Medical, Veterinary and Life Sciences,University of Glasgow
- 折叠
摘要
Abstract
Multimorbidity is a growing issue and poses a maJor challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned,being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of research on patients with multimorbidity, and thus guidelines are based on single - conditions. Polypharmacy is common in multimorbidity,increasing drug - disease and drug - drug interactions. Multimorbid patients need holistic care,but secondary care services are highly specialised and thus are often duplicative and fragmented and thus increase treatment burden in multimorbid patients. The cost of care is high in multimorbidity,due to high rates of primary and secondary care consultations and unplanned hospital admissions. The combination of mental and physical conditions increases complexity of care,and costs. Mental - physical multimorbidity is especially common in deprived areas. General practitioners and primary care teams have a key role in managing patients with multimorbidity,using a patient - centred generalist approach. Consultation length and continuity of care may need to be substantially enhanced in order to enable such patients. This will require a radical change in how health care systems are organised and funded in order to effectively meet the challenges of multimorbidity.关键词
共病现象/多种症状/慢性病/过多给药/初级卫生保健Key words
Comorbidity/Multimorbidity/Chronic disease/Polypharmacy/Primary health care分类
医药卫生引用本文复制引用
Keith Moffat,Stewart W Mercer..医疗系统管理共病患者遇到的挑战[J].中国全科医学,2016,19(23):2745-2746,2.
