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Title
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Multimorbidity a concept for family medicine within Europe
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Author
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Abstract
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| Multimorbidity is a concept encompassing all medical conditions of a patient. The concept links to the European definition of Family Medicine (FM). However, the definition of multimorbidity was unclear. Consequently the European General Practice Research Network (EGPRN) considered the concept as important and set up a research group to clarify it. Using a step by step method the EGPRN operated a systematic review of literature to design a comprehensive definition of Multimorbidity, a Delphi consensus to translate it in 10 European languages, a European wide qualitative survey to explore how European FPs perceived and worked with this concept and, whether they would add new themes to it, a nominal group to draw a research agenda for FM and a pilot cohort survey to test if this broad concept was reducible. The main results are: 'Multimorbidity is defined as any combination of chronic disease with at least one other disease (acute or chronic) or bio-psychosocial factor (associated or not) or somatic risk factor. Any bio-psychosocial factor, any risk factor, the social network, the burden of diseases, the health care consumption and the patient's coping strategies may function as modifiers (of the effects of multimorbidity). Multimorbidity may modify the health outcomes and lead to an increased disability or a decreased quality of life or frailty'. The use of the Wonca's core competencies of FM and the dynamics of the doctor-patient relationship looked useful for FPs in detecting and managing Multimorbidity and patient's complexity. The concept seems reducible for clinical use. |
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Language
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English
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Source (journal)
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Türkiye Klinikler
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Publication
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2019
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Volume/pages
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(2019)
, p. 1-5
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Full text (open access)
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Full text (publisher's version - intranet only)
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