Radical Ideas

This review highlights the paucity of research into interventions to improve outcomes for multimorbidity with the focus to date being on co-morbid conditions or multimorbidity in older patients. The limited results suggest that interventions to date have had mixed effects but have shown a tendency to improve prescribing and medication adherence, particularly if interventions can be targeted at risk factors or specific functional difficulties in people with co-morbid conditions or multimorbidity. There is a need for clear definitions of participants, consideration of appropriate outcomes, and further pragmatic studies based in primary care settings.

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Interventions for improving outcomes in patients with multimorbidity in primary care and community settings

Smith

Wallace

O’Dowd

et al. 2016

Cochrane Database of Systematic Reviews

552

428

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This review identifies the emerging evidence to support policy for the management of people with multimorbidity and common comorbidities in primary care and community settings. There are remaining uncertainties about the effectiveness of interventions for people with multimorbidity in general due to the relatively small number of RCTs conducted in this area to date, with mixed findings overall. It is possible that the findings may change with the inclusion of large ongoing well-organised trials in future updates. The results suggest an improvement in health outcomes if interventions can be targeted at risk factors such as depression, or specific functional difficulties in people with multimorbidity.

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Radical Ideas

Cited by 6 publications

References 2 publications

Interventions to improve outcomes in patients with multimorbidity in primary care and community settings

Interventions to improve outcomes in patients with multimorbidity in primary care and community settings

Interventions for improving outcomes in patients with multimorbidity in primary care and community settings

Interventions for improving outcomes in patients with multimorbidity in primary care and community settings

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