1. Describe the impact of multiple chronic conditions on individual patients and on the health care system. 2. Discuss the contributions of the interdisciplinary health care team members in the management of chronic disease. 3. Summarize the common medication-related problems occurring in older adults, focusing on falls. 4. Define the impact of medication non-adherence to the treatment plan in ...

It is estimated that 75% of the population in industrialised countries will die from chronic diseases and most of them with multiple chronic conditions [2]. End of life care for multimorbid patients is particularly complex and in most health and care systems fragmented and uncoordinated. More importantly, highly medicalised and hospital-centric care often leads to overtreatment and over use of ...

OBJECTIVE To estimate the impact of chronic medical conditions on depression diagnosis, treatment, and follow-up care in primary care settings. DESIGN This was a cross-sectional study that used interviewer-administered surveys and medical record reviews. Three hundred fifteen participants were recruited from 3 public primary care clinics. Depression diagnosis, guideline-concordant treatment, ...

America faces a new frontier in preventing chronic disease. Nearly 80% of the 10,000 people who turn 65 each day have at least 1 chronic health condition, and most have multiple chronic conditions (1). The costs of braving this new world are staggering, especially given the nation’s strained economy and budget cuts that have forced health departments to reduce their workforce and impose furloug...

OBJECTIVE To estimate the prevalence of major depressive episodes (MDEs) in patients with migraine and to compare the strength of association with that of other long-term medical conditions. METHODS This study used a large-scale probability sample (over 130,000 sample) from the Canadian Community Health Survey (CCHS), a cross-sectional survey conducted by Statistics Canada. The CCHS screened ...

OBJECTIVE The effect of age on psychological distress remains controversial and it is unclear how a chronic medical illness influences this association. We aimed to compare the level of psychological distress between younger and older patients with chronic medical conditions attending hospital specialty clinics and to test whether a different pattern emerges when comparisons with individuals wi...

BACKGROUND Frameworks exist to evaluate the appropriateness of medication regimens for older patients with multiple medical conditions (MCCs). Less is known about how to translate the concepts of the frameworks into specific strategies to identify and remediate inappropriate regimens. METHODS Modified Delphi method involving iterative rounds of input from panel members. Panelists (n = 9) repr...

Asian-Americans are a small but fast-growing population in the United States who are increasingly experiencing multiple chronic diseases. While the evidence-based Chronic Disease Self-Management Program (CDSMP) has been disseminated among various racial and ethnic populations, few studies specifically investigate participants with an Asian background. The study aims to identify characteristics ...