Identifying optimal treatment approaches for people with multimorbidity in Ontario
Année de publication: 2013
Multimorbidity is part of the daily life of a growing
number of Ontarians who must manage multiple
chronic conditions. As Fortin et al. observed, “patients
with multiple conditions are the rule rather than the
exception in primary care.”
Multimorbidity not only has a significant impact on
healthcare utilization and costs, but it is expected to
affect quality of life, ability to work, employability,
disability, process of care and mortality.(3) Despite the
burden of multimorbidity, patients often receive care
that is “fragmented, incomplete, inefficient, and
ineffective.”(3) Thus, there have been growing calls for
changes to health systems and clinical decision-making
processes to more effectively and efficiently provide the
complex care required by those with
multimorbidity.