Addressing multimorbidity to improve healthcare and economic sustainability

Journal of Comorbidity
Francesca ColomboChristoph Schwierz

Abstract

Patients with multimorbidity are responsible for more than half of all healthcare utilization, challenging the healthcare budgets of all European nations. Although the European Union is showing signs of a fragile economic recovery, achieving sustainable growth will depend on delivering a combination of fiscal responsibility, structural reforms, and improved efficiency. Addressing the challenges of multimorbidity and providing more effective, affordable, and sustainable care, has climbed the political agenda at a global, European, and national level. Current healthcare systems are poorly adapted to cope with the challenges of patients with multimorbidity. Little is known about the epidemiology and natural history of multimorbidity; the evidence base is weak; clinical guidelines are not always relevant to this population; and financing and delivery systems have not evolved to adequately measure and reward quality and performance. Pockets of innovation are, however, beginning to emerge. In Spain, for example, the ongoing economic crisis has forced regional governments to deliver substantial efficiency savings and, with this in mind, integrated care programmes have been introduced across the country for people with chronic disease ...Continue Reading

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Citations

Jan 24, 2018·Journal of Comorbidity·Sidsel M Runz-JørgensenUlla Christensen
Jun 22, 2018·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·A S AvedisovaA A Gudkova
Feb 3, 2018·Human Vaccines & Immunotherapeutics·Alejandro Orrico-SánchezJavier Díez-Domingo
Feb 17, 2016·Journal of Comorbidity·Boris AzaïsMatthias Wismar
Aug 23, 2020·Journal of Clinical Medicine·Máximo Bernabeu-Wittel On Behalf Of The Proteo Researchers
Apr 21, 2016·Journal of Comorbidity·Hilde D LuijksChris van Weel
Dec 21, 2019·International Journal of Public Health·Pedro A LairesJ Perelman
Feb 25, 2021·PloS One·Maria Kordowicz, Dieu Hack-Polay

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