Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1267-1270
YAO Yuan-long, SHI Wei-li, FENG Xian, HUANG Wen-bo, WANG Liu-yi. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
Citation: YAO Yuan-long, SHI Wei-li, FENG Xian, HUANG Wen-bo, WANG Liu-yi. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
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Research management strategies for multimorbidity in elderly patients

doi: 10.16766/j.cnki.issn.1674-4152.002574
  • 1.

    Department of General Practice, Henan University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China

Funds:

 RKX202101001

  • Received Date: 2021-10-11
    Available Online: 2022-09-26
    Abstract
  • At present, the aging of the global population is serious and China has also entered the accelerated stage of aging. Multimorbidity caused by aging brings severe challenges to economic and social development. Multimorbidity seriously affects the quality of life of elderly patients and increases the burden of multiple medications and treatments. With the increase in the number of chronic diseases, some patients are troubled by psychological diseases. Elderly multimorbidity could also lead to an increase in the number of hospitalisation, which directly leads to a remarkable increase in medical costs and resource utilisation. Thus, multimorbidity has gradually become a social health problem. Comorbid chronic disease management has also become the concerns of "Healthy China 2030". The current chronic disease management guidelines for single disease are more concentrated in the processing and they are often overlooked in the elderly with comorbidity. A large number of clinical practice showed that the guide for single disease is not a suitable for multimorbidity as the solution of the problem in better manage patients, with much research from domestic and foreign scholars. In 2012, The American Geriatrics Society issued guidelines for the diagnosis and treatment of geriatric multimorbidity, proposing patient-centred diagnosis and treatment strategies. The principles provide a reference and theoretical framework for multimorbidity management in China and domestic scholars have accumulated relevant experience in multi-morbidities research. The emphasis is on enhanced management of multimorbidity by establishing a multidisciplinary integrated team, developing a general practitioner system, adopting patient-centred management model and self-management model, attaching importance to comprehensive geriatric assessment and paying attention to multiple medications. This paper reviews the concept, epidemiology, hazard and management of multimorbidity to promote the health management of elderly multimorbidity in China.

     

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