Volume 24 Issue 1
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The Digital and Intelligent Health Security Branch of the China Association for Health Care of the Elderly. Expert consensus on primary care practice for the management of multimorbidity[J]. Chinese Journal of General Practice, 2026, 24(1): 5-19. doi: 10.16766/j.cnki.issn.1674-4152.004320
Citation: The Digital and Intelligent Health Security Branch of the China Association for Health Care of the Elderly. Expert consensus on primary care practice for the management of multimorbidity[J]. Chinese Journal of General Practice, 2026, 24(1): 5-19. doi: 10.16766/j.cnki.issn.1674-4152.004320
shu

Expert consensus on primary care practice for the management of multimorbidity

doi: 10.16766/j.cnki.issn.1674-4152.004320
Funds:

 2023ZD0503600

 2023ZD0503606

 RKX202401003

  • Received Date: 2025-04-26
    Available Online: 2026-04-01
    Abstract
  • With the acceleration of population aging and rising prevalence of chronic diseases in China, multimorbidity has emerged as a major challenge for primary healthcare. The management of patients with multimorbidity is characterized by substantial clinical complexity, potential treatment conflicts, and challenges in resource coordination. To enhance the comprehensive management capacity of primary healthcare institutions, this expert consensus was developed by a multidisciplinary panel in accordance with evidence-based principles. It provides systematic guidance across key domains, including the definition and assessment of multimorbidity, disease cluster typologies, hospital and community-based evaluation strategies, principles of general practice management, individualized care, family and self-management, lifestyle interventions, follow-up and referral procedures, prevention strategies, and end-of-life care. Emphasizing person-centered care, multidisciplinary collaboration, information integration, and continuity of care, this consensus aims to deliver practical and adaptable recommendations to primary care institutions, ultimately improving health outcomes and quality of life for patients with multimorbidity.

     

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