Published in:
Open Access
01-12-2013 | Editorial
Multimorbidity and equity in health
Author:
Efrat Shadmi
Published in:
International Journal for Equity in Health
|
Issue 1/2013
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Excerpt
Two major challenges are at play in the design of current and future health care delivery: the growing diversity of patient populations and the increasing burden of multiple long-term conditions. The growing prevalence of multiple co-occurring conditions signifies a greater burden for patients and a resultant increasing need for health care resources [
1,
2]. Yet, health care systems are ill suited for the complex, frequently interacting needs of patients with multiple chronic conditions [
3]. Guidelines and incentives are aligned in a way that acknowledge high quality treatment of single conditions [
4,
5] without recognizing the impact of multiple conditions on the commissioning of care and on patients’ self management capabilities [
6‐
9]. For individuals from diverse socioeconomic and cultural backgrounds, these challenges are even greater, as multiple co-occurring life and social circumstances interact with their health and health related needs. …