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Proposed model of integrated care to improve health outcomes for individuals with multimorbidities

机译：拟议的综合护理模式，可改善多病患者的健康状况

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Abstract: Multimorbidity is defined as the coexistence of multiple chronic conditions. Individuals with multimorbidity typically present with complex needs and show significant changes in their functional health and quality of life. Multimorbidity in the aging population is well recognized, but there has been limited research on ways to manage the problem effectively. More recent studies have demonstrated a high prevalence of multimorbidity in the younger demographics aged under 65 years. There is a definite need to develop models of care that can manage these individuals effectively and mitigate the impact of illness on individuals and the financial burden to the health care system. An integrated model of care has been developed and implemented in a facility in Nova Scotia that routinely treats individuals with multiple chronic conditions. This care model is designed to address the specific needs of this complex patient population, with integrated and coordinated care modules that meet the needs of the person versus the disease. The results of a pilot evaluation of this care model are also discussed.
机译：摘要：多发病是指多种慢性病并存。患有多种疾病的个体通常会面临复杂的需求，并且在功能健康和生活质量方面会发生重大变化。人口老龄化的多发病率已得到公认，但是对于有效管理该问题的方法的研究很少。最近的研究表明，在65岁以下的年轻人群中，多发病率很高。绝对需要开发一种护理模型，以有效地管理这些人并减轻疾病对个人的影响以及医疗保健系统的经济负担。已经在新斯科舍省的一家机构中开发并实施了一种综合护理模式，该机构通常会治疗患有多种慢性病的患者。此护理模型旨在通过满足患者与疾病需求的集成且协调的护理模块来满足这一复杂患者群体的特定需求。还讨论了该护理模型的初步评估结果。

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