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首页> 外文期刊>Journal of health services research & policy >Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study
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Multimorbidity and delivery of care for long-term conditions in the English National Health Service: baseline data from a cohort study

机译：英格兰国家卫生服务局的多种疾病和长期照护服务：一项队列研究的基线数据

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Objectives: Many patients with long-term conditions have multiple conditions. Current delivery of care is not designed around their needs and they may face barriers to effective self-management. This study assessed the relationships between multimorbidity, the delivery of care, and self-management. Methods: We surveyed 2439 patients with long-term conditions concerning their experience of the delivery of care and self-management in England in 2011. We assessed multimorbidity in terms of a count of long-term conditions and the presence of 'probable depression'. We explored the relationships between multimorbidity, patient experience of the delivery of care, and self-management Results: Neither measure of multimorbidity was a significant predictor of patients' experience of the delivery of care. Patients with multimorbidity reported higher levels of self-management behaviour, while the presence of depression was associated with less positive attitudes towards self-management. Conclusions: The current data do not demonstrate a consistent impact of multimorbidity on patients' experience of care or on self-management. Further research is required to assess those types of multimorbidity that are associated with significant deficits, or to identify other aspects of care that might be problematic in the context of multiple conditions.
机译：目的：许多长期病患者有多种病情。当前的护理交付并非围绕他们的需求而设计，他们可能面临有效自我管理的障碍。这项研究评估了多发病率，护理的提供和自我管理之间的关系。方法：2011年，我们在英格兰对2439名长期病患者进行了调查，以了解他们提供护理和自我管理的经验。我们根据长期病数和是否存在“可能的抑郁症”评估了多发病率。我们探讨了多发病率，患者提供护理的经验与自我管理之间的关系：两种多发病率的度量均不能显着预测患者提供护理的经验。多种病态患者的自我管理行为水平较高，而抑郁症的出现与对自我管理的积极态度较弱有关。结论：目前的数据不能证明多发病对患者的护理经验或自我管理具有持续的影响。需要进一步的研究来评估与严重缺陷相关的多种类型的多发病，或确定在多种情况下可能存在问题的其他护理方面。

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