Journal of Multimorbidity and Comorbidity
@jmultimorbidity.bsky.social
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Journal of Multimorbidity and Comorbidity is an open-access journal for the management of patients with #comorbidity / #multimorbidity IF 3.0 | Published by SAGE.
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jmultimorbidity.bsky.social
Adjustment for other demographic factors showed that experiencing differential race-based treatment in health care and work lead to a higher burden of multimorbidity reported ‼️
jmultimorbidity.bsky.social
Throughout the study there was a slightly higher prevalence of multimorbidity reported in Black adults compared to White adults - 63.7% of Black adults had multimorbidity vs 60.4% of White adults 📈
jmultimorbidity.bsky.social
Through this cross sectional study, White Whilby et al sought to explore whether racial discrimination was one of the mechanisms determining burden of multimorbidity in a US population 🇺🇸
jmultimorbidity.bsky.social
Multimorbidity prevalence is rising globally. It has been noted that there are evident racial disparities in the burden of multimorbidity 🌎
jmultimorbidity.bsky.social
🚨 Article of the Week 🚨

Experiences of and reactions to race-based differential treatment with multiple chronic conditions by race: Evidence from the South Carolina behavioral risk factor surveillance systems surveys prior to the COVID-19 pandemic

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Subscription and open access journals from Sage, the world's leading independent academic publisher.
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jmultimorbidity.bsky.social
This study enhances understanding of the impact of health literacy on experiences of care. Improving patient-centred approaches tailored to individuals health literacy could improve perceptions of collaboration in the care of those with long-term conditions.
jmultimorbidity.bsky.social
The study found:
➡️ 55.3% of outpatients perceived limited collaboration between clinics involved in their care
➡️ People with lower health literacy were more likely to report limited collaboration
➡️ Other demographics were also found to be important
jmultimorbidity.bsky.social
How do people with diabetes and comorbidities perceive collaboration across clinics? And what role does health literacy play?
A new cross-sectional study based in Denmark addressed these questions 🇩🇰
jmultimorbidity.bsky.social
🚨 Article of the Week 🚨

Outpatients’ perceptions of collaboration across clinics and health literacy among patients with diabetes and at least one comorbidity: A hospital-level cross-sectional study by Graversen et al

journals.sagepub.com/doi/full/10....
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
jmultimorbidity.bsky.social
This raises important considerations around what we count to measure multimorbidity and what constitutes a long-term conditions. Thought needs to be given to what matters to patients beyond traditional disease-centric frameworks ‼️
jmultimorbidity.bsky.social
Incorporating symptoms and clinical indicators into multimorbidity measurements impacted key outcomes including hospitalisations and functional impairment 🏥
jmultimorbidity.bsky.social
Similarly, using different definitions was showed varying associations with patient reported outcomes 💡
jmultimorbidity.bsky.social
Definitions of multimorbidity are associated with differing patterns of multimorbidity prevalence in people living with HIV 📈
jmultimorbidity.bsky.social
🚨 Article of the Week 🚨

Multimorbidity frameworks impact the composition of patterns and their associations with patient-reported outcomes among people with HIV by Sukaraman et al.

journals.sagepub.com/doi/full/10....
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
jmultimorbidity.bsky.social
This important work highlights the impact multimorbidity plays in economic implications to individuals, health services and society ‼️
jmultimorbidity.bsky.social
Those with multimorbidity had reduced working life expectancy, with differences noted in types of conditions:
- those with two or more physical conditions worked 8-10 months less
- those with physical-mental multimorbidity worked 3-12 months less
jmultimorbidity.bsky.social
This cohort study analysed in a Finnish population what impact multimorbidity had on the length of time spent in employment 🇫🇮
jmultimorbidity.bsky.social
Learning from these policies show there has to be enhanced training for healthcare providers, methods to assist self management for patients and strengthening of primary care to address multimorbidity in these settings 🏥
jmultimorbidity.bsky.social
54 documents were analysed - though no specific policies around managing multiple non communicable diseases were identified though disease specific policies did consider comorbidity 📑
jmultimorbidity.bsky.social
This review searched for contemporary policies for managing multiple non communicable diseases in India 🇮🇳, South Africa 🇿🇦 and Thailand 🇹🇭
jmultimorbidity.bsky.social
Themes such as ‘investigation and monitoring’ were most prevalent compared to themes such as ‘accumulation and complexity’ and ‘financial work’ - highlighting the need to enrich records with patient-centred data 🙋🏻
jmultimorbidity.bsky.social
By developing clinically correlated code lists, trends were analysed over 20 years using a cohort of over 5 million patients 📈
jmultimorbidity.bsky.social
Focusing on individuals with a history of a mental health condition, this study evaluated the representation of these themes and their constituent concepts in EHR data 🏥