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• W2183172313 abstract "use computerised templates to systematise review of each long-term condition, but we need new and more sophisticated templates for these comprehensive reviews that can guide the tasks needed for each patient’s particular combination of conditions. At present, chronic disease reviews are dominated by collection of data needed to achieve targets for disease monitoring set by pay-for-performance schemes such as the Quality and Outcomes Framework. The danger is that these may not reflect the priorities of patients with multimorbidity. 8 For these patients, trying to achieve ideal disease control with a view to greater life-expectancy in the future may be a lower priority than improving quality of life now, especially if it requires them to take numerous drugs that cause them unpleasant side-effects. Making these trade-offs can be difficult, and existing evidence based on studies of patients without comorbidities may not provide useful guidance, 13 but it is surely important that any review of patients with multimorbidity includes identifying the main problems that affect their quality of life and discussion of these trade-offs. The comprehensive review for patients with multimorbidity should include screening for and treating depression. We know that multimorbidity is strongly associated with depression, and identifying and treating this effectively helps to improve markers of disease control for physical health problems. 14" @default.
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• W2183172313 date "2013-01-01" @default.
• W2183172313 modified "2023-09-26" @default.
• W2183172313 title " ... general practices can make a start by considering how they organise their services, particularly in relation to continuity and coordination of care ..." @default.
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