Multiple chronic conditions: the need for integrated secondary care. 2019

M Verhoeff, and O M Meijer-Smit, and S E J A de Rooij, and B C van Munster
Department of Internal Medicine/Geriatrics, University Centre of Geriatric Medicine, University Medical Centre of Groningen, Groningen, the Netherlands.

Current hospital-level care is "mostly disease-specific and monodisciplinary-oriented". These three case reports show different journeys that patients with multiple chronic conditions experienced in Dutch secondary outpatient care, and aim to demonstrate why an integrated care approach might be beneficial for this group of patients.

UI MeSH Term Description Entries
D008297 Male Males
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D012040 Regional Health Planning Planning for health resources at a regional or multi-state level. Annual Implementation Plans,Appropriateness Review,Areawide Planning,Comprehensive Health Planning,Review, Appropriateness,Annual Implementation Plan,Appropriateness Reviews,Health Planning, Comprehensive,Health Planning, Regional,Implementation Plan, Annual,Implementation Plans, Annual,Plan, Annual Implementation,Planning, Areawide,Planning, Comprehensive Health,Planning, Regional Health,Plans, Annual Implementation,Reviews, Appropriateness
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000071069 Multiple Chronic Conditions Two or more concurrent chronic physical, mental, or behavioral health problems in an individual. Multiple Chronic Health Conditions,Multiple Chronic Illnesses,Multiple Chronic Medical Conditions,Chronic Conditions, Multiple,Chronic Illnesses, Multiple
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D015577 Geriatric Assessment Evaluation of the level of physical, physiological, or mental functioning in the older population group. Assessment, Geriatric,Assessments, Geriatric,Geriatric Assessments
D019033 Delivery of Health Care, Integrated A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7) Integrated Delivery Systems,Integrated Health Care Systems,Delivery System, Integrated,Delivery Systems, Integrated,Integrated Delivery System,System, Integrated Delivery,Systems, Integrated Delivery

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