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Journals / KONURALP TIP DERGİSİ / 2021 / Cilt: 13 - Sayı: 3

The prevalence of multimorbidity among adults aged 40 years and above in primary care setting: a cross-sectional study

Birinci basamakta 40 yaş ve üzeri yetişkinlerde multimorbidite prevalansı: kesitsel bir çalışma

Selçuk AKTURAN
Ömer KARAHAN
Mehmet AKMAN
Pages
563–569
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

So, the policy of primary care services should be redesigned for the management of MM patients including the ‘goal-oriented care’ approach.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Coordination function of primary care (PC) enables continuous, efficient, and cost-effective health care provided to patients with chronic disease and multimorbidity (MM).
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Key Findings & Data:All the individuals aged 40 and over who were registered to the primary care units (PCUs) of the Uskudar district of Istanbul have formed the population of the study.
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Conclusion & Impact:So, the policy of primary care services should be redesigned for the management of MM patients including the ‘goal-oriented care’ approach.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Multimorbidite · Birinci basamak · Hekim

Abstract

Objective: Coordination function of primary care (PC) enables continuous, efficient, and cost-effective health care provided to patients with chronic disease and multimorbidity (MM). The aim of this study was to identify the most common chronic diseases and to determine the prevalence of MM in PC registries. Methods: Our study is a cross-sectional study. All the individuals aged 40 and over who were registered to the primary care units (PCUs) of the Uskudar district of Istanbul have formed the population of the study. A systematic cluster sampling was used. The patient list of each family physician in Uskudar district was accepted as a cluster and an equal number of patients from each cluster were enrolled. Only the information on the patients’ MM data was requested from the primary care physicians. Results: The 108 physicians of the Uskudar district (response rate: 73.4%) gave consent to participate in the study. The 1187 (40.3%) of registered patients of all PCUs were 40 years old and over. The multimorbid patients were found as 330 (27.8%). Conclusion: Approximately, one of four patients have multimorbidity. So, the policy of primary care services should be redesigned for the management of MM patients including the ‘goal-oriented care’ approach.

Özet

Amaç: Birinci basamağın (BB) koordinasyon işlevi, kronik hastalığı ve multimorbiditesi (MM) olan hastalara sağlanan sağlık hizmetlerinde sürekli, verimli ve uygun maliyetli sağlık bakımını sağlar. Bu çalışmanın amacı BB kayıtlarında en sık görülen kronik hastalıkları ve MM prevalansını belirlemektir. Gereç ve Yöntem: Çalışmamız kesitsel bir çalışmadır. İstanbul'un Üsküdar ilçesine bağlı Aile Sağlığı Merkez’lerine (ASM) kayıtlı 40 yaş ve üzerindeki tüm bireyler çalışmanın evrenini oluşturmuştur. Örneklemin seçiminde sistematik küme örneklemesi metodu kullanılmıştır. Üsküdar ilçesindeki her aile hekiminin hasta listesi küme olarak kabul edilmiş ve her kümeden eşit sayıda hasta kaydedilmiştir. Birinci basamak hekimlerinden sadece hastaların MM verileri ile ilgili bilgiler istenmiştir. Bulgular: Üsküdar ilçesinin 108 hekimi (yanıt oranı:% 73,4) çalışmaya katılmayı kabul etmiştir. Tüm PKB'lerde kayıtlı hastaların 1187'si (% 40,3) 40 yaş ve üzerindeydi. Multimorbid hastalar 330 (% 27,8) olarak bulunmuştur. Sonuç: Yaklaşık olarak dört hastadan biri multimorbiditeye sahiptir. Bu nedenle, BB sağlık hizmetleri politikası, MM hastalarının yönetimi için "hedefe yönelik bakım" yaklaşımı dahil olmak üzere yeniden tasarlanmalıdır.

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Cite This Article

AKTURAN, S., KARAHAN, Ö., AKMAN, M. (2022). The prevalence of multimorbidity among adults aged 40 years and above in primary care setting: a cross-sectional study. KONURALP TIP DERGİSİ, Cilt: 13 - Sayı: 3, 563–569. https://ajindex.com/articles/575496

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