Re: Managing patients with multimorbidity: systematic review of interventions in primary care and community settings
Very relevant article and good to see the issue of multimorbidity being addressed from a physiological perspective.
I do volunteer work in the area of co-morbidity in addiction and mental health and find it striking the disconnect between mental health and addiction services even though research (Wright et al) indicates 85% of people with alcohol problems also have a mental health problem. This leads to increased costs and poorer clinical outcomes. Interesting the Kings Hospital Trust published a report "Long-term conditions and mental health The cost of co-morbidities" which indicated £1 in £8 spent in the NHS could be saved by improved integration of mental health and chronic disease care services. It seems to me that a totally new care paradigm is needed for patients with complex conditions as the current framework relies on patients to integrate their care, yet patients are not empowered to do this.