Intended for healthcare professionals

Letters Challenge of multimorbidity

Managing multimorbidity needs time and thought

BMJ 2020; 368 doi: (Published 26 February 2020) Cite this as: BMJ 2020;368:m711
  1. Imogen Sutherland, core medical trainee year 2,
  2. Samad Samadian, consultant geriatrician
  1. Epsom and St Helier NHS Trust, St Helier Hospital, Carshalton SM5 1AA, UK
  1. imogen.sutherland1{at}

Medical admissions are caused by a domino effect of environmental, social, mental, and physical factors, yet we only treat that last domino. Throughout our medical training, we have been reminded that time is of the essence—see more patients, in less time, diagnose and start treatment in the least number of minutes before moving on to “pick up a new …

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