Featured Research

from universities, journals, and other organizations

Caring for patients with multiple chronic conditions: New research, future challenges

Date:
February 24, 2014
Source:
Wolters Kluwer Health: Lippincott Williams & Wilkins
Summary:
The millions of Americans living with more than one chronic disease are at high risk of poor health outcomes, and account for a disproportionate share of health care costs. A group of experts formed to address knowledge gaps and research challenges in meeting the complex health care needs of this growing population. Their report has been recently released.

The millions of Americans living with more than one chronic disease are at high risk of poor health outcomes, and account for a disproportionate share of health care costs. A special March supplement to Medical Care presents updates from the Agency for Healthcare Research and Quality's (AHRQ) Multiple Chronic Conditions (MCC) Research Network, formed to address knowledge gaps and research challenges in meeting the complex health care needs of this growing population. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Meeting the Needs of People with MCC -- More Than Just a "Collection of Diseases"

The March special supplement, titled Advancing the Field: Results from the AHRQ Multiple Chronic Conditions Research Network, presents research and commentaries based on grants funded by AHRQ to improve understanding about how to best care for the growing number of people living with multiple chronic conditions (MCC). The AHRQ MCC Research Network supports the U.S. Department of Health & Human Services' (HHS) Multiple Chronic Conditions Strategic Framework and the HHS Initiative on Multiple Chronic Conditions, a public-private sector partnership to address the needs of people living with MCC and the health systems that serve them. The special issue can be accessed on the Medical Care website.

"This special issue presents important evidence that can help to ensure safe and high quality health care for the growing number of people who live with more than one ongoing condition," commented AHRQ Director Richard Kronick, PhD.

It is estimated that more than one-fourth of all Americans, and two-thirds of older adults, are living with MCC -- defined as two or more chronic physical or behavioral health problems. Care for patients with MCC accounts for an estimated two-thirds of the nation's nearly $3 trillion in total health care spending. As the US population ages, the number of people with MCC is increasing steadily -- by 2030, there are expected to be more than 170 million Americans living with at least one chronic condition.

The special issue "captures the state of research on MCC and serves as a model for future research in the field," according to an introductory editorial by Guest Editors Mary E. Tinetti, MD, of Yale University and Jayasree Basu, PhD, MBA, of AHRQ.

In their overview paper, David Grembowski, PhD and colleagues highlight the need for a new conceptual approach to MCC. They believe the focus on single conditions needs to be replaced by a model accounting for the "inherent complexity" presented by the mismatch between patients' needs and the current structure of the health care system.

Similarly, Lisa LeRoy, PhD and coauthors emphasize that caring for patients with MCC involves more than treatment of a "collection of diseases." They call for a focus on "holistic outcomes in humans who live meaningful lives in relationship with family and community."

Research Highlights Importance of Behavioral Health Issues

The supplement includes 12 original research papers, reflecting the range of difficult questions requiring evidence to improve the care of patients with MCC. Topics include the conditions adding the most to the costs of MCC, sources of "unexplained and potentially unwarranted variations" in treatment for patients with MCC, and the appropriateness of current treatment guidelines for patients with MCC.

A recurring issue is the contribution of behavioral health problems, often coexisting with physical health problems. Patients with concurrent behavioral health issues may be "particularly vulnerable" to the problems associated with MCC.

But MCC research poses difficult challenges -- a "one-size fits all" approach can't capture the various combinations of conditions and contributing factors seen in patients with MCC. Drs Tinetti and Basu identify priorities for MCC research, including further development of research methods, and improvement of treatment guidelines and of the health care system's ability to meet the needs of patients with MCC.


Story Source:

The above story is based on materials provided by Wolters Kluwer Health: Lippincott Williams & Wilkins. Note: Materials may be edited for content and length.


Journal Reference:

  1. David Grembowski, Judith Schaefer, Karin E. Johnson, Henry Fischer, Susan L. Moore, Ming Tai-Seale, Richard Ricciardi, James R. Fraser, Donald Miller, Lisa LeRoy. A Conceptual Model of the Role of Complexity in the Care of Patients With Multiple Chronic Conditions. Medical Care, 2014; 52: S7 DOI: 10.1097/MLR.0000000000000045

Cite This Page:

Wolters Kluwer Health: Lippincott Williams & Wilkins. "Caring for patients with multiple chronic conditions: New research, future challenges." ScienceDaily. ScienceDaily, 24 February 2014. <www.sciencedaily.com/releases/2014/02/140224123640.htm>.
Wolters Kluwer Health: Lippincott Williams & Wilkins. (2014, February 24). Caring for patients with multiple chronic conditions: New research, future challenges. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/2014/02/140224123640.htm
Wolters Kluwer Health: Lippincott Williams & Wilkins. "Caring for patients with multiple chronic conditions: New research, future challenges." ScienceDaily. www.sciencedaily.com/releases/2014/02/140224123640.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Microneedle Patch Promises Painless Pricks

Microneedle Patch Promises Painless Pricks

Reuters - Innovations Video Online (Oct. 18, 2014) Researchers at The National University of Singapore have invented a new microneedle patch that could offer a faster and less painful delivery of drugs such as insulin and painkillers. Video provided by Reuters
Powered by NewsLook.com
Raw: Nurse Nina Pham Arrives in Maryland

Raw: Nurse Nina Pham Arrives in Maryland

AP (Oct. 17, 2014) The first nurse to be diagnosed with Ebola at a Dallas hospital walked down the stairs of an executive jet into an ambulance at an airport in Frederick, Maryland, on Thursday. Pham will be treated at the National Institutes of Health. (Oct. 16) Video provided by AP
Powered by NewsLook.com
Raw: Cruise Ship Returns to US Over Ebola Fears

Raw: Cruise Ship Returns to US Over Ebola Fears

AP (Oct. 17, 2014) A Caribbean cruise ship carrying a Dallas health care worker who is being monitored for signs of the Ebola virus is heading back to Texas, US, after being refused permission to dock in Cozumel, Mexico. (Oct. 17) Video provided by AP
Powered by NewsLook.com
Spanish Govt: Four Suspected Ebola Cases in Spain Test Negative

Spanish Govt: Four Suspected Ebola Cases in Spain Test Negative

AFP (Oct. 17, 2014) All four suspected Ebola cases admitted to hospitals in Spain on Thursday have tested negative for the deadly virus in a first round of tests, the government said Friday. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins