Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/10763
Full metadata record
DC FieldValueLanguage
dc.contributor.authorFrance, Emmaen_UK
dc.contributor.authorWyke, Sallyen_UK
dc.contributor.authorGunn, Jane Men_UK
dc.contributor.authorMair, Frances Sen_UK
dc.contributor.authorMcLean, Garyen_UK
dc.contributor.authorMercer, Stewart Wen_UK
dc.date.accessioned2018-04-21T01:38:11Z-
dc.date.available2018-04-21T01:38:11Zen_UK
dc.date.issued2012-04en_UK
dc.identifier.urihttp://hdl.handle.net/1893/10763-
dc.description.abstractBackground: Primary care increasingly deals with patients with multimorbidity, but relevant evidence-based interventions are scarce. Knowledge about multimorbidity over time is required to inform the development of effective interventions. Aim: This review identifies prospective cohort studies of multimorbidity in primary care to determine: their nature, scope and key findings; the methodologies used; and gaps in knowledge. Design: Systematic review. Method: Studies were identified by searching electronic databases, reviewing citations, and writing to authors. Searches were limited to adult populations with no restrictions on publication date or language. In total, 996 articles were identified and screened. Results: Of the 996 articles, six detailing five completed prospective cohort studies were selected as appropriate. Three of the studies were undertaken in the US and two in The Netherlands; none was nationally representative. The main focus of the studies was: healthcare utilisation and/or costs (n = 3); patients' physical functioning (n = 1); and risk factors for developing multimorbidity (n = 1). The conditions that were included varied widely. The findings of these studies showed that multimorbidity increased healthcare costs (n = 2), inpatient admission (n = 1), death rates (n = 1), and service use (n = 3), and reduced physical functioning (n = 1). One study identified psychosocial risk factors for multimorbidity. No study used random sampling, sample sizes were relatively small (414-3745 patients at baseline), and study duration was relatively short (1-4 years). No study focused on prevalence, treatment use, patient safety, service models, cultural or socioeconomic factors, and patient experience, and no study collected qualitative data. Conclusion: Few longitudinal studies based in primary care have investigated multimorbidity. Further large, long-term prospective studies are required to inform healthcare commissioning, planning, and delivery.en_UK
dc.language.isoenen_UK
dc.publisherRoyal College of General Practitionersen_UK
dc.relationFrance E, Wyke S, Gunn JM, Mair FS, McLean G & Mercer SW (2012) Multimorbidity in primary care: A systematic review of prospective cohort studies. British Journal of General Practice, 62 (597), pp. e297-e307. https://doi.org/10.3399/bjgp12X636146en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectchronic diseaseen_UK
dc.subjectmultimorbidityen_UK
dc.subjectprimary careen_UK
dc.subjectreviewen_UK
dc.subjectPublic healthen_UK
dc.subjectSocial medicineen_UK
dc.titleMultimorbidity in primary care: A systematic review of prospective cohort studiesen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[FranceEtAlBJGPMultiMorbidReview2012.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.3399/bjgp12X636146en_UK
dc.identifier.pmid22520918en_UK
dc.citation.jtitleBritish Journal of General Practiceen_UK
dc.citation.issn1478-5242en_UK
dc.citation.issn0960-1643en_UK
dc.citation.volume62en_UK
dc.citation.issue597en_UK
dc.citation.spagee297en_UK
dc.citation.epagee307en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emaile.f.france1@stir.ac.uken_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Melbourneen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.identifier.scopusid2-s2.0-84859468278en_UK
dc.identifier.wtid889078en_UK
dc.contributor.orcid0000-0003-0876-7030en_UK
dcterms.dateAccepted2012-04-30en_UK
dc.date.filedepositdate2013-01-28en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorFrance, Emma|0000-0003-0876-7030en_UK
local.rioxx.authorWyke, Sally|en_UK
local.rioxx.authorGunn, Jane M|en_UK
local.rioxx.authorMair, Frances S|en_UK
local.rioxx.authorMcLean, Gary|en_UK
local.rioxx.authorMercer, Stewart W|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2999-12-31en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameFranceEtAlBJGPMultiMorbidReview2012.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0960-1643en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
FranceEtAlBJGPMultiMorbidReview2012.pdfFulltext - Published Version155.11 kBAdobe PDFUnder Permanent Embargo    Request a copy


This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved https://creativecommons.org/publicdomain/zero/1.0/

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.