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"Primary Care in the U.K. and across the world is in trouble; there is an increasing demand for appointments, because people are living longer, but then live with multiple long term conditions," says Doctorlink co-founder Andrew Gardner.
We conducted semi-structured interviews with 23 predominantly elderly patients with multiple long term conditions.
However, one study by Bower and colleagues found few differences in patient experience of chronic illness care between those with single or multiple long term conditions, although the measure used was different [ 24].
There are many challenges faced in the management of multimorbidity, requiring a holistic approach by a generalist in order to balance the often competing priorities of single-disease, target based management of multiple long term conditions and the overall wellbeing of the individual.
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Today, the majority of service users are older people with multiple long-term conditions.
As a patient with multiple long-term conditions, who is much older than 65, I welcome this policy.
Many older people live with multiple long-term conditions as well as degrees of frailty and cognitive decline.
All demographics point to an increasingly elderly population over the next 10 to 20 years, many of whom will be living with multiple long-term conditions.
It will impact disproportionately on people already facing the greatest health inequality and those living with (sometimes multiple) long-term conditions.
Our staff deserve credit for the millions of people whose lives are more independent because of care that helps them manage their multiple long-term conditions.
"People with multiple long-term conditions often fall through the gaps as their secondary [hospital] care is highly specialised and their GP care highly generalised, with little continuity between the two, meaning those with multiple long-term conditions can fall through the gaps when confronted with confusing and fragmented secondary care," he says.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com