Multimorbidity and Quaternary Prevention (P4)
Multimorbidity has become the norm for the majority of patients attending primary care, and while the proportion of those with multimorbidity is higher in older age, the absolute number of people with multimorbidity is greater in those under 65. The specialist-based single-disease model of treatment...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina de Família e Comunidade
2015-06-01
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| Series: | Revista Brasileira de Medicina de Família e Comunidade |
| Subjects: | |
| Online Access: | https://www.rbmfc.org.br/rbmfc/article/view/1069 |
| _version_ | 1797934899292798976 |
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| author | Dee Mangin Iona Heath |
| author_facet | Dee Mangin Iona Heath |
| author_sort | Dee Mangin |
| collection | DOAJ |
| description | Multimorbidity has become the norm for the majority of patients attending primary care, and while the proportion of those with multimorbidity is higher in older age, the absolute number of people with multimorbidity is greater in those under 65. The specialist-based single-disease model of treatment assumes that each index disease is the dominant illness within the complex system and that the other comorbid illnesses are held constant while management is focussed on the single condition. Thus, applying single disease guidelines to a person with five chronic comorbidities, no matter what they are, results in potentially harmful polypharmacy. This approach has led to the current ‘epidemic’ in morbidity and mortality from adverse drug reactions that now outstrip the target diseases as a cause of death. In this article, we highlight four characteristics of quaternary prevention framework that policymakers should take into account when considering the quality of health care. |
| first_indexed | 2024-04-10T18:06:04Z |
| format | Article |
| id | doaj.art-7087a5e18154429f96e91e63017b6a34 |
| institution | Directory Open Access Journal |
| issn | 1809-5909 2179-7994 |
| language | English |
| last_indexed | 2024-04-10T18:06:04Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Medicina de Família e Comunidade |
| record_format | Article |
| series | Revista Brasileira de Medicina de Família e Comunidade |
| spelling | doaj.art-7087a5e18154429f96e91e63017b6a342023-02-02T12:59:26ZengSociedade Brasileira de Medicina de Família e ComunidadeRevista Brasileira de Medicina de Família e Comunidade1809-59092179-79942015-06-01103510.5712/rbmfc10(35)1069578Multimorbidity and Quaternary Prevention (P4)Dee Mangin0Iona Heath1David Braley Nancy Gordon Chair in Family Medicine, Department of Family Medicine, McMaster University. Hamilton, Ontario,Retired general practitioner, Immediate Past President of the Royal College of General Practitioners,Multimorbidity has become the norm for the majority of patients attending primary care, and while the proportion of those with multimorbidity is higher in older age, the absolute number of people with multimorbidity is greater in those under 65. The specialist-based single-disease model of treatment assumes that each index disease is the dominant illness within the complex system and that the other comorbid illnesses are held constant while management is focussed on the single condition. Thus, applying single disease guidelines to a person with five chronic comorbidities, no matter what they are, results in potentially harmful polypharmacy. This approach has led to the current ‘epidemic’ in morbidity and mortality from adverse drug reactions that now outstrip the target diseases as a cause of death. In this article, we highlight four characteristics of quaternary prevention framework that policymakers should take into account when considering the quality of health care.https://www.rbmfc.org.br/rbmfc/article/view/1069Health of the ElderlyComorbidityDrug InteractionsMedicalizationQuaternary Prevention |
| spellingShingle | Dee Mangin Iona Heath Multimorbidity and Quaternary Prevention (P4) Revista Brasileira de Medicina de Família e Comunidade Health of the Elderly Comorbidity Drug Interactions Medicalization Quaternary Prevention |
| title | Multimorbidity and Quaternary Prevention (P4) |
| title_full | Multimorbidity and Quaternary Prevention (P4) |
| title_fullStr | Multimorbidity and Quaternary Prevention (P4) |
| title_full_unstemmed | Multimorbidity and Quaternary Prevention (P4) |
| title_short | Multimorbidity and Quaternary Prevention (P4) |
| title_sort | multimorbidity and quaternary prevention p4 |
| topic | Health of the Elderly Comorbidity Drug Interactions Medicalization Quaternary Prevention |
| url | https://www.rbmfc.org.br/rbmfc/article/view/1069 |
| work_keys_str_mv | AT deemangin multimorbidityandquaternarypreventionp4 AT ionaheath multimorbidityandquaternarypreventionp4 |