Development and Validation of a Questionnaire to Assess Multimorbidity in Primary Care: An Indian Experience

Hussain, Akhtar; Swain, Subhashisa; Salisbury, Chris; Metsemakers, Job; Knottnerus, J. André; Akker, Marjan van den

doi:10.1155/2016/6582487

Cited by 51 publications

(75 citation statements)

References 27 publications

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“…There is an ongoing debate within health sciences on how to define these constructs and which instruments should be used to ensure standardized assessment of study results [40] [41]. A questionnaire to assess multimorbidity in primary care was developed and validated in an Indian study [42]. The authors demonstrated that the Multimorbidity Assessment Questionnaire for Primary Care (MAQ-PC) is a valid and reliable measure of multimorbidity in primary care practice [42].…”

Section: Discussionmentioning

confidence: 99%

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Managing the Needs of Older Patients with Multimorbidity—A Systematic Review of the Challenges Faced by the Healthcare Services

Holm¹,

Berland²,

Severinsson³

2016

OJN

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Research fails to provide an overview of the challenges involved in caring for older patients with multimorbidity. Multimorbidity is defined as the presence of two or more chronic conditions in the same person, leading to a high risk of care dependency. The aim of this review was to illuminate the challenges faced by the healthcare services in managing the needs of older patients with multimorbidity. A systematic review was performed, a total of 1,965 abstracts were read and nine quantitative studies included. Data were analysed by thematic synthesis, revealing six themes: A frequent problem in older female patients; High healthcare expenditure and costs, Medication management problems, Social inequities, Complex healthcare and consultation needs and High mortality. The study highlights that healthcare professionals struggle to obtain suitable guidelines for the care of patients with multimorbidity while trying to respond to their needs. Patient-centred integration across settings and coordination in clinical practice are necessary. The healthcare system today does not seem to focus on patient safety and preventing harm. Older patients should be reviewed by a healthcare professional responsible for coordinating their care. To ensure safe and effective care for elderly persons with multimorbidity, the healthcare services should abandon the current focus on managing innumerable individual diseases and conditions.

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Section: Discussionmentioning

confidence: 99%

“…A questionnaire to assess multimorbidity in primary care was developed and validated in an Indian study [42]. The authors demonstrated that the Multimorbidity Assessment Questionnaire for Primary Care (MAQ-PC) is a valid and reliable measure of multimorbidity in primary care practice [42].…”

Section: Discussionmentioning

confidence: 99%

Managing the Needs of Older Patients with Multimorbidity—A Systematic Review of the Challenges Faced by the Healthcare Services

Holm¹,

Berland²,

Severinsson³

2016

OJN

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“…Furthermore, at the point of questionnaire administration, the researcher requested each respondent to complete all the questions in that sitting rather than having another completion opportunity in future settings, to minimise data entry errors. 30,31 Data collected in the pilot study were excluded from the main study. However, the data collected through our questionnaire was not compared with data collected through similar questionnaires in other studies.…”

Section: Research Methods and Designmentioning

confidence: 99%

Knowledge, attitudes and management skills of medical practitioners regarding weight management

Mkhatshwa

Ogunbanjo

Mabuza

2016

Afr. j. prim. health care fam. med.

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BackgroundOverweight and obesity have become a global problem. Health professionals are poorly prepared in weight management, which has an effect on their attitudes and management skills with regard to overweight and obese patients.Aim and settingTo assess the knowledge, attitudes and management skills of medical practitioners regarding weight management at Odi District Hospital, Gauteng Province, South Africa.MethodsWe conducted a cross-sectional study on 48 medical practitioners at Odi Hospital between 01 October and 31 October 2013. A self-administered questionnaire was used to assess their knowledge, attitudes and management skills in weight management. The SPSS® statistical software (Version 22) was used for data analysis. A p < 0.05 was considered significant.ResultsFifty medical practitioners were recruited, 48 consented to participate and 28 (58.3%) were male. Their categories were community service doctors (3), medical officers (21), registrars (22) and others (2). Thirty-seven (77.1%) never received training in weight management (p < 0.001). Thirty-two (66.7%) regarded weight management as not confined to a dietician (p < 0.001) and 27 (56.2%) regarded weight management as usually unsuccessful (p = 0.004). Forty-seven (97.9%) provided lifestyle modifications and 43 (89.6%) involved the patient’s family in weight management (p < 0.001). More non-registrars [14 (77.8%)] than registrars [8 (38.1%)] measured the body mass index (BMI) routinely (p = 0.013).ConclusionFew medical practitioners received training in weight management. They regarded weight management as usually unsuccessful and lacked confidence in the same owing to lack of training. They provided lifestyle modifications and involved the patient’s family in weight management. Non-registrars measured the BMI routinely. There is a need for training in weight management at undergraduate and post-graduate levels.

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“…The DCET-PC is derived from "Multimorbidity Assessment Questionnaire for Primary Care", a validated questionnaire which was pretested and the feedback used to adapt the questionnaire for our study. [14] Two graduate nurses trained in patient history-taking and interview techniques carried out the interviews, and 10% of the interviews were done in the presence of the rst author. The DCET-PC (Appendix 1) included questions about the existence of comorbid conditions, eliciting information on whether the patient had any of the16 listed chronic conditions, and socio-demographic details, i.e.…”

Section: Measurementsmentioning

confidence: 99%

Healthcare utilisation and out-of-pocket expenditure of type 2 diabetes patients with and without comorbidity: A study in primary care in Bhubaneswar, India.

Pati

Swain

Akker

et al. 2020

Preprint

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Abstract Background: Globally, non-communicable diseases (NCD) demand a higher healthcare expenditure. Amongst the NCDs, diabetes mellitus, is often associated with multiple, co-existing chronic conditions. In low- and middle-income countries where most of the healthcare expenditure is borne out of pocket, diabetes management may pose a significant financial stress.Methods: A cross-sectional study was conducted in 17 urban primary healthcare facilities of Bhubaneswar to assess the healthcare utilisation and out-of-pocket expenditure among type 2 diabetes patients attending these facilities. Healthcare utilisation was determined by the number of visits to healthcare facilities in the last six months, and out-of-pocket expenditure was assessed by outpatient consultation fees, medicines, travels to health care facilities and diagnostic tests. Total out-of-pocket expenditure was defined as the sum of these costs.Results: The median number of visits in 6 months for diabetes patients with any comorbidity was 4 and 5 for diabetes patients with more than 4 comorbidities. Among the comorbid conditions, depression, stroke, auditory impairment and acid peptic disease were associated with higher healthcare utilisation. The total out-of-pocket expense was 2.3 times higher among diabetes patients with any comorbid condition compared to patients with diabetes only. The total median expenditure was higher for diabetes patients having stroke, heart diseases, kidney diseases and cancer compared to other comorbid conditions. The association of comorbidity in diabetes patients with health care utilization and out-of-pocket expenditure is statistically significant after adjustment for sociodemographic characteristics and diabetes duration.Conclusion: Considerable expenditure is incurred by diabetes patients attending primary healthcare facilities for the management of diabetes and other chronic conditions. This is a significant burden for diabetes patients below the poverty line and with limited or no insurance cover. There is a need to increase the coverage of insurance schemes to address the chronic conditions management expenditure of outpatients.

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Development and Validation of a Questionnaire to Assess Multimorbidity in Primary Care: An Indian Experience

Cited by 51 publications

References 27 publications

Managing the Needs of Older Patients with Multimorbidity—A Systematic Review of the Challenges Faced by the Healthcare Services

Managing the Needs of Older Patients with Multimorbidity—A Systematic Review of the Challenges Faced by the Healthcare Services

Knowledge, attitudes and management skills of medical practitioners regarding weight management

Healthcare utilisation and out-of-pocket expenditure of type 2 diabetes patients with and without comorbidity: A study in primary care in Bhubaneswar, India.

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