Multimorbidity and quality of life: Systematic literature review and meta-analysis

Makovski, Tatjana T.; Schmitz, Susanne; Zeegers, Maurice P.; Stranges, Saverio; Akker, Marjan van den

doi:10.1016/j.arr.2019.04.005

Cited by 394 publications

(264 citation statements)

References 117 publications

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“…Multi-morbidity is often described as the co-existence of two or more chronic conditions in one patient [4]. It has been associated with poorer health outcomes, such as reduced functional capacity and quality of life, as well as increased healthcare use [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective

Kuipers¹,

Nieboer²,

Cramm³

2020

IJERPH

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Background: Primary care delivery for multimorbid patients is complex, due to single disease–oriented guidelines, complex care needs, time constraints and the involvement of multiple healthcare professionals. Co-creation of care, based on the quality of communication and relationships between healthcare professionals and patients, may therefore be valuable. This longitudinal study investigates the relationships of co-creation of care to physical and social well-being and satisfaction with care among multimorbid patients in primary care. Methods: In 2017 and 2018, longitudinal surveys were conducted among multimorbid patients from seven primary care practices in Noord-Brabant, the Netherlands (n = 138, age = 73.50 ± 9.99). Paired sample t-tests and multivariate regression analyses were performed. (3) Results: Co-creation of care improved significantly over time (t = 2.25, p = 0.026), as did social well-being (t = 2.31, p = 0.022) and physical well-being (t = 2.72, p = 0.007) but not satisfaction with care (t = 0.18, p = 0.858). Improvements in co-creation of care from T0 to T1 were associated with social well-being (B = 0.157, p = 0.002), physical well-being (B = 0.216, p = 0.000) and satisfaction with care (B = 0.240, p = 0.000). (4) Conclusions: Thus, investment in co-creation of care by primary care practices may lead to better outcomes for multimorbid patients.

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Section: Introductionmentioning

confidence: 99%

The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective

Kuipers¹,

Nieboer²,

Cramm³

2020

IJERPH

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“…The present study also found that a greater number of long‐term conditions are associated with poorer mental health of those living in rural areas. This finding indicates the disadvantageous impacts of MCCs on individuals’ health (Makovski et al, ) and revealed that rural participants might be more vulnerable to long‐term health conditions due to insufficient medical support, socioeconomic disadvantage, and health risks (e.g., high rates of smoking; Wang et al, ). Past studies have shown that economic hardship is a major cause of psychological distress (Brown et al, ); however, this study did not observe an association between monthly income and psychological distress possibly because all participants were covered by national insurance schemes, which covered the cost of treatment.…”

Section: Discussionmentioning

confidence: 92%

Urban–rural differences in mental health among Chinese patients with multiple chronic conditions

Cheng

Yang

Inder

et al. 2019

Int J Mental Health Nurs

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Mental health is impacted by social, economic, and environmental influences related to where people live. Mental health problems commonly co‐occur with long‐term physical conditions and impact individuals’ health synergistically. Multiple chronic conditions (MCCs) including mental health problems are becoming a public health challenge globally. However, there is limited information about urban–rural differences in mental health among patients with MCCs in China. The present study aimed to identify differences in mental health between urban and rural patients with MCCs. Using a cross‐sectional design, 347 patients with MCCs were recruited from a tertiary hospital in North Anhui, China. A self‐reported questionnaire, including socio‐demographic and clinical variables, the 12‐item Short‐Form survey version 2 on quality of life, and the Hospital Anxiety and Depression Scale, was administered to outpatients. Findings showed that rural participants reported more symptoms of anxiety and depression and had worse mental health compared to urban participants. Unemployment status, lower educational level, more long‐term health conditions, and a higher degree of anxiety were associated with worse mental health. This study highlights disparities in mental health among patients with MCCs living in urban and rural areas of China. Appropriate mental health support programmes should be developed for patients with MCCs, especially for those living in rural areas.

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“…10 11 To date, research on NCDs and multimorbidity usually focuses on the elderly population, resulting in insufficient knowledge on HRQoL in younger populations. 12 Some studies however indicated an increased level of mental problems among younger populations groups, but the impact is not fully known. 13 Moreover, the impact on HRQoL is often measured by one specific instrument, albeit disease-specific or not, while meaningful information could be obtained by capturing HRQoL from multiple instruments.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…62 The responses are scored on a 3-point scale ('same or less/not applicable'=0, 'better/more'=1 and 'much better/much more'=2). The total PEI score ranges between 0 and 12 to indicate low (0-4), medium (score 5-9) and high enablement (10)(11)(12). A Dutch version was conducted by the researchers via forward-backward translation.…”

Section: Sense Of Coherencementioning

confidence: 99%

Health-related quality of life in patients with non-communicable disease: study protocol of a cross-sectional survey

et al. 2020

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IntroductionNon-communicable diseases (NCDs) are associated with lower health-related quality of life (HRQoL). However, knowledge about those diseases and predictors with a greater impact on patients’ HRQoL as well as knowledge on the complex relationship between HRQoL and comorbidities is lacking. The aim of this study is to assess the impact of NCDs on patients’ HRQoL, with a focus on multimorbidity and socioeconomic status.Methods and analysisA primary care-based cross-sectional study is conducted in Flanders (Belgium). Study participants (≥18 years) are medically diagnosed with at least one of the following diseases: cardiometabolic disorders, mental disorders and musculoskeletal disorders. A minimum of 50 general practitioners will participate to recruit participants (convenient sample) and a total of 531 patients will be enrolled (voluntary response sample). Each participant will complete a paper-based questionnaire to gather research outcomes. Statistical analyses will be performed using multiple linear regression models with HRQoL as main outcome parameter, adjusted for possible confounders. This study will generate new evidence on the key predictors of HRQoL in patients with NCDs, and particularly provide new insights in multimorbidity to improve the quality of care in primary care, to support patients’ self-management and to allocate resources more effectively.Ethics and disseminationThe study has been approved by the Ethical Committee of Ghent University Hospital, Ghent, Belgium (reference number: B670201939629) prior to the beginning of the recruitment. Study results will be disseminated through peer-reviewed publications and conference presentations.

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Multimorbidity and quality of life: Systematic literature review and meta-analysis

Cited by 394 publications

References 117 publications

The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective

The Need for Co-Creation of Care with Multi-Morbidity Patients—A Longitudinal Perspective

Urban–rural differences in mental health among Chinese patients with multiple chronic conditions

Health-related quality of life in patients with non-communicable disease: study protocol of a cross-sectional survey

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