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A walking stick in one hand and a chainsaw in the other: patients' perspectives of living with multimorbidity.
Signal, Louise; Semper, Kelly; Stairmand, Jeannine; Davies, Cheryl; Millar, Elinor; Dowell, Tony; Lawrenson, Ross; Mangin, Dee; Sarfati, Diana.
Afiliación
  • Signal L; Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington.
  • Semper K; Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington.
  • Stairmand J; Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington.
  • Davies C; Tu Kotahi Asthma Trust, Lower Hutt.
  • Millar E; Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington.
  • Dowell T; Department of Primary Healthcare and General Practice, University of Otago, Wellington.
  • Lawrenson R; Waikato Clinical School, University of Auckland, Hamilton.
  • Mangin D; Department of General Practice, University of Otago, Christchurch.
  • Sarfati D; Cancer and Chronic Conditions (C3) Research Group, University of Otago, Wellington.
N Z Med J ; 130(1455): 65-76, 2017 May 12.
Article en En | MEDLINE | ID: mdl-28494479
AIMS: Multimorbidity is common, yet there are major gaps in research, particularly among younger and indigenous populations. This research aimed to understand patients' perspectives of living with multimorbidity. METHODS: A qualitative study of 61 people living with multimorbidity, 27 of whom were Maori and a third aged under 65, from urban and rural regions in New Zealand. Six focus groups and 14 interviews were conducted, recorded, transcribed and analysed. RESULTS: For many participants, living with multimorbidity disrupted their 'normal' lives, posing challenges in everyday activities such as eating and toileting, working and managing medications. Dealing with the health system posed challenges such as accessing appointments and having enough time in consultations. Cultural competency, good communication and continuity of care from healthcare providers were all valued. Participants had many recommendations to improve management, including a professional single point of contact to coordinate all specialist care. CONCLUSIONS: Living with multimorbidity is often challenging requiring people to manage their conditions while continuing to live their lives. This research suggests changes are needed in the health system in New Zealand and elsewhere to better manage multimorbidity thus improving patient's lives and reducing costs to the health sector and wider society.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pacientes / Citas y Horarios / Calidad de Vida / Comorbilidad / Conocimientos, Actitudes y Práctica en Salud Tipo de estudio: Qualitative_research Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: N Z Med J Año: 2017 Tipo del documento: Article Pais de publicación: Nueva Zelanda
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pacientes / Citas y Horarios / Calidad de Vida / Comorbilidad / Conocimientos, Actitudes y Práctica en Salud Tipo de estudio: Qualitative_research Aspecto: Patient_preference Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: N Z Med J Año: 2017 Tipo del documento: Article Pais de publicación: Nueva Zelanda