Multimorbidity, care complexity and prescribing for the elderly

Elizabeth E. Roughead, Agnes I. Vitry, Gillian E. Caughey, Andrew L. Gilbert

Research output: Contribution to journalReview articlepeer-review

27 Citations (Scopus)

Abstract

There is an increasing number of people living with multiple chronic illnesses and consequently taking multiple medicines. More than 50% of these patients will have concomitant diseases that complicate management and will see multiple providers to manage their conditions. This increases their risk of medication-related problems, adverse events and poor treatment outcomes. All of these patients are at high risk of medication misadventure and most will have at least four medication-related problems, of which more than half will be resolvable. The management of medication in these patients will require the increasing involvement of pharmacists to provide a number of cognitive services including medication reconciliation, medication review, adherence services and proactive adverse reaction monitoring. This needs to be integrated into models of practice that coordinate care between multiple providers and accommodate both patient and provider preferences.

Original languageEnglish
Pages (from-to)695-705
Number of pages11
JournalAging Health
Volume7
Issue number5
DOIs
Publication statusPublished or Issued - Oct 2011

Keywords

  • care coordination
  • comorbidity
  • medication-related problems
  • multimorbidity
  • prescribing
  • treatment conflicts

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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