Skip to main content
Journal cover image

The challenges of multimorbidity from the patient perspective.

Publication ,  Journal Article
Noël, PH; Parchman, ML; Williams, JW; Cornell, JE; Shuko, L; Zeber, JE; Kazis, LE; Lee, AFS; Pugh, JA
Published in: J Gen Intern Med
December 2007

BACKGROUND: Although multiple co-occurring chronic illnesses within the same individual are increasingly common, few studies have examined the challenges of multimorbidity from the patient perspective. OBJECTIVE: The aim of this study is to examine the self-management learning needs and willingness to see non-physician providers of patients with multimorbidity compared to patients with single chronic illnesses. DESIGN: This research is designed as a cross-sectional survey. PARTICIPANTS: Based upon ICD-9 codes, patients from a single VHA healthcare system were stratified into multimorbidity clusters or groups with a single chronic illness from the corresponding cluster. Nonproportional sampling was used to randomly select 720 patients. MEASUREMENTS: Demographic characteristics, functional status, number of contacts with healthcare providers, components of primary care, self-management learning needs, and willingness to see nonphysician providers. RESULTS: Four hundred twenty-two patients returned surveys. A higher percentage of multimorbidity patients compared to single morbidity patients were "definitely" willing to learn all 22 self-management skills, of these only 2 were not significant. Compared to patients with single morbidity, a significantly higher percentage of patients with multimorbidity also reported that they were "definitely" willing to see 6 of 11 non-physician healthcare providers. CONCLUSIONS: Self-management learning needs of multimorbidity patients are extensive, and their preferences are consistent with team-based primary care. Alternative methods of providing support and chronic illness care may be needed to meet the needs of these complex patients.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

December 2007

Volume

22 Suppl 3

Issue

Suppl 3

Start / End Page

419 / 424

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Self Care
  • Primary Health Care
  • Patient Satisfaction
  • Middle Aged
  • Male
  • Humans
  • Health Personnel
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Noël, P. H., Parchman, M. L., Williams, J. W., Cornell, J. E., Shuko, L., Zeber, J. E., … Pugh, J. A. (2007). The challenges of multimorbidity from the patient perspective. J Gen Intern Med, 22 Suppl 3(Suppl 3), 419–424. https://doi.org/10.1007/s11606-007-0308-z
Noël, Polly Hitchcock, Michael L. Parchman, John W. Williams, John E. Cornell, Lee Shuko, John E. Zeber, Lewis E. Kazis, Austin F. S. Lee, and Jacqueline A. Pugh. “The challenges of multimorbidity from the patient perspective.J Gen Intern Med 22 Suppl 3, no. Suppl 3 (December 2007): 419–24. https://doi.org/10.1007/s11606-007-0308-z.
Noël PH, Parchman ML, Williams JW, Cornell JE, Shuko L, Zeber JE, et al. The challenges of multimorbidity from the patient perspective. J Gen Intern Med. 2007 Dec;22 Suppl 3(Suppl 3):419–24.
Noël, Polly Hitchcock, et al. “The challenges of multimorbidity from the patient perspective.J Gen Intern Med, vol. 22 Suppl 3, no. Suppl 3, Dec. 2007, pp. 419–24. Pubmed, doi:10.1007/s11606-007-0308-z.
Noël PH, Parchman ML, Williams JW, Cornell JE, Shuko L, Zeber JE, Kazis LE, Lee AFS, Pugh JA. The challenges of multimorbidity from the patient perspective. J Gen Intern Med. 2007 Dec;22 Suppl 3(Suppl 3):419–424.
Journal cover image

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

December 2007

Volume

22 Suppl 3

Issue

Suppl 3

Start / End Page

419 / 424

Location

United States

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Self Care
  • Primary Health Care
  • Patient Satisfaction
  • Middle Aged
  • Male
  • Humans
  • Health Personnel