Dunlay Shannon M, Chamberlain Alanna M
Division of Cardiovascular Diseases, Department of Medicine, 200 First Street SW, Rochester, MN 55905, USA; Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Curr Cardiovasc Risk Rep. 2016 Jan;10. doi: 10.1007/s12170-016-0491-8. Epub 2016 Jan 26.
Multimorbidity affects more than two thirds of older individuals and the vast majority of patients with chronic cardiovascular disease. Patients with multimorbidity have high resource utilization, poor mobility, and poor health status and are at an increased risk for death. The presence of multimorbidity imposes numerous management challenges in caring for patients with chronic cardiovascular disease. It complicates decision-making, promotes fragmented care, and imposes an immense burden on the patient and their social support system. Novel models of care, such as the cardiovascular patient-centered medical home, are needed to provide high-quality, efficient, effective care to this growing population.
多重疾病影响着超过三分之二的老年人以及绝大多数慢性心血管疾病患者。患有多重疾病的患者资源利用率高、行动不便且健康状况不佳,死亡风险也会增加。多重疾病的存在给慢性心血管疾病患者的护理带来了诸多管理挑战。它使决策变得复杂,导致医疗服务碎片化,并给患者及其社会支持系统带来巨大负担。需要新型护理模式,如以心血管疾病患者为中心的医疗之家,为这一不断增长的人群提供高质量、高效、有效的护理。