Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions

dianagosalvez Diana Gosálvez Prados última modificación 10/11/2010 15:20

Older patients with multiple chronic health conditions and complex health care needs often receive care that is fragmented, incomplete, inefficient, and ineffective. This article describes the case of an older woman whose case cannot be managed effectively through the customary approach of simply diagnosing and treating her individual diseases. Based on expert consensus about the available evidence, this article identifies 4 proactive, continuous processes that can substantially improve the primary care of community-dwelling older patients who have multiple chronic conditions: comprehensive assessment, evidence-based care planning and monitoring, promotion of patients' and (family caregivers’) active engagement in care, and coordination of professionals in care of the patient—all tailored to the patient's goals and preferences.

Boult C, Wieland GD. Comprehensive Primary Care for Older Patients With Multiple Chronic Conditions. JAMA. 2010; 304(17):1936-1943. doi:10.1001/jama.2010.1623. Available at:



Boult C, Wieland GD.

Norte América
Modelos de gestión de la enfermedad
Atención integrada