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Noncommunicable Diseases Progress Monitor 2017

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In May 2015 the World Health Organization published a Technical Note on how WHO will report in 2017 to the United Nations General Assembly on the progress achieved in the implementation of national commitments included in the 2011 UN Political Declaration and the 2014 UN Outcome Document on NCDs. The Technical Note was updated in September 2017 to ensure alignment with the updated set of WHO ‘best-buys’ and other recommended interventions for the prevention and control of noncommunicable diseases which were endorsed by the World Health Assembly in May 2017. The Progress Monitor provides data on the 19 indicators detailed in the Technical Note for all of WHO’s 194 Member States. The indicators include setting time-bound targets to reduce NCD deaths; developing all-of-government policies to address NCDs; implementing key tobacco demand reduction measures, measures to reduce harmful use of alcohol and unhealthy diets and promote physical activity; and strengthening health systems through primary health care and universal health coverage.
Características del uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada.

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El objetivo de este artículo es analizar el uso inadecuado de medicamentos en pacientes pluripatológicos de edad avanzada.
Health system responsiveness and chronic disease care - What is the role of disease management programs? An analysis based on cross-sectional survey and administrative claims data

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Health system responsiveness is an important aspect of health systems performance. The concept of responsiveness relates to the interpersonal and contextual aspects of health care. While disease management programs (DMPs) aim to improve the quality of health care (e.g. by improving the coordination of care), it has not been analyzed yet whether these programs improve the perceived health system responsiveness.
One Patient Is Not One Condition: Delivering Patient-Centered Care to Those With Multiple Chronic Conditions.

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While patients with multiple chronic conditions account for the bulk of health care spending in many countries—71 cents of every dollar spent on US Medicare beneficiaries—medical research and care remain organized around singular diseases and specialties. This siloed approach places the burden of managing multiple conditions on patients, who often have difficulty navigating the health care system and following treatment recommendations.
Multimorbidity: what next?

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The Clinical Intelligence article1 provides a useful overview of the recent National Institute for Health and Care Excellence (NICE) guideline on multimorbidity.2 The guideline itself is important because it confirms the prevalence of multimorbidity, emphasises the need to take a person-centred, holistic approach to patient care, and provides guidance about key principles to consider when managing people with multimorbidity. However, there remain many gaps in the advice contained within the guideline, which reflect the deficiencies in our current understanding of multimorbidity.
Development of an international comorbidity education framework

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The increasing number of people living with multiple chronic conditions in addition to an index condition has become an international healthcare priority. Health education curricula have been developed alongside single condition frameworks in health service policy and practice and need redesigning to incorporate optimal management of multiple conditions.
The Playbook: Better Care for People with Complex Needs.

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To improve the health outcomes and daily lives of Americans with the most complex health care needs, five foundations — The Commonwealth Fund, The John A. Hartford Foundation, Peterson Center on Healthcare, the Robert Wood Johnson Foundation, and The SCAN Foundation — are working together to accelerate health system transformation.
Plan de acción personalizado en pacientes pluripatológicos o con necesidades complejas de salud. Recomendaciones para su elaboración

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El Plan de Acción Personalizado (PAP) es un proceso de colaboración entre pacientes o personas cuidadoras y profesionales sanitarios utilizado en la gestión de condiciones crónicas de salud. En el PAP se identifican y debaten los problemas derivados del estado de salud de la persona, desarrollando un plan para hacer frente a sus necesidades. En esencia, se trata de un dialogo, o una serie de diálogos, en los que se acuerdan conjuntamente los objetivos y acciones para el manejo de los problemas del/la paciente.

Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal: a multicentre cross-sectional study.

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Multimorbidity has a high prevalence in the primary care context and it is frequently associated with worse health-related quality of life (HRQoL). Few studies evaluated the variables that could have a potential effect on HRQoL of primary care patients with multimorbidity. The purpose of this study, the first of its kind ever undertaken in Portugal, is to analyse the relationship between multimorbidity, health-related quality of life, perceived family support and unmet health needs in adult patients attending primary care.
Patient-Centred Care of Older Adults With Cardiovascular Disease and Multiple Chronic Conditions.

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Multimorbidity, defined as the presence of 2 or more chronic conditions, is common among older adults with cardiovascular disease. These individuals are at increased risk for poor health outcomes and account for a large proportion of health care utilization. Clinicians are challenged with the heterogeneity of this population, the complexity of the treatment regimen, limited high-quality evidence, and fragmented health care systems.