Repository logo
 

Does characterising patterns of multimorbidity in stroke matter for developing collaborative care approaches in primary care?

Accepted version
Peer-reviewed

Change log

Authors

Aquino, Maria Raisa Jessica Ryc V  ORCID logo  https://orcid.org/0000-0002-3989-1221
Turner, Grace M 
Mant, Jonathan 

Abstract

Stroke and transient ischaemic attack (TIA) remain leading causes of mortality and morbidity globally. Although mortality rates have been in decline, the number of people affected by stroke has risen. These patients have a range of long-term needs and often present to primary care. Furthermore, many of these patients have multimorbidities which increase the complexity of their healthcare. Long-term impacts from stroke/TIA along with care needs for other morbidities can be challenging to address because care can involve different healthcare professionals, both specialist and generalist. In the ideal model of care, such professionals would work collaboratively to provide care. Despite the commonality of multimorbidity in stroke/TIA, gaps in the literature remain, particularly limited knowledge of pairings or clusters of comorbid conditions and the extent to which these are interrelated. Moreover, integrated care practices are less well understood and remain variable in practice. This article argues that it is important to understand (through research) patterns of multimorbidity, including number, common clusters and types of comorbidities, and current interprofessional practice to inform future directions to improve long-term care.

Description

Keywords

integrated care, interprofessional collaboration, multimorbidity, stroke, transient ischaemic attack, Adult, Aged, Aged, 80 and over, Female, Forecasting, Humans, Intersectoral Collaboration, Male, Middle Aged, Multimorbidity, Patient Care Team, Primary Health Care, Stroke

Journal Title

Prim Health Care Res Dev

Conference Name

Journal ISSN

1463-4236
1477-1128

Volume Title

20

Publisher

Cambridge University Press (CUP)
Sponsorship
This article received no specific grant from any funding agency, commercial or not-for-profit sectors. JM is an National Institute for Health Research (NIHR) Senior Investigator.