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The National Chronic Disease Strategy provides a framework to improve 'chronic disease prevention and care across Australia'. It is framed around single chronic illnesses. However, multi-morbidity is increasingly common in our ageing population. In 2010 around 13.6% of Australians were aged between 65 and 85 years and over half of these are known to have had at least five chronic conditions. The top five co-existent conditions in Australia are cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), obesity, kidney disorders and cancers. By the year 2050, more than one-quarter of Australians will be aged over 65 years and consuming over 66% of the projected increased health funding. Is the rise in multi-morbidity prevalence the 'elephant in the room' that, if ignored in shaping tomorrow's health system, will play havoc with the financing and performance of that system?

Multi-morbidity: a system design challenge in delivering patient-centred care