Using care plans to better manage multimorbidity | Zendy

Mark Morgan | Zendy; Michael Coates | Zendy; James Dunbar | Zendy

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Using care plans to better manage multimorbidity

Author(s) -

Mark Morgan,

Michael Coates,

James Dunbar

Publication year - 2015

Publication title -

australasian medical journal

Language(s) - English

Resource type - Journals

ISSN - 1836-1935

DOI - 10.4066/amj.2015.2377

Subject(s) - medicine , multimorbidity , guideline , disease management , collaborative care , medical record , health care , medical emergency , intervention (counseling) , best practice , disease , family medicine , nursing , chronic disease , primary care , surgery , pathology , management , parkinson's disease , economics , economic growth

The health care for patients having two or more long-term medical conditions is fragmented between specialists, allied health professionals, and general practitioners (GPs), each keeping separate medical records. There are separate guidelines for each disease, making it difficult for the GP to coordinate care. The TrueBlue model of collaborative care to address key problems in managing patients with multimorbidity in general practice previously reported outcomes on the management of multimorbidities. We report on the care plan for patients with depression, diabetes, and/or coronary heart disease that was embedded in the TrueBlue study.

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