Universidad Peruana Cayetano Heredia

Multimorbidity matters in low and middle-income countries.

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dc.contributor.author Basto-Abreu, Ana
dc.contributor.author Barrientos-Gutierrez, Tonatiuh
dc.contributor.author Wade, Alisha N.
dc.contributor.author Oliveira de Melo, Daniela
dc.contributor.author Semeão de Souza, Ana S.
dc.contributor.author Nunes, Bruno P.
dc.contributor.author Perianayagam, Arokiasamy
dc.contributor.author Tian, Maoyi
dc.contributor.author Yan, Lijing L.
dc.contributor.author Ghosh, Arpita
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2022-08-15T20:11:10Z
dc.date.available 2022-08-15T20:11:10Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12053
dc.description.abstract Multimorbidity is a complex challenge affecting individuals, families, caregivers, and health systems worldwide. The burden of multimorbidity is remarkable in low- and middle-income countries (LMICs) given the many existing challenges in these settings. Investigating multimorbidity in LMICs poses many challenges including the different conditions studied, and the restriction of data sources to relatively few countries, limiting comparability and representativeness. This has led to a paucity of evidence on multimorbidity prevalence and trends, disease clusters, and health outcomes, particularly longitudinal outcomes. In this paper, based on our experience of investigating multimorbidity in LMICs contexts, we discuss how the structure of the health system does not favor addressing multimorbidity, and how this is amplified by social and economic disparities and, more recently, by the COVID-19 pandemic. We argue that generating epidemiologic data around multimorbidity with similar methods and definition is essential to improve comparability, guide clinical decision-making and inform policies, research priorities, and local responses. We call for action on policy to refinance and prioritize primary care and integrated care as the center of multimorbidity. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartofseries Journal of Multimorbidity and Comorbidity
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject epidemiology en_US
dc.subject low- and middle-income countries en_US
dc.subject evidence-based en_US
dc.subject multimorbidity en_US
dc.title Multimorbidity matters in low and middle-income countries. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/26335565221106074
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.18
dc.relation.issn 2633-5565


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