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dc.contributor.authorHolm, Anne Lise
dc.contributor.authorBerland, Astrid Karin
dc.contributor.authorSeverinsson, Elisabeth
dc.date.accessioned2018-08-08T08:07:25Z
dc.date.available2018-08-08T08:07:25Z
dc.date.created2016-09-30T22:13:11Z
dc.date.issued2016
dc.identifier.citationOpen Journal of Nursing. 2016, 6 (10), 881-901.nb_NO
dc.identifier.issn2162-5344
dc.identifier.urihttp://hdl.handle.net/11250/2507970
dc.description.abstractResearch fails to provide an overview of the challenges involved in caring for older patients with multimorbidity. Multimorbidity is defined as the presence of two or more chronic conditions in the same person, leading to a high risk of care dependency. The aim of this review was to illuminate the challenges faced by the healthcare services in managing the needs of older patients with multimorbidity. A systematic review was performed, a total of 1,965 abstracts were read and nine quantitative studies included. Data were analysed by thematic synthesis, revealing six themes: A frequent problem in older female patients; High healthcare expenditure and costs, Medication management problems, Social inequities, Complex healthcare and consultation needs and High mortality. The study highlights that healthcare professionals struggle to obtain suitable guidelines for the care of patients with multimorbidity while trying to respond to their needs. Patient-centred integration across settings and coordination in clinical practice are necessary. The healthcare system today does not seem to focus on patient safety and preventing harm. Older patients should be reviewed by a healthcare professional responsible for coordinating their care. To ensure safe and effective care for elderly persons with multimorbidity, the healthcare services should abandon the current focus on managing innumerable individual diseases and conditions.nb_NO
dc.language.isoengnb_NO
dc.relation.urihttp://file.scirp.org/pdf/OJN_2016102816334578.pdf
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleManaging the needs of older patients with multimorbidity - A systematic review of the challenges faced by the healthcare servicesnb_NO
dc.title.alternativeManaging the needs of older patients with multimorbidity - A systematic review of the challenges faced by the healthcare servicesnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.rights.holderCopyright © 2016 by authors and Scientific Research Publishing Inc.nb_NO
dc.source.pagenumber881-901nb_NO
dc.source.volume6nb_NO
dc.source.journalOpen Journal of Nursingnb_NO
dc.source.issue10nb_NO
dc.identifier.doi10.4236/ojn.2016.610086
dc.identifier.cristin1388594
cristin.unitcode222,56,1,0
cristin.unitnameInstitutt for sykepleie- og helsevitenskap
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode0


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