Bell Susan P, Saraf Avantika A
Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medicine Center, Nashville, TN, USA; Division of Geriatric Medicine, Center for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, USA.
Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medicine Center, Nashville, TN, USA; Division of Geriatric Medicine, Center for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, USA.
Clin Geriatr Med. 2016 May;32(2):215-26. doi: 10.1016/j.cger.2016.01.013.
Multimorbidity is the most significant condition affecting older adults, and it impacts every component of health care management and delivery. Multimorbidity significantly increases with age. For individuals with a diagnosis of cardiovascular disease, multimorbidity has a significant effect on the presentation of the disease and the diagnosis, management, and patient-centered preferences in care. Evidence-based therapeutics have focused on cardiovascular focused morbidity. Over the next 25 years, the proportion of adults aged 65 and older is estimated to increase three-fold. The needs of these patients require a fundamental shift in care from single disease practices to a more patient-centered framework.
多病共存是影响老年人的最主要状况，它对医疗保健管理与服务的各个方面都有影响。多病共存情况会随着年龄增长而显著增加。对于已确诊患有心血管疾病的个体而言，多病共存对疾病的表现形式以及诊断、管理和以患者为中心的护理偏好都有重大影响。循证疗法一直专注于以心血管疾病为主的发病率。在未来25年里，预计65岁及以上成年人的比例将增长两倍。这些患者的需求要求护理从单一疾病治疗模式向更以患者为中心的框架发生根本性转变。
