comorbidity patterns in patients with chronic diseases in general practice慢性疾病患者的疾病模式惯例.pdfVIP

Comorbidity Patterns in Patients with Chronic Diseases in General Practice ´ 1 2 ´ 3 4 5 Luis Garcıa-Olmos *, Carlos H. Salvador , Angel Alberquilla , David Lora , Montserrat Carmona , ´ 2 2 ˜ 2 ´ 2 ´ ´ 6 Pilar Garcıa-Sagredo , Mario Pascual , Adolfo Munoz , Jose Luis Monteagudo , Fernando Garcıa-Lopez 1 Multiprofessional Education Unit for Family and Community Care (Southwest), Madrid, Spain, 2 Telemedicine and e-Health Unit, Carlos III Institute of Health, Madrid, Spain, 3 Multiprofessional Education Unit for Family and Community Care (Center), Madrid, Spain, 4 Clinical Epidemiology Unit, 12 de Octubre University Teaching Hospital, 12 de Octubre Hospital Biomedical Research Institute (imas12), Madrid, Spain, 5 Bioengineering and Telemedicine Unit, Puerta de Hierro University Teaching Hospital, Madrid, Spain, 6 Clinical Epidemiology Unit, Puerta de Hierro University Teaching Hospital, Madrid, Spain Abstract Introduction: Healthcare management is oriented toward single diseases, yet multimorbidity is nevertheless the rule and there is a tendency for certain diseases to occur in clusters. This study sought to identify comorbidity patterns in patients with chronic diseases, by reference to number of comorbidities, age and sex, in a population receiving medical care from 129 general practitioners in Spain, in 2007. Methods: A cross-sectional study was conducted in a health-area setting of the Madrid Autonomous Region (Comunidad ´ Autonoma), covering