Patterns of multimorbidity in primary health care - a prospective observational study
Multicare1
Prof
Hendrik
van den Bussche
Department of Primary Medical Care, University Medical Center Hamburg-Eppendorf
Martinistr. 52
Hamburg
20246
Germany
Alzheimer's disease and other dementias| Parkinson's disease
To identify prognostic variables for the course of multimorbidity, and to describe the severity and the somatic and psychosocial long-term consequences of multimorbidity patterns as well as health care utilization
0
65
84
1. age of 65 to 84 years at baseline, 2. consultation of the GP at least once within the last completed quarter, 3. at least 3 chronic conditions out of a list of 29 diseases/syndromes
1. residence in a nursing home, 2. severe illness probably lethal within three months according to the GP, 3. insufficient ability to speak and read German, insufficient ability to consent (e.g. dementia), 4. insufficient ability to participate in interviews (e.g. blindness, deafness), 5. poorly known patients to the GP because of accidental consultation 6. participation in other studies at the present time
1,000-5,000 participants
Age, gender, migrant status, marital status, household type and size, education, former occupation, income, wealth, morbidity, activities of daily living, motor skills, vision and hearing, cognitive impairment, pain, health-related quality of life, body mass index, waist-to-hip-ratio, physical activity, nutrition, alcohol use, smoking behaviour, general self-efficacy, coping with illness, social support, patient assessment of chronic illness care, utilization of medical services, medication, mortality
No
Prospective cohort
01/07/2008
Data collection ongoing| Data analysis ongoing| Data collection ongoing| Data analysis ongoing
Yes - intend to apply for funding
No
No policy exists
No
No