Primary care has been defined as “the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community” (Care et al., 1994). So, it’s well known that these professionals deal with patients who often present other (and often-complex) common health diseases from earlier times (Donaldson et al., 1996), and the situation doesn’t seems to improve; in recent years, there has been increasing interest in multimorbidity, commonly defined as the co-occurrence of at least two chronic conditions in the same individual (Valderas et al., 2009), due to its substantial impact on the individual and their families (Skou et al., 2022). People with multimorbidity have poorer functional status, quality of life and health outcomes, and are higher users of ambulatory and inpatient care than those without such multimorbidity (Rayman et al., 2022). Multimorbidity requires person-centred care, prioritizing what matters most to the individual and their carers, ensuring care that is effectively coordinated and minimally disruptive, and aligns with patient values; so, the interventions are likely to be complex and multifaceted (Skou et al., 2022). It is thus suggested that the entire healthcare system needs to change so that it can provide a better service for patients with multimorbidity begging with the system of healthcare professional education (Rayman et al., 2022) .

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Other Important Training Considerations

  • Carles Barcons Comellas,
  • George W. Saba,
  • Mauro Mariotti,
  • Cory Johnson

摘要

Primary care has been defined as “the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community” (Care et al., 1994). So, it’s well known that these professionals deal with patients who often present other (and often-complex) common health diseases from earlier times (Donaldson et al., 1996), and the situation doesn’t seems to improve; in recent years, there has been increasing interest in multimorbidity, commonly defined as the co-occurrence of at least two chronic conditions in the same individual (Valderas et al., 2009), due to its substantial impact on the individual and their families (Skou et al., 2022). People with multimorbidity have poorer functional status, quality of life and health outcomes, and are higher users of ambulatory and inpatient care than those without such multimorbidity (Rayman et al., 2022). Multimorbidity requires person-centred care, prioritizing what matters most to the individual and their carers, ensuring care that is effectively coordinated and minimally disruptive, and aligns with patient values; so, the interventions are likely to be complex and multifaceted (Skou et al., 2022). It is thus suggested that the entire healthcare system needs to change so that it can provide a better service for patients with multimorbidity begging with the system of healthcare professional education (Rayman et al., 2022) .