Medication Decision-making for Patients with Multimorbidity——Study on Medical Records in Consultation of General Practice

Patients with multimorbidity often require the concomitant use of multiple medications, presenting general practitioners (GPs) with the dilemma of assessing the benefits and risks due to complex and potential interactions between diseases and medications. This article takes one case of a multimorbid...

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Published in:Zhongguo quanke yixue Vol. 28; no. 1; pp. 119 - 124
Main Author: LUO Yuan, XU Zhijie, XIA Yu, SHI Jiana, JIANG Zhizhi, ZHOU Xinmei, ZHAO Yang, TONG Yuling
Format: Journal Article
Language:Chinese
Published: Chinese General Practice Publishing House Co., Ltd 01-01-2025
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Abstract Patients with multimorbidity often require the concomitant use of multiple medications, presenting general practitioners (GPs) with the dilemma of assessing the benefits and risks due to complex and potential interactions between diseases and medications. This article takes one case of a multimorbid patient at a community health service center to illustrate and elucidate the process by which GP employs a medication decision-making framework for multimorbidity (MDMF). Furthermore, by examining the multi-stage goals set by Ariadne principle in the process of multimorbidity management, this article analyzes the key points and considerations for GPs in the assessment, communication, and making treatment plans, thereby offering reference to improve the quality of medication decision-making for patients with multimorbidity in the community.
AbstractList Patients with multimorbidity often require the concomitant use of multiple medications, presenting general practitioners (GPs) with the dilemma of assessing the benefits and risks due to complex and potential interactions between diseases and medications. This article takes one case of a multimorbid patient at a community health service center to illustrate and elucidate the process by which GP employs a medication decision-making framework for multimorbidity (MDMF). Furthermore, by examining the multi-stage goals set by Ariadne principle in the process of multimorbidity management, this article analyzes the key points and considerations for GPs in the assessment, communication, and making treatment plans, thereby offering reference to improve the quality of medication decision-making for patients with multimorbidity in the community.
Author LUO Yuan, XU Zhijie, XIA Yu, SHI Jiana, JIANG Zhizhi, ZHOU Xinmei, ZHAO Yang, TONG Yuling
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  organization: 1. Department of General Practice, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China;2. Xiaoying Community Health Service Center of Shangcheng District, Hangzhou 310009, China;3. Department of General Practice, Peking University Shenzhen Hospital, Shenzhen 518036, China;4. Department of Pharmacy, Zhejiang Provincial People's Hospital (People's Hospital of Hangzhou Medical College), Hangzhou 310014, China;5. The George Institute for Global Health, University of New South Wales, Sydney 2050, Australia;6. School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia
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Snippet Patients with multimorbidity often require the concomitant use of multiple medications, presenting general practitioners (GPs) with the dilemma of assessing...
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SubjectTerms multiple chronic conditions|consultation|general practitioners|medication decision-making|case reports
Title Medication Decision-making for Patients with Multimorbidity——Study on Medical Records in Consultation of General Practice
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