Guideline deviation and its association with specific chronic diseases among patients with multimorbidity: a cross-sectional cohort study in a care management setting.

ABSTRACT:

Objectives

To assess whether the extent of deviation from chronic disease guideline recommendations is more prominent for specific diseases compared with combined-care across multiple conditions among multimorbid patients, and to examine reasons for this deviation.

Design

A cross-sectional cohort.

Setting

Multimorbidity care management programme across 11 primary care clinics.

Patients

Patients aged 45-95 years with at least two common chronic conditions, sampled according to being new (≤6 months) or veteran (≥1 year) to the programme.

Main outcome measures

Deviation from guideline-recommended care was measured for each patient's relevant conditions, aggregated and stratified across disease groups, calculated as measures of 'disease-specific' guideline d

SUBMITTER: Cohen-Stavi CJ 

PROVIDER: S-EPMC7802706 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature