title: [From chronic disease to multimorbidity: Which impact on organization of health care].
abstract: Healthcare systems are concerned with the growing prevalence of chronic diseases. Single disease approach, based on the Chronic Care Model, is known to improve specific indicators for the targeted disease. However, the co-existence of several chronic disease, or multimorbidity, within a same patient is the most frequent situation. The fragmentation of care, as consequence of the single disease approach, has negative impact on the patient and healthcare professionals. A person centred approach is a method addressing the combination of health issues of each patient. The coordination and synthesis role is key to ensure continuity of care for the patient within a network of healthcare professionals from several settings of care. This function is the main characteristic of an organized first level of care.
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique. Electronic address: jlbelche@ulg.ac.be.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Belche
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique.
authors.forename: Marie-Astrid
authors.initials: MA
authors.lastname: Berrewaerts
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Ketterer
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique.
authors.forename: Gilles
authors.initials: G
authors.lastname: Henrard
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique.
authors.forename: Marc
authors.initials: M
authors.lastname: Vanmeerbeek
authors.affiliation: Université de Liège, département de médecine générale, Liège, Belgique.
authors.forename: Didier
authors.initials: D
authors.lastname: Giet
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology*; D015897:Comorbidity; D003266:Continuity of Patient Care; D019091:Critical Pathways / Q000458:organization & administration; D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D003920:Diabetes Mellitus / Q000453:epidemiology; D006694:Holistic Health; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration; D001523:Mental Disorders / Q000453:epidemiology; D008962:Models, Theoretical; D009369:Neoplasms / Q000453:epidemiology; D010348:Patient Care Team; D010358:Patient Participation; D018802:Patient-Centered Care; D064792:Pragmatic Clinical Trials as Topic; D057285:Precision Medicine; D011320:Primary Health Care / Q000458:organization & administration; D064890:Social Determinants of Health