Multiple Chronic Conditions (MCC)

Almost half of Americans live with a chronic condition, and many of those with multiple chronic conditions (MCC); the rate of MCC will continue to grow as the population ages [National Quality Forum (NQF), 2012; Robert Wood Johnson Foundation (RWJF), 2010].

Those with MCC have a greater risk for adverse outcomes and complications. They often receive fragmented care because they are more likely to see multiple health care providers, resulting in multiple treatment plans that include use of multiple medications (NQF, 2012; RWJF, 2010). Fragmented care contributes to negative health outcomes and unnecessary hospitalizations (RWJF, 2010).

Effectively providing care for those with MCC is an important challenge in health care. To address the problem of fragmented care, which results in increased health utilization (NQF, 2012), an interprofessional team approach is needed to provide coordinated care to patients with MCC.

For example, a recent review of 77 studies on interprofessional team-based care for high blood pressure supported improvements in blood pressure control for patients managed by health care teams compared to those managed by the physician alone (George, 2012). This illustrates the potential that interprofessional team-based care has to impact MCC.

Further research is needed on the effectiveness of interventions for MCC. To help you learn more about MCC, resources related to MCC and links to UT researchers addressing MCC are provided.

 

References:

George, M. G. (2012). The results are in: Team based care boosts BP control. Retrieved from www.medscape.com/viewarticle/770105_print

National Quality Forum. (2012). Multiple chronic conditions measurement framework. Retrieved from: http://www.qualityforum.org/Publications/2012/05/MCC_Measurement_Framework_Final_Report.aspx

Robert Wood Johnson Foundation. (2010). Chronic care: Making the case for ongoing care. Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2010/01/chronic-care.html