TY - JOUR
T1 - Competences of internal medicine specialists for the management of patients with multimorbidity. EFIM multimorbidity working group position paper
AU - EFIM Multimorbidity Working Group
AU - Bernabeu-Wittel, M.
AU - Para, O.
AU - Voicehovska, J.
AU - Gómez-Huelgas, R.
AU - Václavík, J.
AU - Battegay, E.
AU - Holecki, M.
AU - van Munster, B. C.
AU - Angermann, Christiane
AU - Battegay, Edouard
AU - Bernabeu-Wittel, Máximo
AU - Bryant, Catherine
AU - Elis, Avishay
AU - Ertl, Georg
AU - Gómez-Huelgas, Ricardo
AU - Grine, Sabrina
AU - Holecki, Michal
AU - Kürrle, Annette
AU - Lidove, Olivier
AU - Para, Ombretta
AU - Saglam, Burcin
AU - Santos, Lelita
AU - Tuttolomondo, Antonino
AU - Václavik, Jan
AU - van Munster, Barbara
AU - Voicehovska, Julija
N1 - Publisher Copyright:
© 2023 European Federation of Internal Medicine
PY - 2023/3
Y1 - 2023/3
N2 - Patients with multimorbidity increasingly impact healthcare systems, both in primary care and in hospitals. This is particularly true in Internal Medicine. This population associates with higher mortality rates, polypharmacy, hospital readmissions, post-discharge syndrome, anxiety, depression, accelerated age-related functional decline, and development of geriatric syndromes, amongst others. Internists and Hospitalists, in one of their roles as Generalists, are increasingly asked to attend to these patients, both in their own Departments as well as in surgical areas. The management of polypathology and multimorbidity, however, is often complex, and requires specific clinical skills and corresponding experience. In addition, patients' needs, health-care environment, and routines have changed, so emerging and re-emerging specific competences and approaches are required to offer the best coordinated, continuous, and comprehensive integrated care to these populations, to achieve optimal health outcomes and satisfaction of patients, their relatives, and staff. This position paper proposes a set of emerging and re-emerging competences for internal medicine specialists, which are needed to optimally address multimorbidity now and in the future.
AB - Patients with multimorbidity increasingly impact healthcare systems, both in primary care and in hospitals. This is particularly true in Internal Medicine. This population associates with higher mortality rates, polypharmacy, hospital readmissions, post-discharge syndrome, anxiety, depression, accelerated age-related functional decline, and development of geriatric syndromes, amongst others. Internists and Hospitalists, in one of their roles as Generalists, are increasingly asked to attend to these patients, both in their own Departments as well as in surgical areas. The management of polypathology and multimorbidity, however, is often complex, and requires specific clinical skills and corresponding experience. In addition, patients' needs, health-care environment, and routines have changed, so emerging and re-emerging specific competences and approaches are required to offer the best coordinated, continuous, and comprehensive integrated care to these populations, to achieve optimal health outcomes and satisfaction of patients, their relatives, and staff. This position paper proposes a set of emerging and re-emerging competences for internal medicine specialists, which are needed to optimally address multimorbidity now and in the future.
KW - Competences
KW - Integrated care
KW - Internal medicine
KW - Multimorbidity
UR - http://www.scopus.com/inward/record.url?scp=85146467777&partnerID=8YFLogxK
U2 - 10.1016/j.ejim.2023.01.011
DO - 10.1016/j.ejim.2023.01.011
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C2 - 36653235
AN - SCOPUS:85146467777
SN - 0953-6205
VL - 109
SP - 97
EP - 106
JO - European Journal of Internal Medicine
JF - European Journal of Internal Medicine
ER -