Competences of internal medicine specialists for the management of patients with multimorbidity. EFIM multimorbidity working group position paper

EFIM Multimorbidity Working Group

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)97-106
Number of pages10
JournalEuropean Journal of Internal Medicine
Volume109
DOIs
StatePublished - Mar 2023
Externally publishedYes

Keywords

  • Competences
  • Integrated care
  • Internal medicine
  • Multimorbidity

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