A comparison of policies and guidelines related to multimorbidity in the UK, Australia and Sri Lanka

Chandraratne, Nadeeka K. and Pathirathna, K. G. Ravindra V. and Harrison, Christopher and Siriwardena, A.Niroshan (2018) A comparison of policies and guidelines related to multimorbidity in the UK, Australia and Sri Lanka. Australian Journal of General Practice, 47 (1-2). pp. 15-19. ISSN 2208-794X

Full content URL: https://www.racgp.org.au/AJGP/2018/January-Februar...

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A comparison of policies and guidelines related to multimorbidity in the UK, Australia and Sri Lanka
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Abstract

Background and objectives
Increased rates of multimorbidity, evident in developed and developing countries, should be addressed by health policy. The aim of this study was to compare policies and guidelines related to multimorbidity in primary healthcare in countries with different health systems, to identify initiatives, gaps and opportunities for further improvement.
Methods
We conducted a content analysis of UK, Australian and Sri Lankan policy documents and guidelines published between 2006 and 2017, in electronic databases, references and government repositories, tabulating data extracted for content, implementation plans, gaps and opportunities for development.
Results
Overall, 38 of the 56 identified documents explicitly or implicitly addressed multimorbidity or its prevention. The UK had four policy documents and guidelines specifically on multimorbidity. Australia and Sri Lanka lacked specific policies on multimorbidity, but policies did address chronic conditions and noncommunicable diseases.
Discussion
Important differences exist in how national policies seek to address multimorbidity. Policy implementation, how this affects quality of care and outcomes, and the role of primary care should be examined.

Keywords:multimorbidity, guidelines, policies, Sri Lanka, Australia, United Kingdom, long term conditions, chronic diseases
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:31445
Deposited On:28 Mar 2018 09:07

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