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Int J Public Health. 2018 Dec;63(9):1017-1026. doi: 10.1007/s00038-018-1114-6. Epub 2018 May 21.

Chronic conditions and multimorbidity in a primary care population: a study in the Swiss Sentinel Surveillance Network (Sentinella).

Author information

1
Institute of Primary Care, University of Zurich, Zurich, Switzerland. markus.gnaedinger@hin.ch.
2
Institute of Family Medicine, University of Lausanne, Lausanne, Switzerland.
3
Swiss Sentinel Surveillance Network (Sentinella), Swiss Federal Office of Public Health, Bern, Switzerland.
4
Division of Clinical Pharmacology and Toxicology, Institute of Pharmacological Sciences of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.
5
Department of Clinical Pharmacology and Toxicology, University Hospital Zurich, Zurich, Switzerland.
6
Patientensicherheit Schweiz, Zurich, Switzerland.
7
Institute of Primary Care, University of Zurich, Zurich, Switzerland.
8
Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland.

Abstract

OBJECTIVES:

To provide estimates of the prevalence of chronic conditions in Swiss primary care.

METHODS:

In total, 175 general practitioners (GP) or pediatricians (PED) reporting to the Swiss Sentinel Surveillance Network collected morbidity data.

RESULTS:

In 26,853 patient contacts, mean (± SD) age was 55.8 ± 21.6 or 6.1 ± 5.7 years (in GPs vs. PEDs, respectively) and 47% were males. In GP patients, median Thurgau Morbidity Index was 2 (IQR 1-3). The median numbers of chronic conditions and permanently used prescribed drugs were 2 (0-5) and 2 (1-4), respectively; in PEDs medians were 0. Out of all patients, 16.7 and 7.0% of the PED patients were hospitalized during the previous year; patients cared by family/proxies or community nurses were hospitalized significantly more often than patients living in homes (50.1 vs. 35.4%, OR 1.41, p < 0.001). Out of patients over 80 years of age, 51.5% were care dependent and 45.5% of the patients over 90 years were living in homes for the elderly.

CONCLUSIONS:

In a representative sample of Swiss primary care patients, a substantial part shows multimorbidity with a high prevalence of chronic diseases, multiple drug treatment, and care dependency. These data may serve to be compared with other patient groups or other primary care systems. Trial registration www.clinicaltrials.gov NCT0229537, national study registry www.kofam.ch SNCTP000001207.

KEYWORDS:

Care dependency; Drug treatment; Hospitalization; Morbidity; Primary health care; Switzerland

PMID:
29786762
PMCID:
PMC6245242
DOI:
10.1007/s00038-018-1114-6
[Indexed for MEDLINE]
Free PMC Article

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