The problem of multimorbidity in a modern therapeutic clinic

Abstract

A review of modern studies on the problem of multimorbidity, its definition, frequency of occurrence, prevalence, medical and social consequences, factors predisposing to its formation, and approaches to diagnosis, therapy, and rehabilitation is presented. According to modern understanding, multimorbidity is the presence of two and / or more chronic diseases that are pathogenetically interconnected and / or coincide in time in one patient.Currently, multimorbidity is becoming an epidemic, affecting people of different ages and gender and with various diseases. The literature describes multiple adverse medical and social consequences of multimorbidity, such as increased rates of hospitalization, disability, and mortality, decreased functional capabilities and quality of life in patients, as well as increased volume, timing, and cost of medical care. Today, issues of the unified terminology, identification of multimorbidity, and the structure and clinical manifestations of associated pathology are being studied. There are single works on the study of possible factors contributing to the formation of multimorbidity. Approaches to management of patients in conditions of multimorbidity are being developed. A more detailed study of the mechanisms of multimorbidity formation and common pathogenetic links of associated diseases will make it possible to develop more effective strategies for the diagnosis, treatment and rehabilitation of multimorbid patients.