Journal article
The use of comorbidities among adults experiencing care transitions: a systematic review and evolutionary analysis of empirical literature
Chronic illness, Vol.8(4), pp.278-295
12/01/2012
DOI: 10.1177/1742395312444741
PMID: 22514061
Abstract
Objective: To systematically review how comorbidities are employed in the empirical literature for adults coping with multiple chronic conditions during common episodes of acute illness that resulted in transition across health care setting.
Methods: Evolutionary concept analysis inductively identifies current consensus regarding the usage of a concept and results in exploring attributes and clarification of the concept. Sixty studies from 1965 to 2009 identified from MEDLINE, CINAHL, PsychINFO, and ISI Web of Science databases were analysed.
Results: Comorbidities were used heterogeneously among reviewed studies with most controlling for their presence (n = 33) and lacking robust measurement (n = 37). The designation of index or principal condition was equally heterogeneous with approximately half (n = 26) representing the main disease or diagnosis of interest to the researcher. In this study comorbidities were associated with personal, disease or system level antecedents and consequences. A conceptual framework is proposed.
Discussion: The impact of comorbidities on the care and outcomes of adults coping with multiple chronic conditions is limited by heterogeneous and ambiguous usage. While analytic techniques have become more sophisticated, continued lack of meaningful conceptualization and instrument use has limited maturation of this important concept for research, practice and policy purposes.
Details
- Title: Subtitle
- The use of comorbidities among adults experiencing care transitions: a systematic review and evolutionary analysis of empirical literature
- Creators
- Harleah G. Buck - Pennsylvania State UniversitySalimah Meghani - University of PennsylvaniaJanet Prvu Bettger - Duke UniversityEeeseung Byun - University of PennsylvaniaMichael J. Fachko - University of PennsylvaniaMelissa O'Connor - Univ Penn, Sch Nursing, Philadelphia, PA 19104 USAChristine Tocchi - Yale UniversityMary Naylor - University of Pennsylvania
- Resource Type
- Journal article
- Publication Details
- Chronic illness, Vol.8(4), pp.278-295
- Publisher
- Sage
- DOI
- 10.1177/1742395312444741
- PMID
- 22514061
- ISSN
- 1742-3953
- eISSN
- 1745-9206
- Number of pages
- 18
- Grant note
- NewCourtland Center for Transitions and Health at the University of Pennsylvania, Philadelphia, PA, USA
- Language
- English
- Date published
- 12/01/2012
- Academic Unit
- Nursing
- Record Identifier
- 9984370645002771
Metrics
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