A few recently published sources have addressed this issue. ABC Radio National's Health Report last week reported on the difficulty and expense of treating people with comorbidities in their program, Treatment of patients with chronic heart failure and other multiple chronic diseases. Norman Swan interviewed one of the authors of a successful South Australian experiment to redesign care for such people, Sepehr Shakib, Director of Clinical Pharmacology at the Royal Adelaide Hospital.
Shakib and his colleagues have published a paper on this topic in PLoS One, Guideline compliance in chronic heart failure patients with multiple comorbid diseases: evaluation of an individualised multidisciplinary model of care. The article by Ho, Caughey and Sepehr is available freely in this open access journal.
Meanwhile, the UK Department of Health has just published a document proposing changes to the British health system to "Better care for people with 2 or more long term health conditions".
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