Multiple Chronic Conditions (MCC)
Chronic conditions such as diabetes, arthritis and hypertension are common, expensive, and increasing (Mokdad, 2000).The number of people suffering from MCC (two or more chronic conditions) is increasing nation-wide and especially prevalent in adults over the age of 65. Approximately 62% of older adults nationally suffer from multiple chronic conditions (Anderson et al., 2004). This rate increased by 8% from 2000-2010 (CDC, 2012). In Illinois, the rates are considerably higher, with 77.5% of older adults reporting two or more chronic conditions (Amerson et al, 2015). Data from the Illinois Cook County Health System indicates that rate of MCC is rising by 1-2% per year. (Cook County Health and Hospitals System, unpublished data).
In the context of MCC, geriatric syndromes (falls, malnutrition, disability, frailty, and increased dependence), are common and lead to considerable personal suffering (CMS, 2012; Fried et al., 2001; USDHHS, 2010). MCC are associated with more rapid health decline and both decreased quality of life and psychological well-being (Fortin et al., 2006). MCC also negatively affect the health care system due to associations with increased emergency room visits, hospital stays, and post-operative complications, as well as fragmented or disorganized care (Fortin et al., 2007). In all, MCC explain 84% of national health care spending (Yoon et al., 2014; USDHHS, 2010).
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