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Patient capacity and constraints in managing multimorbidity: a qualitative study in primary care settings in Kerala, India - PubMed

5 hours ago
  • #patient capacity
  • #multimorbidity
  • #primary care
  • Multimorbidity presents challenges in India, with limited research on patient capacity and treatment burden.
  • Qualitative study with 42 patients using frameworks BoTT and CuCoM identified barriers: condition complexity, financial constraints, cultural practices.
  • Facilitators to patient capacity included social support, accessible healthcare, and positive health attitudes.
  • Primary care offers selective services, leading to treatment burdens exceeding patient capacity, worsened by financial issues.
  • Findings emphasize need for interventions to enhance capacity and reduce burden within cultural and health system contexts.