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Multimorbidity in Primary Care: Prevalence, Management, and Health System Challenges

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 31 January 2026 | Viewed by 393

Special Issue Editor


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Guest Editor
1. Faculty of Health Sciences, University of Beira Interior, 6200-506 Covilhã, Portugal
2. Family Health Unit Beira Ria, 3830-596 Gafanha da Nazaré, Portugal
3. RISE-Health, Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal
Interests: multimorbidity; chronic diseases; family medicine; primary care; quality of life; geriatrics; public health
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Special Issue Information

Dear Colleagues,

Medicine advances health not only through treatment, but also by deepening our understanding of how diseases affect people over time. Today, chronic diseases and multimorbidity —defined as the presence of two or more long-term health conditions in an individual—pose major global challenges. They are transforming the way health systems must work, and they affect patients' lives in complex ways. While treatment remains essential, we increasingly need broader strategies that address prevalence, management, and system-level responses to these conditions.

This Special Issue focuses on the growing number of people living with chronic diseases and multimorbidity. We invite original research on how these conditions appear in different populations, how they develop, how they influence and are influenced by work activity and employment status, and how healthcare services can respond more effectively and fairly.

We welcome studies that link clinical and health data with real-world care, health policy development, and patient outcomes. Submissions that take a holistic approach—including biological, psychological, and social aspects of health—are encouraged. We are especially interested in work that explores how different factors, such as social conditions, healthcare access, and treatment plans, interact and affect clinical outcomes.

With this Special Issue, we want to better understand how chronic diseases and multimorbidity affect not only individuals and their caregivers but also the planning and functioning of health systems.

Dr. Filipe Prazeres
Guest Editor

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Keywords

  • primary care
  • family medicine
  • multimorbidity
  • health systems
  • healthcare access
  • patient outcomes
  • health policy
  • integrated care
  • biopsychosocial approach
  • disease management

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Published Papers (1 paper)

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6 pages, 249 KiB  
Brief Report
Do Medical Students Suffer from Chronic Diseases? A Secondary Cross-Sectional Analysis of a Medical School in Portugal
by Filipe Prazeres, Diogo Maia and Marta Duarte
Int. J. Environ. Res. Public Health 2025, 22(8), 1282; https://doi.org/10.3390/ijerph22081282 - 16 Aug 2025
Viewed by 242
Abstract
Background/Objectives: There is still debate about students’ health in medical schools. The aim of this study was to assess the proportion of chronic diseases among medical students and analyze their predictors. Methods: We performed a secondary cross-sectional analysis using a database from a [...] Read more.
Background/Objectives: There is still debate about students’ health in medical schools. The aim of this study was to assess the proportion of chronic diseases among medical students and analyze their predictors. Methods: We performed a secondary cross-sectional analysis using a database from a single Portuguese university. The sociodemographic/clinical variables of 309 medical students were included. Logistic regression was performed to ascertain the effects of sex, age, medical course year, financial situation, and family history of chronic diseases on the likelihood of medical students having chronic disease. Results: Median age (Q1, Q3) was 21 (17, 43) years, with females comprising 79.9% of the sample. The distribution of students by school year was similar. The majority (65.7%) reported having sufficient money. Twenty-three percent suffered from chronic disease, and around forty percent had parents or siblings with chronic disease. In the regression model, only a family history of chronic disease was associated with a personal history of chronic disease. Medical students with parents or siblings who have a chronic disease are 3.3 times more likely to have a chronic disease themselves. Conclusions: Future interventions targeting the medical student population will be needed in Portugal to reduce the prevalence and burden of chronic diseases, particularly among those with a positive family history. Full article
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