SynthesisHealth expectations : an international journal of public participation in health care and health policy2021
The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.
Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Approaches to locum physician recruitment and retention: a systematic review.Human resources for health · 2024Pooled it
- Towards conceptual convergence: A systematic review of psychological resilience in family caregivers of persons living with chronic neurological conditions.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Efficacy of a Blended Low-Intensity Internet-Delivered Psychological Program in Patients With Multimorbidity in Primary Care: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Prevalence and prognosis of multimorbidity in heart failure with mildly reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Mental Health Service use and Expenditures among Medicare Beneficiaries with Depression, Diabetes and Heart Disease after Cost-sharing Parity.Journal of general internal medicine · 2026Article
- "We do what needs to be done": caregivers' experiences of healthcare and support for people with multiple long-term conditions in the last year of life.BMC palliative care · 2026Article
- Exploring Patient Perspectives on the Use of Artificial Intelligence to Inform Joint Decision-Making for Patients With Multiple Conditions in Primary Care in the United Kingdom: Qualitative Study.Journal of medical Internet research · 2026Article
- Redeemed prescription medicines to measure quality of life of patients with long-term conditions: a national cross-sectional study.BMC medicine · 2026Article
- Financial Burden in Adults With Chronic Illness in Switzerland: A Secondary Analysis of Qualitative Interviews Using Natural Language Processing and Topic Modeling.JMIR formative research · 2026Article
- A Patient-Informed Framework of Financial Strain Among Adults with Multimorbidity.Journal of general internal medicine · 2026Article
- A penny for your thoughts: three perspectives on financial problems and their associated factors of people with psychotic disorders.International journal of qualitative studies on health and well-being · 2025Article
- Impact of Medical Conditions and Area Deprivation on Fundraising Success in Online Crowdfunding: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Balancing polypharmacy and comorbidity management: cardiovascular health.Current opinion in HIV and AIDS · 2025Review
- The role of the social worker in the assessment and management of adults receiving Home Parenteral Nutrition.European journal of clinical nutrition · 2025Review
- Examining factors contributing to mortality in Saudi Arabia: proposing effective healthcare management approaches.BMC public health · 2025Article
- Out-of-pocket prescription medicine expenditure amongst community-dwelling adults: Findings from the Irish longitudinal study on ageing (TILDA) in 2016.Exploratory research in clinical and social pharmacy · 2025Article
- How do people with multimorbidity prioritise healthcare when faced with tighter financial constraints? A national survey with a choice experiment component.BMC primary care · 2025Article
- Prevalence of obesity-related multimorbidity and its health care costs among adults in the United States.Journal of managed care & specialty pharmacy · 2025Article
- The impact of living with multiple long-term conditions (multimorbidity) on everyday life - a qualitative evidence synthesis.BMC public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity prevalence is increasing globally. People with multimorbidity have higher health care costs, which can create a financial burden.
objectiveTo synthesize qualitative research exploring experience of financial burden for people with multimorbidity. SEARCH STRATEGY: Six databases were searched in May 2019. A grey literature search and backward and forward citation checking were also conducted. INCLUSION CRITERIA: Studies were included if they used a qualitative design, conducted primary data collection, included references to financial burden and had at least one community-dwelling adult participant with two or more chronic conditions. DATA EXTRACTION AND SYNTHESIS: Screening and critical appraisal were conducted by two reviewers independently. One reviewer extracted data from the results section; this was checked by a second reviewer. GRADE-CERQual was used to summarize the certainty of the evidence. Data were analysed using thematic synthesis. MAIN
resultsForty-six studies from six continents were included. Four themes were generated: the high costs people with multimorbidity experience, the coping strategies they use to manage these costs, and the negative effect of both these on their well-being. Health insurance and government supports determine the manageability and level of costs experienced. DISCUSSION: Financial burden has a negative effect on people with multimorbidity. Continuity of care and an awareness of the impact of financial burden of multimorbidity amongst policymakers and health care providers may partially address the issue. PATIENT OR PUBLIC CONTRIBUTION: Results were presented to a panel of people with multimorbidity to check whether the language and themes 'resonated' with their experiences.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.