Evidence map›Paper›PMID 41094678›Full record

ArticleBMC primary care2025

"So I call myself healthy": a qualitative study on health perceptions and healthcare experiences in older adults with multimorbidity.

Klas Ytterbrink Nordenskiöld, Christina Sandlund, Caroline Kappelin, Karin Norman, Caroline Wachtler

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Klas Ytterbrink NordenskiöldDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, SE-141 83, Sweden. klas.ytterbrink.nordenskiold@ki.se.
Christina SandlundDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, SE-141 83, Sweden.
Caroline KappelinDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, SE-141 83, Sweden.
Karin NormanDepartment of Social Anthropology, Stockholm University, Stockholm, SE-114 18, Sweden.
Caroline WachtlerDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, SE-141 83, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An ageing population and its association with a rising prevalence of co-existing multiple chronic conditions poses increasing challenges for healthcare systems worldwide. In line with the World Health Organization ambition for societies to develop integrated care models and person-centered care, this study aimed to investigate what health means for individuals managing multiple chronic conditions and how these patients navigate a healthcare system primarily designed for single-disease management.

methodsA six-phase reflexive thematic analysis was conducted on 16 individual interviews with patients aged 67 to 87 years old in a Swedish primary care setting.

resultsTwo themes were developed. Firstly, Resiliently Positioning as Non-Sick that centered on how participants employed internal strategies to position their identity on the non-sick side of a health spectrum, and secondly, Placing Yourself in the Hands of Healthcare, which focused on the mixed feelings towards interacting with healthcare.

conclusionOlder individuals with multiple conditions tend to identify as non-sick and strive for autonomy. Engaging with healthcare can pose a threat to both their autonomy and their non-sick identity. They desire healthcare that works holistically, focuses on health and function, and avoids stigmatizing terms like multimorbidity. We recommend that policymakers and healthcare providers integrate this understanding and support for autonomy and holistic approaches into their efforts to deliver person-centered care.

Indexed as

Attitude to HealthMultimorbidityAgedAged, 80 and overChronic DiseaseFemaleHumansInterviews as TopicMalePatient-Centered CarePrimary Health CareQualitative ResearchSwedenAgedHolistic healthMultimorbidityPerson-centered carePrimary health careQualitative research

Identifiers

PMID41094678
PMCPMC12522901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.