Managing patients with multimorbidity in primary care

8][9] Patients with multimorbidity have a high treatment burden in terms of understanding and self managing the conditions, attending multiple appointments, and managing complex drug regimens. 10ualitative research highlights the "endless struggle" patients experience in trying to manage their conditions well. 11Psychological distress is common: in an Australian survey of 7620 patients in primary care, 23% of those with one chronic condition reported depression compared with 40% of those with five or more conditions. 12Multimorbidity presents many challenges, which may at times seem overwhelming.This review provides evidence based practice points that are feasible to implement in general practice and offers guidance for general practitioners in organising care delivery.