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Research ArticleOriginal Research

Managing Multiple Chronic Conditions during COVID-19 Among Patients with Social Health Risks

Leah Tuzzio, Kathy S. Gleason, James D. Ralston, Melanie Drace, Marlaine Figueroa Gray, Ruth Bedoy, Jennifer L. Ellis, Richard W. Grant, Elizabeth A. Bayliss, Leslie Jauregui and Zoe A. Bermet
The Journal of the American Board of Family Medicine March 2024, 37 (2) 172-179; DOI: https://doi.org/10.3122/jabfm.2023.230053R2
Leah Tuzzio
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MPH
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Kathy S. Gleason
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
PhD
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James D. Ralston
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MD, MPH
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Melanie Drace
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MPH
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Marlaine Figueroa Gray
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
PhD
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Ruth Bedoy
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MPH
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Jennifer L. Ellis
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MSPH
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Richard W. Grant
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MD, MPH
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Elizabeth A. Bayliss
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MD, MSPH
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Leslie Jauregui
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
MS
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Zoe A. Bermet
From the Kaiser Permanente Washington Research Institute, Seattle WA (LT, JDR, MFG); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (KSG, MD, RB, JLE, EAB); Center for an Informed Public, University of Washington, Seattle WA; Division of Research, Kaiser Permanente Northern California, Oakland, CA (RWG); Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (EAB).
LMT
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    Figure 1.

    Factors supporting self-management for multiple chronic conditions (MCC) patients within a mixed in-person and virtual care environment.

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    Table 1.

    Socio-Demographics of Patient Participants

    n = 30
    Age (mean and range)60.4 (22, 89)
    Gender
     Men11
     Women19
    Elixhauser morbidity score (mean and range)4 (2, 10)
    Race
     Non-white/Caucasian15
     Black/African American<5
     Asian<5
     Native Hawaiian/Pacific Islander<5
     American Indian/Alaskan Native<5
     Other5
     White/Caucasian15
    Hispanic/Spanish/Latinx
     Yes11
     Conducted interview in Spanish11
    Marital status
     Single8
     Married/partnered11
     Widowed5
     Divorced/separated6
    Employment status
     Working or in school/vocational training5
     Retired16
     Homemaker<5
     Not employed or unable to work6
    Annual income
     Less than $10,0005
     Between $10,000 and $19,9997
     Between $20,000 and $49,999     14
     Between $50,000 and $100,000<5
     Don't know/ prefer not to answer0
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The Journal of the American Board of Family     Medicine: 37 (2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 2
March-April 2024
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Managing Multiple Chronic Conditions during COVID-19 Among Patients with Social Health Risks
Leah Tuzzio, Kathy S. Gleason, James D. Ralston, Melanie Drace, Marlaine Figueroa Gray, Ruth Bedoy, Jennifer L. Ellis, Richard W. Grant, Elizabeth A. Bayliss, Leslie Jauregui, Zoe A. Bermet
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 172-179; DOI: 10.3122/jabfm.2023.230053R2

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Managing Multiple Chronic Conditions during COVID-19 Among Patients with Social Health Risks
Leah Tuzzio, Kathy S. Gleason, James D. Ralston, Melanie Drace, Marlaine Figueroa Gray, Ruth Bedoy, Jennifer L. Ellis, Richard W. Grant, Elizabeth A. Bayliss, Leslie Jauregui, Zoe A. Bermet
The Journal of the American Board of Family Medicine Mar 2024, 37 (2) 172-179; DOI: 10.3122/jabfm.2023.230053R2
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Keywords

  • Caregivers
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  • COVID-19
  • Family Health
  • Multiple Chronic Conditions
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