Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
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
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Montori VM
    . Removing the blindfold: the centrality of care in caring for patients with multiple chronic conditions. Health Serv Res 2021;56 Suppl 1:969–72.
    OpenUrl
  2. 2.↵
    1. Muth C,
    2. Blom J,
    3. Smith S,
    4. et al
    . Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus.J Intern Med 2019;285:p272–88.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Skou ST,
    2. Mair FS,
    3. Fortin M,
    4. et al
    . Multimorbidity. Nat Rev Dis Primers 2022;8:48.
    OpenUrl
  4. 4.↵
    1. Matenge S,
    2. Sturgiss E,
    3. Desborough J,
    4. Hall Dykgraaf S,
    5. Dut G,
    6. Kidd M
    . Ensuring the continuation of routine primary care during the COVID-19 pandemic: a review of the international literature. Fam Pract 2022;39:747–61.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Lieneck C,
    2. Garvey J,
    3. Collins C,
    4. Graham D,
    5. Loving C,
    6. Pearson R
    . Rapid telehealth implementation during the COVID-19 global pandemic: a rapid review. Healthcare (Basel, Switzerland). 2020;8.
  6. 6.↵
    1. Crawford A,
    2. Serhal E
    . Digital health equity and COVID-19: the innovation curve cannot reinforce the social gradient of health. J Med Internet Res 2020;22:e19361.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Berlin A,
    2. Lovas M,
    3. Truong T,
    4. et al
    . Implexmentation and outcomes of virtual care across a tertiary cancer center during COVID-19. JAMA Oncol 2021;7:597–602.
    OpenUrl
  8. 8.↵
    1. Dorn SD
    . Backslide or forward progress? Virtual care at U.S. healthcare systems beyond the COVID-19 pandemic. npj Digit Med 2021;4:6.
    OpenUrl
  9. 9.↵
    1. Alexander GC,
    2. Tajanlangit M,
    3. Heyward J,
    4. Mansour O,
    5. Qato DM,
    6. Stafford RS
    . Use and content of primary care office-based vs telemedicine care visits during the COVID-19 pandemic in the US. JAMA Netw Open 2020;3:e2021476–e2021476.
    OpenUrl
  10. 10.↵
    1. Feijt M,
    2. De Kort Y,
    3. Bongers I,
    4. Bierbooms J,
    5. Westerink J,
    6. IJsselsteijn W
    . Mental health care goes online: practitioners' experiences of providing mental health care during the COVID-19 pandemic. Cyberpsychol Behav Soc Netw 2020;23:860–4.
    OpenUrlPubMed
  11. 11.↵
    1. Pisegna JL,
    2. BrintzenhofeSzoc K,
    3. Shahrokni A,
    4. et al
    . Differences in urban and suburban/rural settings regarding care provision and barriers of cancer care for older adults during COVID-19. Support Care Cancer 2023;31:1–9.
    OpenUrl
  12. 12.↵
    1. Quan H,
    2. Sundararajan V,
    3. Halfon P,
    4. et al
    . Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care 2005;43:1130–9.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. LaForge K,
    2. Gold R,
    3. Cottrell E,
    4. et al
    . How 6 organizations developed tools and processes for social determinants of health screening in primary care: an overview. J Ambul Care Manage. 2018;41:2–14.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Corbin JM,
    2. Strauss A
    . Unending work and care: managing chronic illness at home. Jossey-Bass; 1988.
  15. 15.↵
    1. Bayliss EA,
    2. Bonds DE,
    3. Boyd CM,
    4. et al
    . Understanding the context of health for persons with multiple chronic conditions: moving from what is the matter to what matters. Ann Fam Med 2014;12:260–9.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Andersen RM
    . Revisiting the behavioral model and access to medical care: does it matter? Journal of health and social behavior 1995;36:1–10.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Totten AM,
    2. McDonagh MS,
    3. Wagner JH
    . The evidence base for telehealth: reassurance in the face of rapid expansion during the COVID-19 pandemic. 2020.
  18. 18.↵
    1. Ladin K,
    2. Porteny T,
    3. Perugini JM,
    4. et al
    . Perceptions of telehealth vs in-person visits among older adults with advanced kidney disease, care partners, and clinicians. JAMA Netw Open 2021;4:e2137193–e2137193.
    OpenUrl
  19. 19.↵
    1. Ebbert JO,
    2. Ramar P,
    3. Tulledge-Scheitel SM,
    4. et al
    . Patient preferences for telehealth services in a large multispecialty practice. J Telemed Telecare 2023;29:298–303.
    OpenUrl
  20. 20.↵
    1. Savitz LA,
    2. Bayliss EA
    . Emerging models of care for individuals with multiple chronic conditions. Health Serv Res 2021;56 Suppl 1:980–9.
    OpenUrl
  21. 21.↵
    1. Lorig KR,
    2. Sobel DS,
    3. Ritter PL,
    4. Laurent D,
    5. Hobbs M
    . Effect of a self-management program on patients with chronic disease. Effective clinical practice: ECP 2001;4:256–62.
    OpenUrlPubMed
  22. 22.↵
    1. Lorig KR,
    2. Holman H
    . Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 2003;26:1–7.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Tattersall R
    . The expert patient: a new approach to chronic disease management for the twenty-first century. Clin Med (Lond) 2002;2:227–9.
    OpenUrl
  24. 24.↵
    1. Pomey M-P,
    2. Ghadiri DP,
    3. Karazivan P,
    4. Fernandez N,
    5. Clavel N
    . Patients as partners: a qualitative study of patients’ engagement in their health care. PloS one 2015;10:e0122499.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Eberly LA,
    2. Kallan MJ,
    3. Julien HM,
    4. et al
    . Patient characteristics associated with telemedicine access for primary and specialty ambulatory care during the COVID-19 pandemic. JAMA Netw Open 2020;3:e2031640–e2031640.
    OpenUrl
  26. 26.↵
    1. Anaya YB-M,
    2. Hernandez GD,
    3. Hernandez SA,
    4. Hayes-Bautista DE
    . Meeting them where they are on the web: addressing structural barriers for Latinos in telehealth care. J Am Med Inform Assoc 2021;28:2301–5.
    OpenUrl
  27. 27.↵
    1. Perry BL,
    2. Aronson B,
    3. Pescosolido BA
    . Pandemic precarity: COVID-19 is exposing and exacerbating inequalities in the American heartland. Proc Natl Acad Sci USA 2021;118:e2020685118.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Chakrabarti S,
    2. Hamlet LC,
    3. Kaminsky J,
    4. Subramanian S
    . Association of human mobility restrictions and race/ethnicity–based, sex-based, and income-based factors with inequities in well-being during the COVID-19 pandemic in the United States. JAMA Netw Open 2021;4:e217373–e217373.
    OpenUrl
  29. 29.↵
    1. Tuzzio L,
    2. Berry AL,
    3. Gleason K,
    4. et al
    . Aligning care with the personal values of patients with complex care needs. Health Serv Res 2021;56 Suppl 1:1037–44.
    OpenUrl
PreviousNext
Back to top

In this issue

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
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Managing Multiple Chronic Conditions during COVID-19 Among Patients with Social Health Risks
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
10 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
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

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
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
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Research to Improve Clinical Care in Family Medicine: Big Data, Telehealth, Artificial Intelligence, and More
  • Google Scholar

More in this TOC Section

  • Regional Variation in Scope of Practice by Family Physicians
  • Successful Implementation of Integrated Behavioral Health
  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
Show more Original Research

Similar Articles

Keywords

  • Caregivers
  • Continuity of Care
  • COVID-19
  • Family Health
  • Multiple Chronic Conditions
  • Pandemics
  • Primary Health Care
  • Qualitative Research
  • Telemedicine

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire