<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Hayhoe, Benedict WJ</style></author><author><style face="normal" font="default" size="100%">Powell, Richard A</style></author><author><style face="normal" font="default" size="100%">Barber, Susan</style></author><author><style face="normal" font="default" size="100%">Nicholls, Dasha</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Impact of COVID-19 on individuals with multimorbidity in primary care</style></title><secondary-title><style face="normal" font="default" size="100%">British Journal of General Practice</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2022-01-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">38-39</style></pages><doi><style  face="normal" font="default" size="100%">10.3399/bjgp22X718229</style></doi><volume><style face="normal" font="default" size="100%">72</style></volume><issue><style face="normal" font="default" size="100%">714</style></issue><abstract><style  face="normal" font="default" size="100%">Defined as the coexistence of two or more chronic conditions in the same individual,1 multimorbidity (MM) affects over a quarter of people in England.2 Encompassing mental and physical health, MM requires engagement with numerous healthcare providers and settings, and accounts for half of GP consultations and hospital admissions.2Primary care is an ideal setting to tackle health system navigation, care integration, and continuity challenges affecting individuals with MM.1,3 However, effective primary care management of MM still presents difficulties. Complex needs in MM necessitate substantial administrative effort in proactive identification and tailored access, as well as extended consultations to support a holistic approach and essential continuity of care.1,3These challenges were compounded by the COVID-19 pandemic, which stretched limited primary care resources globally. With age and existing MM presenting significant risk factors for infection and serious adverse outcomes,4 COVID-19 has the potential to affect negatively the health and wellbeing of individuals with MM through multiple pathways.This article explores the direct impact of COVID-19 on individuals with MM, and indirect effects on their care through changes in healthcare provision necessitated by the pandemic, and considers the potential future impact of these changes.As the pandemic developed, it quickly became evident that certain groups had greater vulnerability to COVID-19 infection, serious complications, and mortality. Older age,5 ethnic minority background, obesity, long-term conditions (LTCs),4,6 and socioeconomic deprivation6 were identified as significant risk factors.MM is associated with increased risk of COVID-19; those with at least two LTCs are at 48% higher …</style></abstract></record></records></xml>