{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:00:24Z","timestamp":1790686824997,"version":"4.1.0"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":271,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101832_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to explore how individuals with complex multimorbidity perceive and experience the management of their health in everyday life and healthcare encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101832_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with two or more health conditions may be challenging for general practitioners (GPs) who must provide adequate treatment(-s) in a healthcare system structured mainly around single-disease models. For patients, the lived experience of this multimorbidity can be demanding, as it often involves managing multiple appointments, medications, and medical advice alongside everyday life. This situation may be particularly challenging for patients who live with multiple physical and mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101832_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Semi-structured individual interviews with eight individuals with complex multimorbidity living in Denmark. Analysis was guided by thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101832_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>\n                      The analysis resulted in two main themes. First, \u2018Multiple diagnoses \u2013 not multimorbidity\u2019 describes how the participants did not expect overall continuity\n                      <jats:italic>across<\/jats:italic>\n                      diagnoses but appreciated recognition of the cumulative burden of multimorbidity. They expected continuity\n                      <jats:italic>within<\/jats:italic>\n                      each speciality and developed agentic strategies to achieve this. Some were successful; others were not. Second, \u2018Managing treatment and illness in everyday life\u2019 describes how the participants navigated tensions between medical recommendations and personal priorities as they deliberately pursued valued activities at the expense of their long- or short-term health. A professional lifeline, was a significant support for the participant. This person was often the GP. These findings underscore the active role of patients and the GP\u2019s role in recognizing their resources to develop patient-centred care that is responsive to and realistic for the individual patient.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101832","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:35:10Z","timestamp":1790685310000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Navigating life and health care. A qualitative study of the lived experience of complex multimorbidity in Denmark"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-1224","authenticated-orcid":false,"given":"Anne Gr\u00f8ndahl","family":"Poulsen","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01aj84f44","id-type":"ROR","asserted-by":"publisher"}],"name":"Aarhus University: Aarhus Universitet"},{"name":"Central Denmark Region"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia","family":"Fredens","sequence":"additional","affiliation":[{"name":"Central Denmark Region"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6177-5780","authenticated-orcid":false,"given":"Stina","family":"Lou","sequence":"additional","affiliation":[{"name":"Central Denmark Region"},{"name":"Aarhus University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasrin Tayyari","family":"Dehbarez","sequence":"additional","affiliation":[{"name":"Central Denmark Region"},{"name":"Aalborg University: Aalborg Universitet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9199-3463","authenticated-orcid":false,"given":"Camilla Palmh\u00f8j","family":"Nielsen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01aj84f44","id-type":"ROR","asserted-by":"publisher"}],"name":"Aarhus University: Aarhus Universitet"},{"name":"Central Denmark Region"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-965X","authenticated-orcid":false,"given":"Lotte Groth","family":"Jensen","sequence":"additional","affiliation":[{"name":"Central Denmark Region"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"S1463423626101832_ref31","first-page":"91","article-title":"Designing integrated approaches to support people with multimorbidity: Key messages from systematic reviews, health system leaders and citizens","volume":"12","author":"Wilson","year":"2016","journal-title":"Healthcare Policy"},{"key":"S1463423626101832_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/1742395310393365"},{"key":"S1463423626101832_ref6","volume-title":"Handbook of Research Methods in Health Social Sciences","author":"Braun","year":"2019"},{"key":"S1463423626101832_ref30","first-page":"397","article-title":"Secondary care experiences of patients with multiple chronic conditions","volume":"76","author":"Verhoeff","year":"2018","journal-title":"The Netherlands Journal of Medicine"},{"key":"S1463423626101832_ref4","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S1463423626101832_ref2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-23617-8"},{"key":"S1463423626101832_ref34","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.7015"},{"key":"S1463423626101832_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000639"},{"key":"S1463423626101832_ref32","doi-asserted-by":"publisher","DOI":"10.1177\/1742395317731607"},{"key":"S1463423626101832_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S146342361900094X"},{"key":"S1463423626101832_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"S1463423626101832_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-015-0345-3"},{"key":"S1463423626101832_ref27","first-page":"61","article-title":"Practical reasoning as everyday knowledge: Health, risk and lifestyle in health promotion and the everyday life of pregnant smokers.","volume":"45","author":"Ris\u00f8r","year":"2003","journal-title":"Folk"},{"key":"S1463423626101832_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20763-8"},{"key":"S1463423626101832_ref33","doi-asserted-by":"publisher","DOI":"10.1177\/2053434519890050"},{"key":"S1463423626101832_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjms.2016.01.010"},{"key":"S1463423626101832_ref23","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton","year":"2002"},{"key":"S1463423626101832_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-281"},{"key":"S1463423626101832_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2724-z"},{"key":"S1463423626101832_ref7","volume-title":"InterViews: Learning the Craft of Qualitative Research Interviewing","author":"Brinkmann","year":"2018"},{"key":"S1463423626101832_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044987"},{"key":"S1463423626101832_ref14","first-page":"1123","article-title":"Challenges of self-management when living with multiple chronic conditions systematic review of the qualitative literature","volume":"60","author":"Liddy","year":"2014","journal-title":"Canadian Family Physician"},{"key":"S1463423626101832_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423622000238"},{"key":"S1463423626101832_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2022.2161594"},{"key":"S1463423626101832_ref12","unstructured":"Fr\u00f8lich, A (2024) Input til Sundhedsstrukturkommissionen den 23. januar 2024. Indenrigs- og Sundhedsministeriet. Available at www.ism.dk (accessed 23 February 2025)"},{"key":"S1463423626101832_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02618-8"},{"key":"S1463423626101832_ref29","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2015.1041828"},{"key":"S1463423626101832_ref26","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S58014"},{"key":"S1463423626101832_ref15","unstructured":"Lumivero.com (2025) NVivo 15. Lumivero.com."},{"key":"S1463423626101832_ref25","unstructured":"Reid, R , Haggerty, J and McKendry, R (2002) Defusing the Confusion: Concepts and Measures of Continuity of Healthcare."},{"key":"S1463423626101832_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/scs.70001"},{"key":"S1463423626101832_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15998"},{"key":"S1463423626101832_ref19","doi-asserted-by":"publisher","DOI":"10.4324\/9780203927076"},{"key":"S1463423626101832_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13568"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423626101832","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:35:13Z","timestamp":1790685313000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423626101832\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":34,"alternative-id":["S1463423626101832"],"URL":"https:\/\/doi.org\/10.1017\/s1463423626101832","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e112"}}