Organizing everyday management in older adults with multimorbidity: a qualitative study from a time–geography perspective - Report - MDSpire

Organizing everyday management in older adults with multimorbidity: a qualitative study from a time–geography perspective

  • By

  • Huiyu Lin

  • Huiling Lin

  • Zhishou Miao

  • Yiping Chen

  • Zhuo Wang

  • Xiaobing Wang

  • June 18, 2026

  • 0 min

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Clinical Report: Structuring Daily Management for Older Adults with Multimorbidity

Overview

This study explores how older adults with multiple chronic conditions organize their daily management activities through a time-geography lens. Findings reveal that everyday management is a dynamic process influenced by personal, relational, and institutional constraints.

Background

Multimorbidity is prevalent among older adults, leading to increased treatment burden and complex care needs. Understanding how these individuals manage their health within the context of daily life is crucial for improving care strategies. This study addresses gaps in existing literature by examining the organization of self-management activities beyond individual behaviors.

Data Highlights

No numerical data presented in the article.

Key Findings

  • Management activities are embedded in everyday routines, providing stability.
  • Older adults face capability constraints, including symptom fluctuations and limited mobility.
  • Coordination burden arises from the need to align with healthcare providers and navigate institutional rules.
  • Active reorganization of management strategies occurs in response to multiple constraints.
  • Personal and relational factors significantly influence the management of chronic conditions.

Clinical Implications

Healthcare providers should recognize that management of multimorbidity is integrated into daily life rather than a separate task. Support strategies should be person-centered, addressing the unique constraints faced by older adults to enhance their self-management capabilities.

Conclusion

The study highlights the importance of understanding the daily management of multimorbidity as a complex, context-dependent process. A time-geography perspective can inform more effective, individualized support for older adults.

Related Resources & Content

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  2. Author(s)/Org, Journal of Medical Internet Research, 2026 -- Experiences of Home-Dwelling Older Adults and Their Family Caregivers With Digital Health Services: Qualitative Study
  3. Author(s)/Org, JAMA Network Open, 2026 -- Telemedicine Reimbursement Changes and Health Care Contact Days for Older Adults
  4. Author(s)/Org, Clinical Rheumatology, 2018 -- Perspectives on Illness and Treatment Among Older Adults with Rheumatoid Arthritis and Comorbid Conditions: A Qualitative Investigation
  5. Author(s)/Org, Frontiers in Public Health, 2025 -- About half of older adults have two or more chronic conditions at the same time: a systematic review and meta-analysis
  6. Author(s)/Org, NICE, 2021 -- Multimorbidity: clinical assessment and management
  7. Author(s)/Org, PubMed, 2023 -- Global evidence on the effectiveness of task-shifting and task-sharing strategies for managing individuals with multimorbidity: systematic review and meta-analysis
  8. About half of older adults have two or more chronic conditions at the same time: a systematic review and meta-analysis
  9. Multimorbidity: clinical assessment and management
  10. Global evidence on the effectiveness of task-shifting and task-sharing strategies for managing individuals with multimorbidity: systematic review and meta-analysis - PubMed

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