Patient capacity and constraints in managing multimorbidity: a qualitative study in primary care settings in Kerala, India
Selvarajan Valsa Shiby Kripa, Sandhya Kizhakke Neelamana, Athira Krishnan, Priya Babu, Balasankar Jayapal Mini, Thoniparambil Ravindranathanpillai Lekha, Linju Joseph, Panniyammakal Jeemon · 2026
Read Patient capacity and constraints in managing multimorbidity: a qualitative study in primary care settings in Kerala, India by Selvarajan Valsa Shiby Kripa, Sandhya Kizhakke Neelamana, Athira Krishnan, Priya Babu, Balasankar Jayapal Mini, Thoniparambil Ravindranathanpillai Lekha, Linju Joseph, Panniyammakal Jeemon (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13508193.txt.
Description
Selvarajan Valsa Shiby Kripa leads an eight-author team exploring how people in Kerala, India, cope with living with several long-term illnesses at once, in 2026 work. Care for multiple conditions can pile up visits, drugs, and costs until the load outruns what a person can manage. The team held in-depth interviews with 42 such patients in primary care clinics. Answers were read through two frameworks that weigh treatment burden against patient capacity.
Illness complexity, money strain, and cultural habits all shrank patients' room to cope. Family support, reachable care, and a hopeful outlook expanded it. Clinics tended to treat single diseases in slices, which added to the burden. Paying out of pocket for medicines was a sharp pain point. The authors say services should be designed around total load, not single conditions, if patients are to keep up with care.
Catalog record
| CREATOR | Selvarajan Valsa Shiby Kripa, Sandhya Kizhakke Neelamana, Athira Krishnan, Priya Babu, Balasankar Jayapal Mini, Thoniparambil Ravindranathanpillai Lekha, Linju Joseph, Panniyammakal Jeemon |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 47485 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |