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On the whole, patients with a combination of chronic conditions — diabetes and high blood pressure, for example — report poorer quality of life than people with a single illness, and their health status is worse. The added risk to their life and wellbeing derives not just from the diseases themselves, but also from the fact that they are combined. One reason is that people with such so-called co-morbidities or multi-morbidities can struggle to obtain coherent care.

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