{"doi":"10.1371/journal.pgph.0000484","title":"Burden of treatment as a measure of healthcare quality: An innovative approach to addressing global inequities in multimorbidity","abstract":"Global evidence shows that system quality failures are responsible for more deaths than those caused by HIV, tuberculosis, and malaria combined In low-and middle-income countries (LMICs), the effects of poor quality care are particularly profound. Nearly 60% of the 8 million preventable deaths that occur yearly in LMICs are due to quality deficits These span many sectors of healthcare, including primary care, where deficiencies in disease prevention, care coordination, and continuity of care result in inadequate management of both communicable and non-communicable diseases (NCDs) As the burden of NCDs rises, the push for quality is imperative The presence of multimorbidity, defined as the occurrence of two or more chronic conditions including those of infectious etiology, compounds this need. In this commentary, we argue that novel methods to evaluate the quality of primary healthcare, such as burden of treatment, must be developed and tailored for use in order for LMICs to achieve equitable outcomes in patients with multimorbidity.","journal":"PLOS Global Public Health","year":2022,"id":275279,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9536,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":38941,"name":"J. Jaime Miranda","orcid":"0000-0002-4738-5468","position":1,"is_corresponding":false},{"id":944397,"name":"Andrea Gaspar","orcid":"0000-0002-4139-1840","position":0,"is_corresponding":true}],"reference_count":13,"raw_metadata":null,"created_at":"2026-07-19T00:28:16.928746Z","pmid":"36962213","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}