Meet our Co-Editors-in-Chief

Martin Fortin

 pic_fortin_128_160_160_06

Click here for affiliation website

Martin Fortin is a family physician, and Professor and Research Director at the Department of Family Medicine, Université de Sherbrooke, Canada. Canada. He also holds the Research Chair on Chronic Diseases in Primary Care. He is Research Director at the Centre Intégré de Santé et de Services Sociaux du Saguenay-Lac St-Jean.


Martin received his medical degree from Université de Sherbrooke, Canada. After graduating in 1985, he started his practice in a rural area of Quebec. After several years, he moved to an academic career to pursue his major interests in promoting research in multimorbidity and supporting patients with multiple chronic diseases. After 10 years in practice, Martin completed a master’s degree in epidemiology at Université Laval in Québec City, Canada, and became a clinician researcher.

 

Research interests

Martin’s primary research program focuses on patients with multimorbidity within the context of the primary care reform in Canada. This program comprises three interconnected research streams relating to (i) the concepts of multimorbidity and their measurement, (ii) the epidemiology of multimorbidity and how it evolves over time, and (iii) specific interventions based on the components of the primary care reform in Canada, in which he is currently working on the development of new models of care based on interprofessional collaborative interventions in patients with multimorbidity. 

Memberships and international activities

Martin leads the International Research Community on Multimorbidity (IRCMo), a community of more than 300 researchers, clinicians and decision-makers from 15 disciplines and 12 countries, all of whom are leaders in the area of multiple chronic diseases. A blog has been established to exchange knowledge with colleagues from around the world (http://pages.usherbrooke.ca/crmcspl-blog/). He is also a member of several advisory groups on family medicine and preventive healthcare in Canada, as well as healthcare committees/foundations/programs internationally. He acts as a reviewer for many international medical journals on primary care, quality of life and family medicine.  

 

Selected publications

  • Smith SM, Wallace E, O'Dowd T, Fortin M. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev 2016;3:CD006560.
  • Sasseville M, Chouinard MC, Fortin M. Predictive factors of the effects of an interdisciplinary chronic disease prevention and management intervention in primary healthcare: a correlational predictive analysis. J Comm Public Health Nurs 2016;2:1. 
  • Tonelli M, Wiebe N, Guthrie B, James MT, Quan H, Fortin M, et al. Comorbidity as a driver of adverse outcomes in people with chronic kidney disease: a cohort study. Kid Int 2015;88:859–66.
  • Stewart M, Fortin M, Bouhali T, Denomme LB. Success in leading collaborative research. Can Fam Physician 2015;61:565–6.
  • Fortin M, Haggerty J, Almirall J, Bouhali T, Sasseville M, Lemieux M. Lifestyle factors and multimorbidity: a cross sectional study. BMC Public Health 2014;14:686.
  • Muth C, Beyer M, Fortin M, Rochon J, Oswald F, Valderas JM, et al. Multimorbidity's research challenges and priorities form a clinical perspective: The case of "Mr Curran". Eur J Gen Pract 2014;20:139–47. 
  • Stewart M, Fortin M, Britt H, Harrison C, Maddocks H. Comparisons of multimorbidity in family practice--issues and biases. Fam Pract 2013;30:473–80.
  • Fortin M, Chouinard MC, Bouhali T, Dubois MF, Gagnon C, Bélanger M. Evaluating the integration of chronic disease prevention and management services into primary health care. BMC Health Services Res 2013;13:132.
  • Grabovschi C, Loignon C, Fortin M. Mapping the concept of vulnerability related to health care disparities: a scoping review. BMC Health Services Res 2013;13:94.
  • Smith SM, Soubhi H, Fortin M, Hudon C, O'Dowd T. Managing patients with multimorbidity: systematic review of interventions in primary care and community settings. BMJ 2015:345:e5205. 

 

Jane Gunn

Click here for affiliation website

Professor Jane Gunn is the inaugural Chair of Primary Care Research and Head of the Academic Centre for General Practice and Primary Health Care, The University of Melbourne, Melbourne, Australia.

 

Jane received her medical degree from the University of Melbourne. After graduating in 1987, she completed a PhD in primary care also at the University of Melbourne. She has worked as an academic GP since 1991 and has been heavily involved in research, teaching and curriculum development.

 

Research interests

Jane’s current research interests include depression and multimorbidity. Her research investigates the complex interplay between emotional well-being, physical health and illness.

 

Memberships and international activities

Jane serves on a number of professional committees such as the National Health and Medical Research Committee (NHMRC), the NHMRC Committee for Developing Guidelines for Borderline Personality Disorder, beyondblue Victorian Centre of Excellence in Research and Evaluation in Depression, the National Prescribing Service Program Evaluation and Research Advisory Group, and is Chair of the Board of the Northern Melbourne Medicare Local.

 

In October 2009, Jane was elected Visiting Professor to the Scottish School of Primary Care, University of Glasgow, UK. She was awarded a visiting fellowship in the Institute of Advanced Study at the University of Warwick, Coventry, UK in April 2011. Jane has been chair and member of the NHMRC grant and fellowship review panels and is on the Editorial Boards of Annals of Family Medicine, Mental Health in Family Medicine, and Asia Pacific Family Medicine, and is a member of the Primary Care Advisory Panel of the British Medical Journal.

 

In 2008, Jane was the inaugural recipient of the Bridges-Webb Medal for exceptional contribution to general practice research awarded by the Australian Association for Academic Primary Care, and has been named amongst the 50 most influential people in Australian general practice by the Australian Doctor Weekly.

 

Selected publications

  • Gunn J, Ayton D, Densley D, et al. The association between chronic illness, multimorbidity and depressive symptoms in an Australian primary care cohort. Soc Psychiatry Psychiatr Epidemiol 2012;47:175–84.
  • Haddad M, Gunn J. Fast Facts: Depression. Oxford: Health Press Limited; 2011.
  • Griffiths F, Borkan J, Byrne D, et al. Developing evidence for how to tailor medical interventions for the individual patient. Qual Health Res 2010;20:1629–41.
  • Soos M, Temple-Smith M, Gunn J, Johnston-Ata'Ata K, Pirotta M. Establishing the Victorian Primary Care Practice Based Research Network. Aust Fam Physician 2010;39:857–62.
  • Arroll B, Goodyear-Smith F, Crengle S, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med 2010;8:348–53.
  • Hegarty K, Gunn J, Blashki G, Griffiths F, Dowell T, Kendrick T. How could depression guidelines be made more relevant and applicable to primary care? A quantitative and qualitative review of national guidelines. Br J Gen Pract 2009;59:e149–56.
  • Burgess P, Pirkis J, Slade T, Johnston A, Meadows G, Gunn J. Service use for mental health problems: findings from the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2009;43:615–23.
  • Gunn J, Gilchrist G, Chondros P, et al. Who is identified when screening for depression is undertaken in general practice? Baseline findings from the Diagnosis, Management and Outcomes of Depression in Primary Care (diamond) longitudinal study. Med J Aust 2008;188:119–25.
  • Puddifoot S, Arroll B, Goodyear-Smith F, Kerse N, Fishman T, Gunn J. A new case-finding tool for anxiety: a pragmatic diagnostic validity study in primary care. Int J Psychiatry in Med 2007;37:371–81.
  • Gunn J, Potiriadis M. Primary Care Alliance for Clinical Trials (PACT): building a network to facilitate quality randomised trials in primary care. Aust Fam Physician 2004;33:472.
  • Gunn J. Should Australia develop primary care research networks? Med J Aust 2002;177:63–6.

 

Stewart Mercer

 

Click here for affiliation website

Stewart Mercer is Professor of Primary Care Research at the University of Glasgow, Scotland and Director of the Scottish School of Primary Care.

Stewart was born and raised in Edinburgh, and trained in basic science at Aberdeen University gaining BSc Honours and MSc (distinction) before carrying out his PhD at the Dunn Nutrition Unit, Cambridge University. He completed postdoctoral studies in the Metabolic Research Laboratory at Oxford University, and then went on to medical school as a mature student, receiving his medical degree from Bristol University in 1992. After working as a junior doctor in medicine and surgery in South West England, he returned to Scotland to complete his training as a GP, carrying out senior house officer posts and his GP trainee year in a semi-rural area in South East Scotland, gaining MRCGP in 1996. He then worked as a volunteer doctor with the Tibetan community in North India and in the aboriginal settlement on Palm Island, Australia in 1997. He joined the Department of General Practice at Glasgow University in 1998, and has remained there since, combining academic work with clinical practice, and building his research career through a series of fellowships.

 

Research interests

Stewart is a national lead for research into the problems of multimorbidity in primary care in Scotland. His research interests include chronic disease management, consultation quality and health outcomes in different settings, inequalities, mental health and empathy/patient-centred care. He is currently involved in several large studies on patients with multimorbidity.

 

Memberships and international activities

Stewart is a member of several advisory groups and editorial boards and actively participates in international research, particularly in Hong Kong, where he is a Visiting Professor at the Chinese University of Hong Kong and has several ongoing projects.

 

Selected publications

  • Mercer SW, O'Brien R, Fitzpatrick B, Higgins M, Guthrie B, Watt G, et al. The development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivation. Chronic Illn 2016; [Epub ahead of print].
  • Mercer SW, Higgins M, Bikker AM, Fitzpatrick B, Lloyd SM, Little P, et al. General Practitioners’ empathy and health outcome: prospective observational study of consultations in areas of high and low deprivation. Annals Fam Med 2016;14:117–24.
  • Mercer SW. Expert commentary on drug efficacy in older people with multimorbidity. NICE Eyes on Evidence Series, Issue 83, April 2016. Available from: http://us8.campaign-archive1.com/?u=7864f766b10b8edd18f19aa56&id=b8d8f6e37d#Multimorbidity
  • Agur K, McLean G, Hunt K, Guthrie B, Mercer SW. How does sex influence multimorbidity? Secondary analysis of a large nationally representative dataset. Int J Environ Res Public Health 2016;13(4):E391.
  • McLean G, Guthrie B, Mercer SW, Watt GCM. General Practice payment systems underpin the persistence of the inverse care law. Br J Gen Pract 2015;65(641):e799–805.
  • Wang HHX, Wang JJ, Wong SYS, Wong MCS, Li FJ, Wang PX, et al. Effect of employment and social medical insurance on hospital admissions for people living with multimorbidity in China: analysis of a large community household survey. Lancet 2015;386:S19.
  • ZhouY, Lundy JM, Humphris G, Mercer SW. Do multimorbidity and deprivation influence patients’ emotional expression and doctors’ responses in primary care consultations? – An exploratory study using multilevel analysis. Patient Educ Couns 2015;98(9):1063–70.
  • Dumbreck S, Flynn A, Nairn M, Wilson M, Treweek S, Mercer S, et al. Systematic examination of drug-disease and drug-drug interactions from following recommendations in 12 UK national clinical guidelines BMJ 2015;350:h949.
  • Wang HHX, Wang JJ, Lawson KD, Wong SYS, Wong MCS, Li FJ, et al. Relationship between income, multimorbidity, and hospital admissions in three different healthcare systems. Annals Fam Med 2015;13:164–7.
  • Smith DJ, Court H, McLean G, Martin D, Langan Martin J, Guthrie B, et al. Depression and multimorbidity: cross-sectional study of 1,751,841 patients in primary care. J Clin Psychiatry 2014;75(11):1202–8.
  • McLean G, Gunn J, Wyke S, Guthrie B, Watt GCM, Blane DN, Mercer SW. The influence of socioeconomic deprivation on multimorbidity at different ages. Br J Gen Pract 2014;64(624):e440–7.
  • Mercer SW, Salisbury C, Fortin M. ABC of multimorbidity. Chichester: John Wiley & Sons, Ltd; 2014.
  • Lawson KD, Mercer SW, Wyke S, Grieve E, Guthrie B, Watt GCM, et al. Double trouble: the impact of multimorbidity and deprivation on preference-weighted health related quality of life a cross sectional analysis of the Scottish Health Survey. Int J Equity Health 2013;12:67.
  • Barnett B, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. The epidemiology of multimorbidity in a large cross-sectional dataset: implications for health care, research and medical education. Lancet 2012;380(9836):37-43.
  • Guthrie B, Payne K, Alderson P, McMurdo MET, Mercer SW. Adapting clinical guidelines to take account of multimorbidity. BMJ 2012;345:e6341
  • Mercer SW, Gunn J, Bower P, Wyke S, Guthrie B. Managing patients with mental and physical multimorbidity BMJ 2012;345:e5559
  • Mercer SW, Guthrie B, Furler J, Watt GCM, Hart JT. Multimorbidity and the inverse care law in primary care. BMJ 2012;344:e4152.
  • Payne R, Abel G, Guthrie B, Mercer SW. The impact of physical multimorbidity, mental health conditions and socioeconomic deprivation on unplanned admissions to hospital: a retrospective cohort study. C Med Assoc J 2013;185(5):E221–8.

 

Susan Smith

  

Click here for affiliation website

Susan Smith is Professor of Primary Care Medicine in the Department of General Practice at the Royal College of Surgeons in Ireland, and is a general practitioner at Inchicore Family Doctors in Dublin, Ireland.

Susan has worked in a number of different countries as an academic general practitioner completing an MSc (economics) at the University of Wales, UK, in Health Planning and Development in 1994 and a doctorate thesis examining shared care for type 2 diabetes in 2002 at the University College, Dublin, Ireland.

 

Research interests

Susan’s main research interests include chronic disease management with a particular focus on multimorbidity. She has extensive experience in undertaking randomized controlled trials in general practice and primary care settings. She leads the HRB Primary Care Research Centre’s programme on multimorbidity. She is also involved in related primary care research on medicines management and variation in care delivery. She is the PI on one of the definitive RCTs being undertaken by the Primary Care Clinical Trials Network in Ireland.

 

Memberships and international activities

Susan is an active author and editor within the Cochrane Collaboration and is on the Editorial Boards of a number of international peer review journals. She regularly acts as a grant reviewer for international health services research funding agencies.

 

Selected publications

  • Wallace E, Uijen MJM, Clyne B, Zarabzadeh A, Keogh C, Galvin R, et al. Impact analysis studies of clinical prediction rules relevant to primary care: a systematic review. BMJ Open 2016;6(3):e009957.
  • Smith SM, Wallace E, O'Dowd T, Fortin M. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev 2016(3):CD006560.
  • Cooper JA, Moriarty F, Ryan C, Smith SM, Bennett K, Fahey T. Potentially inappropriate prescribing in two populations with differing socio-economic profiles: a cross-sectional database study using the PROMPT criteria. Eur J Clin Pharmacol 2016:72:583–91.
  • Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Managing patients with multimorbidity in primary care. BMJ 2015;350:h176.
  • Smith SM. Caring for people with multiple chronic conditions. Prev Chronic Dis 2015;12:E198.
  • Ryan A, Wallace E, O’Hara P, Smith SM. Multimorbidity and functional decline in community-dwelling adults: a systematic review. Health Qual Life Outcomes 2015;13(1):1–13.
  • Murphy E, Vellinga A, Byrne M, Cupples ME, Murphy AW, Buckley B. Primary care organisational interventions for secondary prevention of ischaemic heart disease: a systematic review and meta-analysis. Br J Gen Pract 2015;65(636):e460–8.
  • Moriarty F, Hardy C, Bennett K, Smith SM, Fahey T. Trends and interaction of polypharmacy and potentially inappropriate prescribing in primary care over 15 years in Ireland: a repeated cross-sectional study. BMJ Open 2015;5(9):e008656.
  • Garvey J, Connolly D, Boland F, Smith S. OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: a randomized controlled trial. BMC Fam Pract 2015;16:59.
  • Clyne B, Smith SM, Hughes CM, Boland F, Bradley MC, Cooper JA, Fahey T. Effectiveness of a multifaceted intervention for potentially inappropriate prescribing in older patients in primary care: a cluster-randomized controlled trial (OPTI-SCRIPT Study). Annals Fam Med 2015;13(6):545–53.
  • Barry E, Smith SM. Potentially inappropriate prescribing in children. Fam Pract 2015;32(6):603–4.
  • Wallace E, Stuart E, Vaughan N, Bennett K, Fahey TP, Smith SM. Risk prediction models to predict emergency hospital admission in community-dwelling adults: a systematic review. Med Care 2014;52(8):751–65.

 

Marjan van den Akker

Click here for affiliation website

Marjan van den Akker (PhD) is Associate Professor at the Department of Family Medicine of Maastricht University (School for Public Health and Primary Care; Caphri), The Netherlands. She is posted at the School of Mental Health and NeuroScience (MHeNS), Maastricht University, and is also a guest lecturer at the Department of General Practice of the Catholic University of Leuven, Belgium.

Marjan studied Health Sciences at Maastricht University, and later specialized in epidemiology.

 

Research interests

Marjan’s primary research interests lie in general practice, comorbidity, multimorbidity, polypharmacy, older patients with cancer, cohorts and longitudinal analyses. Marjan also has many academic and teaching responsibilities where she is heavily involved in the supervision of research electives for students from the Faculty of Health Medicine and Life Sciences. She also contributes to the scientific programme at Vocational Training for General Practitioners, Maastricht University, is Chair of Master Year 3 of the medical programme of Maastricht University, and is involved in the academic training of medical students.

 

Memberships and international activities

Marjan is involved in various national and international projects related to multimorbidity and polypharmacy, and well-being of older patients with cancer. She was one of the founding members of the International Research Community on Multimorbidity (IRCMo). She is an associate editor of the Archives of Public Health and a member of the editorial consultants board of the Journal of Clinical Epidemiology, and an advisor on the scientific board of the yearly Maastricht Medical Students Research Conference.

In 2012 she was a visiting professor at the Goethe Universität in Frankfurt am Main, Germany, at the department of General Practice.

 

Selected publications

  • Bosch-Lenders D, Maessen DWHA, Stoffers HEJH, Knottnerus JA, Winkens B, Van den Akker M. Factors associated with appropriate knowledge of the indications for prescribed drugs among community-dwelling older patients with polypharmacy. Age and Ageing 2016;pii:afw045.
  • Muth C, Van den Akker M, Glasziou PP. Blood pressure targets in primary care. A balancing act between the certainty of evidence and the messier reality of everyday practice. BMJ 2016;352:i813.
  • Deckx L, Van Abbema DL, Van den Akker M, Van den Broeke C, Van Driel M, Bulens P, et al. A cohort study on the evolution of psychosocial problems in older patients with breast or colorectal cancer: comparison with younger cancer patients and older primary care patients without cancer. BMC Geriatr 2015;15:79.
  • Deckx L, Van den Akker M, Van Driel M, Bulens P, Van Abbema D, Tjan-Heijnen V, et al. Loneliness in patients with cancer: the first year after cancer diagnosis. Psychooncology 2015;24:1521–8.
  • Vos R, Van den Akker M, Boesten J, Robertson C, Metsemakers J. Trajectories of multimorbidity: exploring patterns of multimorbidity in patients with more than ten chronic health problems in life course. BMC Fam Pract 2015;16(1):2.
  • Aarts JW, Deckx L, Van Abbema DL, Tjan-Heijnen VC, Van den Akker M, Buntinx F. The relation between depression, coping and health locus of control: differences between older and younger patients, with and without cancer. Psychooncology 2015;24:950–7.
  • Köhler S, Buntinx F, Palmer K, Van den Akker M. Depression, vascular factors and risk for dementia in primary care: a retrospective cohort study. J Am Geriatr Soc 2015;63(4):692–8.
  • Muth C, Van den Akker M, Blom JW, Mallen CD, Rochon J, Schellevis FG, et al. The Ariadne principles: how to handle multimorbidity in primary care consultations. BMC Medicine 2014;12:223.
  • Muth C, Kirchner H, Van den Akker M, Scherer M, Glasziou PP. Current guidelines poorly address multimorbidity: pilot of the interaction matrix method. J Clin Epidemiol 2014;67(11):1242–50.
  • Prados-Torres A, Calderón-Larrañaga A, Hancco-Saavedra J, Poblador-Plou B, Van den Akker M. Multimorbidity patterns: a systematic review. J Clin Epidemiol 2014;67(3):254–66.
  • Vos R, Aarts S, van Mulligen E, Metsemakers J, Van Boxtel MP, Verhey F, et al. Finding potentially new multimorbidity patterns of psychiatric and somatic diseases: exploring the use of literature-based discovery in primary care research. J Am Med Inform Assoc 2014;21(1):139–45.
  • Aarts S, Van den Akker M, Tan FE, Verhey FR, Metsemakers JF, Van Boxtel MP. Influence of multimorbidity on cognition in a normal aging population: a 12-year follow-up in the Maastricht Aging Study. Int J Geriatr Psychiatry 2011;26:1046–53.
  • Fortin M, Soubhi, H, Hudon C, Bayliss EA, Van den Akker M. Multimorbidity’s many challenges: time to focus on the needs of this vulnerable and growing population. BMJ 2007;334:1016–17.
  • Van den Akker M, vos R, Knottnerus JA. In an exploratory prospective study on multimorbidity general and disease-related susceptibility could be distinguished. J Clin Epidemiol 2006;59:934–9.
  • Van den Akker M, Schuurman A, Metsemakers J, Buntinx F. Is depression related to subsequent diabetes mellitus? Acta Psychiatr Scand 2004;110:178–83.
  • Van den Akker M, Buntinx F, Roos S, Knottnerus JA. Problems in determining occurrence rates of multimorbidity. J Clin Epidemiol 2001;54:675–9.
  • Van den Akker M, Buntinx F, Metsemakers JF, Roos S, Knottnerus JA. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998;51:367–75.