Role of Family Medicine in Managing Multimorbidity Among Elderly Patients at Secondary Facilities in Edo State

Background: Multimorbidity, defined as the co-existence of two or more chronic conditions, presents complex management challenges that align closely with the comprehensive, patient-centred care model of family medicine. This study examines the role of family medicine practitioners in managing multimorbidity among elderly patients at secondary facilities in Edo State, South South geopolitical zone. Methods: A retrospective cohort review examined 240 medical records of patients aged 60 years and above with documented multimorbidity over a three-year period. Clinical complexity scores, consultation patterns, prescribed medications, and specialist referral rates were extracted and analysed. Results: Hypertension, diabetes, and chronic musculoskeletal conditions constituted the most common multimorbidity clusters. Polypharmacy was prevalent, with an average of seven medications per patient. Family medicine consultations showed broader management scope compared to disease-specific specialist visits. Fragmented care due to uncoordinated specialist referrals was a recurring finding. Conclusion: Family medicine practitioners in Edo State play an indispensable role in coordinating care for elderly patients with multimorbidity. Structured care plans incorporating medication review, goal setting, and case management are essential to improving outcomes in this complex patient group. Keywords: multimorbidity, elderly patients, family medicine, Edo State, polypharmacy