Eliciting and prioritising determinants of improved care in multimorbidity: A modified online Delphi study-Reference-Cited by-同舟云学术

Eliciting and prioritising determinants of improved care in multimorbidity: A modified online Delphi study

Published:2023-09-05 Issue: Volume:13 Page:
ISSN:2633-5565
Container-title:Journal of Multimorbidity and Comorbidity
language:en
Short-container-title:Journal of Multimorbidity and Comorbidity

Author:

Simpson Glenn¹^ORCID,Stuart Beth²,Hijryana Marisza³,Akyea Ralph Kwame¹,Stokes Jonathan⁴,Gibson Jon⁵,Jones Karen⁶,Morrison Leanne¹⁷,Santer Miriam¹,Boniface Michael⁸,Zlatev Zlatko⁸,Farmer Andrew⁹,Dambha-Miller Hajira¹

Affiliation:

1. Primary Care Research Centre, University of Southampton, Southampton, UK

2. Wolfson Institute of Population Health, Queen Mary University of London, London, UK

3. Institute of Epidemiology and Health Care, University College London (UCL), London, UK

4. MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK

5. Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK

6. Personal Social Services Research Unit, University of Kent, Canterbury, UK

7. School of Psychology, University of Southampton, Southampton, UK

8. Digital Health and Biomedical Engineering, School of Electronics and Computer Science, University of Southampton, Southampton, UK

9. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK

Abstract

Background Multimorbidity is a major challenge to health and social care systems around the world. There is limited research exploring the wider contextual determinants that are important to improving care for this cohort. In this study, we aimed to elicit and prioritise determinants of improved care in people with multiple conditions. Methods A three-round online Delphi study was conducted in England with health and social care professionals, data scientists, researchers, people living with multimorbidity and their carers. Results Our findings suggest a care system which is still predominantly single condition focused. ‘Person-centred and holistic care’ and ‘coordinated and joined up care’, were highly rated determinants in relation to improved care for multimorbidity. We further identified a range of non-medical determinants that are important to providing holistic care for this cohort. Conclusions Further progress towards a holistic and patient-centred model is needed to ensure that care more effectively addresses the complex range of medical and non-medical needs of people living with multimorbidity. This requires a move from a single condition focused biomedical model to a person-based biopsychosocial approach, which has yet to be achieved.

Funder

National Institute for Health Research

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/26335565231194552

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