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Eliciting and prioritising determinants of improved care in Multiple Long Term Health Conditions (MLTC): a modified online Delphi study

Eliciting and prioritising determinants of improved care in Multiple Long Term Health Conditions (MLTC): a modified online Delphi study
Eliciting and prioritising determinants of improved care in Multiple Long Term Health Conditions (MLTC): a modified online Delphi study
Introduction: Multiple Long Term Conditions (MLTC) are 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 people living with MLTC. In this study, we aimed to elicit and prioritise determinants of improved care in people with MLTC.

Methods: a three round online Delphi study was conducted in England with health and social care professionals, data scientists, researchers, people living with MLTC 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 MLTC. We further identified a number of non-medical determinants that are important to providing holistic care for MLTC.

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 MLTC. This requires a move from a single condition focused biomedical model to a person-based biopsychosocial approach, which has yet to be achieved.
Simpson, Glenn
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Stuart, Beth
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Hijryana, Marisza
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Akyea, Ralph Kwame
7c77ea0f-4866-4c66-a063-394f655fb021
Stokes, Jonathan
fc92a200-ceb0-4eb6-b886-b61d2119a9b5
Gibson, Jon
7dc6013f-195b-4484-ba1f-c5d411f036f6
Jones, Karen
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Morrison, Leanne
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Santer, Miriam
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Boniface, Michael
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Zlatev, Zlatko
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Farmer, Andrew
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Dambha-Miller, Hajira
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Simpson, Glenn
802b50d9-aa00-4cca-9eaf-238385f8481c
Stuart, Beth
a51c80d3-5855-4672-b24f-8c65fd2e1444
Hijryana, Marisza
941d00da-1fd6-49d1-a85e-b91fe0546bd8
Akyea, Ralph Kwame
7c77ea0f-4866-4c66-a063-394f655fb021
Stokes, Jonathan
fc92a200-ceb0-4eb6-b886-b61d2119a9b5
Gibson, Jon
7dc6013f-195b-4484-ba1f-c5d411f036f6
Jones, Karen
848b12f1-4515-4200-b42a-31ed1667e87a
Morrison, Leanne
920a4eda-0f9d-4bd9-842d-6873b1afafef
Santer, Miriam
3ce7e832-31eb-4d27-9876-3a1cd7f381dc
Boniface, Michael
f30bfd7d-20ed-451b-b405-34e3e22fdfba
Zlatev, Zlatko
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Farmer, Andrew
c384123c-1276-4d06-a2b5-d5419bd83b1d
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1

[Unknown type: UNSPECIFIED]

Record type: UNSPECIFIED

Abstract

Introduction: Multiple Long Term Conditions (MLTC) are 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 people living with MLTC. In this study, we aimed to elicit and prioritise determinants of improved care in people with MLTC.

Methods: a three round online Delphi study was conducted in England with health and social care professionals, data scientists, researchers, people living with MLTC 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 MLTC. We further identified a number of non-medical determinants that are important to providing holistic care for MLTC.

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 MLTC. This requires a move from a single condition focused biomedical model to a person-based biopsychosocial approach, which has yet to be achieved.

Text
2023.03.19.23287406v1.full - Author's Original
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Published date: 19 March 2023

Identifiers

Local EPrints ID: 478136
URI: http://eprints.soton.ac.uk/id/eprint/478136
PURE UUID: b6370e4b-088f-4a71-93fc-07683540a96e
ORCID for Glenn Simpson: ORCID iD orcid.org/0000-0002-1753-942X
ORCID for Marisza Hijryana: ORCID iD orcid.org/0000-0001-5251-2452
ORCID for Leanne Morrison: ORCID iD orcid.org/0000-0002-9961-551X
ORCID for Miriam Santer: ORCID iD orcid.org/0000-0001-7264-5260
ORCID for Michael Boniface: ORCID iD orcid.org/0000-0002-9281-6095
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X

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Date deposited: 22 Jun 2023 16:38
Last modified: 18 Mar 2024 02:53

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Contributors

Author: Glenn Simpson ORCID iD
Author: Beth Stuart
Author: Marisza Hijryana ORCID iD
Author: Ralph Kwame Akyea
Author: Jonathan Stokes
Author: Jon Gibson
Author: Karen Jones
Author: Leanne Morrison ORCID iD
Author: Miriam Santer ORCID iD
Author: Zlatko Zlatev
Author: Andrew Farmer

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