Eliciting and prioritising determinants of improved care in multimorbidity: a modified online Delphi study
Eliciting and prioritising determinants of improved care in multimorbidity: a modified online Delphi study
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.
Simpson, Glenn
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Stuart, Beth
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Hijryana, Marisza
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Akyea, Ralph Kwame
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Stokes, Jonathan
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Gibson, Jon
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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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5 September 2023
Simpson, Glenn
802b50d9-aa00-4cca-9eaf-238385f8481c
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
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
8f2e3635-d76c-46e2-85b9-53cc223fee01
Farmer, Andrew
c384123c-1276-4d06-a2b5-d5419bd83b1d
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Simpson, Glenn, Stuart, Beth, Hijryana, Marisza, Akyea, Ralph Kwame, Stokes, Jonathan, Gibson, Jon, Jones, Karen, Morrison, Leanne, Santer, Miriam, Boniface, Michael, Zlatev, Zlatko, Farmer, Andrew and Dambha-Miller, Hajira
(2023)
Eliciting and prioritising determinants of improved care in multimorbidity: a modified online Delphi study.
Journal of Multimorbidity and Comorbidity, 13.
(doi:10.1177/26335565231194552).
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.
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Published date: 5 September 2023
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© The Author(s) 2023.
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Local EPrints ID: 482729
URI: http://eprints.soton.ac.uk/id/eprint/482729
ISSN: 2633-5565
PURE UUID: 1759b3e6-6460-4e90-a9a7-43edf0c38083
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Date deposited: 12 Oct 2023 16:36
Last modified: 18 Mar 2024 03:57
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Contributors
Author:
Marisza Hijryana
Author:
Ralph Kwame Akyea
Author:
Jonathan Stokes
Author:
Jon Gibson
Author:
Karen Jones
Author:
Zlatko Zlatev
Author:
Andrew Farmer
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