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Clustering by health and social care need in Multiple Long-Term conditions (MLTC): qualitative interview study to explore the views of professionals and people living with MLTC

Clustering by health and social care need in Multiple Long-Term conditions (MLTC): qualitative interview study to explore the views of professionals and people living with MLTC
Clustering by health and social care need in Multiple Long-Term conditions (MLTC): qualitative interview study to explore the views of professionals and people living with MLTC
The problem: approximately 1 in 4 people live with multiple long-term conditions (MLTC). Improved integration for health and social care needs (SCNs) could improve outcomes for people living with MLTC, including improved quality of life and lower hospitalisation rates. Given the number of people with MLTC, alongside cost and resources, stratified approaches to identify and address SCNs may be more efficient and cost-effective. We developed data driven clusters of people with similar health and SCNs, to help identify people with the highest risk of poor outcomes. This study explores key stakeholder views about using these clusters as part of an intervention to support conversations about social care needs in primary care.



Approach/methodology: remote qualitative interviews with:

24 health/social care professionals (including carers) to explore priorities and concerns about care delivery informed by MLTC clusters

30 people living with MLTC to explore feelings about the clusters and this approach

Topic guides were developed with PPI and stakeholders. Interviews are recorded and transcribed. Data is being analysed using Reflexive Thematic Analysis with PPI and stakeholder input.



Key findings: recruitment and analysis is ongoing, with 8 interviews conducted so far. Recruitment will complete February 2024 with results available to share at the conference. Early findings suggest a broadly positive view on the cluster approach.



Implications: this research will identify and prioritise the intervention components needed to engage people with MLTC and care professionals to enhance the identification and consideration of SCNs in primary care.
Multimorbidity, Social care, intervention development, person-based approach
Holt, Sian
b6977ce7-16bf-4dde-92f4-18abe85ad093
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Santer, Miriam
3ce7e832-31eb-4d27-9876-3a1cd7f381dc
Everitt, Hazel
80b9452f-9632-45a8-b017-ceeeee6971ef
Farmer, Andrew
c384123c-1276-4d06-a2b5-d5419bd83b1d
Morrison, Leanne
920a4eda-0f9d-4bd9-842d-6873b1afafef
Holt, Sian
b6977ce7-16bf-4dde-92f4-18abe85ad093
Dambha-Miller, Hajira
58961db5-31aa-460e-9394-08590c4b7ba1
Santer, Miriam
3ce7e832-31eb-4d27-9876-3a1cd7f381dc
Everitt, Hazel
80b9452f-9632-45a8-b017-ceeeee6971ef
Farmer, Andrew
c384123c-1276-4d06-a2b5-d5419bd83b1d
Morrison, Leanne
920a4eda-0f9d-4bd9-842d-6873b1afafef

Holt, Sian, Dambha-Miller, Hajira, Santer, Miriam, Everitt, Hazel, Farmer, Andrew and Morrison, Leanne (2024) Clustering by health and social care need in Multiple Long-Term conditions (MLTC): qualitative interview study to explore the views of professionals and people living with MLTC. South West Society for Academic Primary Care (SW SAPC) Annual Conference, Birmingham, United Kingdom.

Record type: Conference or Workshop Item (Other)

Abstract

The problem: approximately 1 in 4 people live with multiple long-term conditions (MLTC). Improved integration for health and social care needs (SCNs) could improve outcomes for people living with MLTC, including improved quality of life and lower hospitalisation rates. Given the number of people with MLTC, alongside cost and resources, stratified approaches to identify and address SCNs may be more efficient and cost-effective. We developed data driven clusters of people with similar health and SCNs, to help identify people with the highest risk of poor outcomes. This study explores key stakeholder views about using these clusters as part of an intervention to support conversations about social care needs in primary care.



Approach/methodology: remote qualitative interviews with:

24 health/social care professionals (including carers) to explore priorities and concerns about care delivery informed by MLTC clusters

30 people living with MLTC to explore feelings about the clusters and this approach

Topic guides were developed with PPI and stakeholders. Interviews are recorded and transcribed. Data is being analysed using Reflexive Thematic Analysis with PPI and stakeholder input.



Key findings: recruitment and analysis is ongoing, with 8 interviews conducted so far. Recruitment will complete February 2024 with results available to share at the conference. Early findings suggest a broadly positive view on the cluster approach.



Implications: this research will identify and prioritise the intervention components needed to engage people with MLTC and care professionals to enhance the identification and consideration of SCNs in primary care.

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More information

Published date: 1 March 2024
Venue - Dates: South West Society for Academic Primary Care (SW SAPC) Annual Conference, Birmingham, United Kingdom, 2006-03-01
Keywords: Multimorbidity, Social care, intervention development, person-based approach

Identifiers

Local EPrints ID: 492327
URI: http://eprints.soton.ac.uk/id/eprint/492327
PURE UUID: cfc4405d-c12d-4a85-9834-bdbc80d66f2e
ORCID for Sian Holt: ORCID iD orcid.org/0000-0001-5448-3499
ORCID for Hajira Dambha-Miller: ORCID iD orcid.org/0000-0003-0175-443X
ORCID for Miriam Santer: ORCID iD orcid.org/0000-0001-7264-5260
ORCID for Hazel Everitt: ORCID iD orcid.org/0000-0001-7362-8403
ORCID for Leanne Morrison: ORCID iD orcid.org/0000-0002-9961-551X

Catalogue record

Date deposited: 24 Jul 2024 16:34
Last modified: 25 Jul 2024 01:57

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Contributors

Author: Sian Holt ORCID iD
Author: Miriam Santer ORCID iD
Author: Hazel Everitt ORCID iD
Author: Andrew Farmer
Author: Leanne Morrison ORCID iD

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