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

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.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

The study was funded by the National Institute for Health Research (Artificial Intelligence for Multiple Long Term Conditions (AIM), The development and validation of population clusters for integrating health and social care: A mixed-methods study on Multiple Long Term Conditions, NIHR202637)

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Faculty of Medicine Ethics Committee, University Hospital Southampton gave ethical approval for this work.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

All data produced in the present study are available upon reasonable request to the authors.

留言 (0)

沒有登入
gif