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

Simpson, Glenn, Stuart, Beth, Hijryana, Marisza, Akyea, Ralph Kwame, Stokes, Jonathan, Gibson, Jon, Jones, Karen C., Morrison, Leanne, Santer, Miriam, Boniface, Michael, and others. (2023) Eliciting and prioritising determinants of improved care in multimorbidity: a modified online Delphi study. Journal of Multimorbidity and Comorbidity, 13 . Article Number 2633556523. ISSN 2633-5565. (doi:10.1177/26335565231194552) (KAR id:102820)


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.

Item Type: Article
DOI/Identification number: 10.1177/26335565231194552
Uncontrolled keywords: Integrated Care; Multimorbidity; Delphi Study; Personalised Care
Subjects: H Social Sciences
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Funders: National Institute for Health Research (
SWORD Depositor: JISC Publications Router
Depositing User: JISC Publications Router
Date Deposited: 13 Oct 2023 13:14 UTC
Last Modified: 11 Jan 2024 08:42 UTC
Resource URI: (The current URI for this page, for reference purposes)

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