ArticleBMC family practice2019
Identifying subgroups of persons with multimorbidity based on their needs for care and support.
Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Unpacking the Public Health Triad of Social Inequality in Health, Health Literacy, and Quality of Life-A Scoping Review of Research Characteristics.International journal of environmental research and public health · 2023Article
- How do older adults with multimorbidity navigate healthcare?: a qualitative study in Singapore.BMC primary care · 2023Article
- Designing a Future eHealth Service for Posthospitalization Self-management Support in Long-term Illness: Qualitative Interview Study.JMIR human factors · 2023Article
- Are older people worse off in 2040 regarding health and resources to deal with it? - Future developments in complex health problems and in the availability of resources to manage health problems in the Netherlands.Frontiers in public health · 2023Article
- Feeling safe or falling through the cracks-Patients' experiences of healthcare in cirrhosis illness: A qualitative study.PloS one · 2023Article
- Environmental Influences on Life Satisfaction and Depressive Symptoms Among Older Adults With Multimorbidity: Path Analysis Through Loneliness in the Canadian Longitudinal Study on Aging.The Gerontologist · 2022Article
- Design and Development of an eHealth Service for Collaborative Self-Management among Older Adults with Chronic Diseases: A Theory-Driven User-Centered Approach.International journal of environmental research and public health · 2021Article
- Outcomes of a randomized quality improvement trial for high-risk Veterans in year two.Health services research · 2021Article
- Easier Said Than Done: Healthcare Professionals' Barriers to the Provision of Patient-Centered Primary Care to Patients with Multimorbidity.International journal of environmental research and public health · 2021Article
- Making care more patient centered; experiences of healthcare professionals and patients with multimorbidity in the primary care setting.BMC family practice · 2021Article
- [Predictive validity of a functional classification method in older adultsValidação preditiva de método de classificação funcional em idosos].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Web-Based Patient Segmentation in Finnish Primary Care: Protocol for Clinical Validation of the Navigator Service in Patients With Diabetes.JMIR research protocols · 2020Article
- Segmentation of health-care consumers: psychological determinants of subjective health and other person-related variables.BMC health services research · 2020Article
- The Need for Co-Creation of Care with Multi-Morbidity Patients-A Longitudinal Perspective.International journal of environmental research and public health · 2020Article
- Identifying high-need patients with multimorbidity from their illness perceptions and personal resources to manage their health and care: a longitudinal study.BMC family practice · 2020Article
- Views of patients with multi-morbidity on what is important for patient-centered care in the primary care setting.BMC family practice · 2020Article
- The content and processes of patient-derived quality of care indicators for people living with multiple long-term conditions (MLTC): A scoping review.Journal of multimorbidity and comorbidityReview
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Authors and funding
2 authors.
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Abstract
backgroundThere is broad consensus that countries need to develop and implement person-centred integrated care to better meet the needs of their growing populations with multimorbidity. To develop appropriate care, it is essential to know the needs for care and support among these populations. For this purpose, we examined whether subgroups of people with multimorbidity could be distinguished based on their needs, and profiled these subgroups according to medical complexity and the availability of personal resources.
methodsPersons diagnosed with two or more somatic chronic diseases (N = 613) were selected from 38 general practices throughout the Netherlands. We conducted a cluster analysis of their scores on the RAND-36 questionnaire of health-related quality of life (QoL), to gain insight in their needs for care and support. Differences in demographics, medical characteristics and personal resources between the identified clusters were tested using analysis of variance and chi-square tests.
resultsThe cluster analysis revealed three subgroups: 1. a group with a relatively good QoL (48% of the sample), 2. a group with a poor physical QoL (28%), and 3. a group with a poor QoL in all domains assessed by the RAND-36 (24%). The group with a relatively good QoL had more favourable medical characteristics than the other groups, i.e., less chronic diseases, shorter illness duration, more stable course of illness, better controllable conditions, less polypharmacy. The group with a poor QoL in all domains could rely on less personal resources (education, income, social support, health literacy, self-management capabilities) than the other groups.
conclusionsDifferent subgroups of people with multimorbidity can be distinguished based on their needs for care and support. These needs are not only determined by demographic and medical characteristics, but also by the personal resources people have available to manage their health and care. Patient profiles combining medical complexity and personal resources could guide the development of integrated care for specific target groups of persons with multimorbidity.
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