ArticleBMJ quality & safety2021
Priorities to improve the care for chronic conditions and multimorbidity: a survey of patients and stakeholders nested within the ComPaRe e-cohort.
Article in BMJ quality & safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prioritization of research engaged with rare disease stakeholders: a systematic review and thematic analysis.Orphanet journal of rare diseases · 2023Pooled it
- Codeveloping a Set of Quality of Care Indicators for People Living With Multiple Long-Term Conditions in Primary Care: Protocol for a Modified RAND/UCLA Study.JMIR research protocols · 2026Article
- Patient Experience and Caregiver Involvement in COVID-19 Care Pathways: Revealing System Blind Spots Through a Life-Events Calendar Approach.Healthcare (Basel, Switzerland) · 2026Article
- What Do Patients Prefer in Periodontal and Implant Therapy? A Scoping Review.Journal of periodontal research · 2025Article
- Entangled in complexity: An ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs.Journal of advanced nursing · 2025Article
- From bedside to data and back to bedside: why do we need better data to perform trauma phenotyping and improve trauma care?Intensive care medicine · 2025Article
- Patient preferences for key organizational features of primary cardiovascular care in Quebec: a discrete choice experiment.BMC primary care · 2025Article
- Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis.BMJ quality & safety · 2024Article
- Public Engagement in Health Policy-Making for Older Adults: A Systematic Search and Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Trauma systems in high socioeconomic index countries in 2050.Critical care (London, England) · 2024Review
- Multimorbidity in emergency departments: urgent need for integrated care.BMJ medicine · 2024Article
- Combinations of multiple long term conditions and risk of hospital admission or death during winter 2021-22 in England: population based cohort study.BMJ medicine · 2024Article
- Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK.Frontiers in health services · 2024Article
- Patients' views on health promotion and disease prevention services provided by healthcare workers in a South African tertiary hospital.BMC health services research · 2023Article
- Important adverse events to be evaluated in antidepressant trials and meta-analyses in depression: a large international preference study including patients and healthcare professionals.Evidence-based mental health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo set priorities to improve consultations, care structures and the healthcare system from the perspective of patients with chronic conditions, care professionals, hospital administrators and health policy makers.
methodsAdult patients with chronic conditions recruited from the ComPaRe e-cohort in France ranked their 15 most important areas of improvement among 147 previously defined by patients. Priorities at a population level were obtained by using logit models for sets of ranked items in a data set calibrated to represent the French population of patients with chronic conditions. Care professionals, hospital managers and health policy makers rated the complexity involved in improving the areas identified. We calculated the number of patients who considered as a priority at least one of the areas considered easy to implement.
resultsBetween September 2018 and May 2019, 3002 patients (84% women, 47% with multimorbidity) and 149 professionals (including 50 care professionals, 79 hospital directors, 11 health policy decision makers) were recruited. Patients' top priorities were (1) Transforming care to be holistic and personalised, at a consultation level; (2) Smoothing patients' journey in the care system, increasing their knowledge of their own health and improving care coordination, at a care structure level (3) Training clinicians in better interpersonal skills and knowledge of specific conditions/treatments, reducing stigma and making care more affordable, at a healthcare system level. In total, 48%, 71% and 57% patients ranked in their top priorities one area considered easy to improve by professionals at consultation, care structure and health system levels, respectively.
conclusionThis is the first comprehensive map of patients' priorities to improve the management of chronic conditions. Implementing simple actions could benefit a large number of patients.
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