ArticleBMC geriatrics2021
Integrated primary care and social services for older adults with multimorbidity in England: a scoping review.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient engagement in multimorbidity: a systematic review of patient-reported outcome measures.Frontiers in psychology · 2024Pooled it
- Clinical empathy and relational continuity mitigate care fragmentation for patients with multiple long-term conditions: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Perceived Algorithmic Care Intensity and Older Adults' Autonomy in Community Smart Care: Mixed Methods Study.JMIR aging · 2026Article
- Article
- Mechanisms influencing adult children's willingness to use medical visit accompaniment services for older adults in Nanjing: a structural equation modeling study.Frontiers in public health · 2026Article
- Variations in social care need reporting amongst GP practices in England: a retrospective cohort study in people with multimorbidity.BMC primary care · 2025Article
- Comprehensive Geriatric Assessment: Addressing Unmet Healthcare Needs in Older Adults.Healthcare (Basel, Switzerland) · 2025Review
- Spatial accessibility evaluation and clustering analysis of primary healthcare within 15 min circles in a northern Chinese megacity.Scientific reports · 2025Article
- Stakeholder perspectives on the barriers and facilitators to integrating cardiovascular disease and diabetes management at primary care in Kenya.PLOS global public health · 2025Article
- Integrated, person-centred care for patients with complex cardiovascular disease, diabetes mellitus and chronic kidney disease: a randomized trial.Clinical kidney journal · 2024Article
- Creating a Modified Version of the Cambridge Multimorbidity Score to Predict Mortality in People Older Than 16 Years: Model Development and Validation.Journal of medical Internet research · 2024Article
- Barriers and enablers of integrated care in the UK: a rapid evidence review of review articles and grey literature 2018-2022.Frontiers in public health · 2023Review
- Understanding social care need through primary care big data: a rapid scoping review.BJGP open · 2022Article
- Multiple Long-Term Conditions (MLTC) and the Environment: A Scoping Review.International journal of environmental research and public health · 2022Article
- Development and Validation of Population Clusters for Integrating Health and Social Care: Protocol for a Mixed Methods Study in Multiple Long-Term Conditions (Cluster-Artificial Intelligence for Multiple Long-Term Conditions).JMIR research protocols · 2022Article
- Integrating primary care and social services for older adults with multimorbidity: policy implications.BJGP open · 2021Article
- Integrated Care Services for Dementia and Their Challenges from a Nursing Home Perspective: An Ethnographic Study.International journal of integrated careArticle
- Evaluating the Impact of an Integrated Community Care Model for Older Adults.International journal of integrated careArticle
- Eliciting and prioritising determinants of improved care in multimorbidity: A modified online Delphi study.Journal of multimorbidity and comorbidityArticle
- Perceptions and experiences of living with and providing care for multimorbidity: A qualitative interview study.Journal of multimorbidity and comorbidityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the prevalence of older adults with multimorbidity increases, greater integration of services is necessary to manage the physical and psycho-social needs of this cohort. This study describes and summarises current evidence, clinical provision and progress towards integrated primary care and social services for older adults with multimorbidity in England.
methodsA scoping review was conducted involving systematic searches of a range of electronic academic and policy databases. Articles were screened and extracted in duplicate by two independent reviewers. Data were extracted onto a charting sheet and thematic synthesis was used to summarise findings. Articles were included if published in English and related to primary care, social care and multimorbidity in older adults in England. Conceptually, the review was framed using the Rainbow Model of Integrated Care.
resultsThe search yielded 7656 articles of which 84 were included. Three themes were identified: (1) a focus on individual level services rather than multi-level or multi-sector integration, with an increasing emphasis on the need to consider broader determinants of population health as critical to integrated care for older adults with multimorbidity; (2) the need for policymakers to allow time for integration to embed, to enable new structures and relationships to develop and mature; and (3) the inherent tension between top-down and bottom-up driven approaches to integrated care requires a whole-systems structure, while allowing for local flexibilities.
conclusionsThere is limited evidence of multi-level and multi-sector integration of services for older adults with multimorbidity in England. The literature increasingly acknowledges wider determinants of population health that are likely to require integration beyond primary care and social services. Improving clinical care in one or two sectors may not be as effective as simultaneously improving the organisation or design across services as one single system of provision. This may take time to establish and will require local input.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.