Evidence map›Paper›PMID 37692105›Full record

ArticleJournal of multimorbidity and comorbidity

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

Glenn Simpson, Beth Stuart, Marisza Hijryana, Ralph Kwame Akyea, Jonathan Stokes, Jon Gibson, Karen Jones, Leanne Morrison, Miriam Santer, Michael Boniface and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
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  4. Article
  5. Relying on Trust: A Qualitative Study on Home-Dwelling Older Adults' Experiences and Preferences With Multimorbidity Management in Municipal Healthcare Assessments.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  6. Article
  7. Article
  8. Multimorbidity Management: A Scoping Review of Interventions and Health Outcomes.International journal of environmental research and public health · 2025
    Article
  9. Article
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  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Glenn SimpsonPrimary Care Research Centre, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-1753-942X
Beth StuartWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Marisza HijryanaInstitute of Epidemiology and Health Care, University College London (UCL), London, UK.
Ralph Kwame AkyeaPrimary Care Research Centre, University of Southampton, Southampton, UK.
Jonathan StokesMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Jon GibsonDivision of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.
Karen JonesPersonal Social Services Research Unit, University of Kent, Canterbury, UK.
Leanne MorrisonPrimary Care Research Centre, University of Southampton, Southampton, UK.
Miriam SanterPrimary Care Research Centre, University of Southampton, Southampton, UK.
Michael BonifaceDigital Health and Biomedical Engineering, School of Electronics and Computer Science, University of Southampton, Southampton, UK.
Zlatko ZlatevDigital Health and Biomedical Engineering, School of Electronics and Computer Science, University of Southampton, Southampton, UK.
Andrew FarmerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Hajira Dambha-MillerPrimary Care Research Centre, University of Southampton, Southampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Delphi studyintegrated careMultimorbiditypersonalised care

Identifiers

PMID37692105
PMCPMC10483969

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.